Membership Application Form

Membership Application Form
  • 0
  • President / Rector Information
    1
  • Job Title*
    2
  • Date appointed to position*
    3
  • Until*
    4
  • Prefix*
    5
  • First name*
    6
  • Last name*
    7
  • Address Line 1*
    8
  • Address Line 2*
    9
  • City*
    10
  • State/Province*
    11
  • Zip/Post code*
    12
  • Country*
    13
  • Email*
    14
  • Phone*
    15
  • Secondary Contact
    16
  • Job Title*
    17
  • Prefix*
    18
  • First name*
    19
  • Last name*
    20
  • Address Line 1*
    21
  • Address Line 2*
    22
  • City*
    23
  • State/Province*
    24
  • Zip/Post code*
    25
  • Country*
    26
  • Email*
    27
  • Phone*
    28
  • Institution Information
    29
  • Name of Institution*
    30
  • Year Founded*
    31
  • Address Line 1*
    32
  • Address Line 2*
    33
  • City*
    34
  • Province*
    35
  • Zip/Post code*
    36
  • Country*
    37
  • Website (URL)*
    38
  • Student Enrolment*
    Under 5,000
    5,000-10,000
    10,000-15,000
    15,000-25,000
    Over 25,000
    39
  • Courses Offered*Please check all that apply
    Undergraduate
    Graduate
    PhD/Doctorate
    Research Activities
    40
  • Institutional Accreditation and Details of Accrediting Body
    41
  • Is Your Institution Accredited?*
    Yes
    In process
    No
    42
  • Name of Accrediting Body*
    43
  • Address Line 1 (of accrediting body)*
    44
  • Address Line 2 (of accrediting body)*
    45
  • City (of accrediting body)*
    46
  • State/Province (of accrediting body)*
    47
  • Zip/Post code (of accrediting body)*
    48
  • Country (of accrediting body)*
    49
  • Membership Requirements
    50
  • *Please upload a certified copy of the constitution of your university Upload University Constitution
      51
    • *Please upload a certificate from the competent legal authorities in your country confirming that the your university is in conformity with your country's laws Upload University Accreditation
        52
      • *A declaration signed by the chief executive officer of your university that it will co-operate with AUAP and pay your annual membership fees to AUAP as and when they are due Upload Declaration
          53
        • Membership Type and Payment
          54
        • Type of Membership*Please note that Regular Membership is open to the chief executive officers of accredited and recognized universities, and Associate Membership is reserved for the chief executive officers of certified and recognized organizations in other sectors.
          Regular Membership
          Associate Membership
          55
        • Membership Payment*Please pay a full membership fee in addition to any bank charges in order to receive a full membership receipt. Please note membership fees are valid from 1 July - 30 June of the payment period.
          AUAP Membership fee for one (1) year: 800 USD
          AUAP Membership fee for three (3) years: 2,400 USD
          56
        • Proof of payment*Please upload a copy of the bank transfer document. Please make sure the member’s name and institution appear on the copy of the bank transfer, to ensure that you are properly credited. Beneficiary (Account Name): SUT-AUAP Petty Cash Beneficiary Bank (Bank Name): Siam Commercial Bank Public Company Limited Beneficiary A/C No.: 707-220-205-4 Bank Address: Suraphat Technopolis, Suranaree University of Technology, 111 University Avenue, Suranaree Sub District, Muang, Nakhon Ratchasima 30000,Thailand Swift Code: SICOTHBK Phone: +66 85 768 7474 Upload proof of payment
            57