::: Ethiopian Economic Association

DESCLAIMAR: PLEASE NOTE THAT AFTER THE SUBMITION OF THIS FORM, YOU NEED TO DELIVER YOUR TESTIMONIAL DOCUMENTS TO THE ASSOCIATION AS SOON AS POSSIBLE. FAILURE TO DO SO WITHIN THE NEXT 30-180DAYS (i.e. 30DAYS FOR APPLICANTS WITHIN ADDIS ABABA, 60DAYS FOR APPLICANTS WITHIN ETHIOPIAN REGION AND 180DAYS FOR APPLICANTS FROM ABROAD) MAY REVOKE YOUR MEMBERSHIP.

Personal Data

*First Name	*Second Name	*Grand Father's Name

Gnender
Male Female

Institutional Affiliation

Institution	Department	Current Position

Address

City
office		Residence

Country

*Telephone
Office	eg. 251-11-6453200	Res.	eg. 251-11-6453200
	eg. 251-11-6453200	Mob.

P.O.Box
Office		Private

Fax

eg. 251-11-6453020

Telex

* Email

eg. eea@ethionet.et

Education

*Area of Specialization
* Educational Level	in
Title of Thesis

Experience (Most Recent 3)

Institution	Type of Work	From (mmm-yyyy)	To (mmm-yyyy)

List of Research Output (Only Published One): (maximum 3000 letters)

List of Training Topic You Provided to Institutions: (maximum 3000 letters)

Your Experience on Consultancy Service: (maximum 3000 letters)

Type of Membership Applying For:

* Full Associate Institutional Student

Select User Name and Password

*Username:

*Password:

(8-50character)

*Confirm your password: