Asian Academy of Family Therapy 

  AAFT Full/ Life/ Associate/ Student Member (New Applications)

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Annual Subscription Fee *

Current Profession:

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Personal Information

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Name (in full): *

Name in other languages (if applicable):

Name of Organization: *

Position Held: *

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Phone no: *

Fax no:

E-mail address: *

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Education

1. Date (M/Y), From-To

Educational Institution

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Certificate/Degree Earned

2. Date (M/Y), From-To

Educational Institution

Major

Certificate/Degree Earned

# Please indicate level of qualification attained, i.e., PhD, Master’s, Bachelor’s, Certificate, Diploma, Post-Secondary, etc

and send the copy of the academic certificates and/or qualification proof to our email: info@acafamilytherapy.org

Please read below Acknowledgement and Declaration: *


I hereby agree and authorize the Academy to use the information that I have provided in this membership application form for assessment and other membership-related service purposes.

I understand that the membership category to which I may be admitted shall be that deemed by the Academy to be appropriate,

and I agree to abide by the articles, rules, and regulations of the Academy.

I declare that the information provided in this application are true. I understand that any willful misstatement will render my membership application/ status liable to disqualification.


 

Enquiries: Please contact us at Tel:(852) 2859-5300  Fax: (852) 2559-1813  

or via email at info@acafamilytherapy.org  Website: www.acafamilytherapy.org