Membership Application Form of the Society of Resource Geology

Please fill in the required items below and send this form to the office of the Society of Resource Geology.

Name*
Last name First name
Middle name
Membership type*
Nationality*
Date of Birth*
Gender*
Affiliation*
Department/Faculty*

Position/Grade*
TEL*
FAX
E-Mail*
Office Address*

Zip code
Home Address*

Zip code
Mailing Address for Journal*
Educational Record *

Students need to fill in expected year and month of graduation.

Graduation of University
University
Department/Faculty
Graduation of Graduate School
University
Department/Faculty
Doctoral Degree
Name  Date
Name  Date
Name  Date
Specialty*
Reference Person*
Name
Membership number
Affiliation

If you don’t know any members of our society, contact us.

Free Writing

As a general rule, we will contact a reference person.
Personal information above will be used only for activities of the Society of Resource Geology.