South and West Asian Regional Branch of the International Council of Archives (SWARBICA)

 

Application Form for Membership

 

To be sent:  

By email to: membership@swarbica.org

By fax to: (0098 21) 88 64 40 72

By mail to: National Library Blv., Haqani Expressway, TEHRAN, IRAN, ZIP Code: 1537614111, P.O. Box 15875/3693

 

 

1. Name of the Applicant / Institution

Ms/Mr. Name: ..........................................................First name: ...............................................................

Function/Profession: ..................................................................................................................................

 2. Membership category:

I. National Members: (National archives directorate or principal archival authorities in the countries in the region of SWARBICA).

II. Institutional Members: (institutions conducting archival or archival related activities).

III. Individual Members: (Any professional archivist or other individuals interested / working in the field of the administration or preservation of records and archives, or of the archival training and education, in the past or present).

IV. Honorary Member: (Nationals of South and West Asia, who have made outstanding contributions in the archival field, or who have rendered significant service to the archive profession, elected by the General Conference of SWARBICA).

V. Associate Members: (Any institution or individual not belonging to any country in South and West Asia, but having genuine interest in the aims and objects of SWARBICA.

 2.1. Should you wish to apply for membership in National Members (category I), please complete this area:

Name of the institution: ..............................................................................................................................

Type of Institution:

□National directorate of archives                                                   □National or federal archives (central institution)

□Directorate of archives of a member state of a federal country      □Central archives of a member state of a federal country

 Address: .....................................................................................................................................................

.....................................................................................................................................................................

Town: .............................................................  Country: ...........................................................................

State/Province: ...........................................................................................................................................

Tel: .................................................................... Fax: ................................................................................

Web: …….......................................................... Email: ............................................................................

 2.2. Should you wish to apply for membership in Institutional Members (category II), please complete this area:

Name of the Institution: .............................................................................................................................

Date of Establishment: ...............................................................................................................................

Legal Authority under which the Institution Operates: .............................................................................

Title of Head of Institution: .......................................................................................................................

Number of Members: ................................................................................................................................

Give a brief account of the work undertaken by the institution and the reasons for making this application:

....................................................................................................................................................................

...(Use separate sheet if necessary).

2.3. Should you wish to apply for membership in Individual Members (category III), please complete this area:

Name: ................................................................ First Name: ....................................................................

Date of Birth: .................................................... Sex: ................................................................................

Nationality: ....................................................... Occupation: ....................................................................

Current Position: .............................................  Current Employer: .........................................................

 Professional Address: .................................................................................................................................

.....................................................................................................................................................................

Tel: .................................................................... Fax: ................................................................................

Web: …….......................................................... Email: ............................................................................

 Private address: ..........................................................................................................................................

.....................................................................................................................................................................

Tel: .................................................................... Fax: ................................................................................

Web: …….......................................................... Email: ............................................................................

Function/Profession: ..................................................................................................................................

Scientific or professional interest: ..............................................................................................................

2.4. Should you wish to apply for membership in Honorary Member (category VI), please complete this area:

Name: ................................................................. First Name: ...................................................................

Date of Birth: ..................................................... Sex: ...............................................................................

Nationality: ........................................................ Last occupation: ............................................................

Current Position: ................................................ Current Employer: ........................................................

Professional Address: .................................................................................................................................

.....................................................................................................................................................................

Tel: .................................................................... Fax: ................................................................................

Web: …….......................................................... Email: ............................................................................

Private address: ..........................................................................................................................................

.....................................................................................................................................................................

Tel: .................................................................... Fax: ................................................................................

Web: …….......................................................... Email: ............................................................................

Function/Profession: ..................................................................................................................................

Scientific or professional interest: .............................................................................................................

Give a brief account of the Major work undertaken in the archival field (significant service to the archive profession,

or working in the field of the administration or preservation of records and archives, or of the archival training and

education, in the past or present) and the reasons for making this application please............................................

........................................................................................................................................................................

 (Use separate sheet if necessary)

(Note: Honorary Member elected by the General Conference of SWARBICA)

 2.5. Should you wish to apply for membership in Associate Members (category V), please complete this area:

Name of the association: ............................................................................................................................

Number of members: .................................... Type of association: ..........................................................

Field of activity: .........................................................................................................................................

Address: ......................................................................................................................................................

Town: ................................................................  Country: ........................................................................

State/Province: ...........................................................................................................................................

Tel: .................................................................... Fax: ................................................................................

Web: …….......................................................... Email: .............................................................................

 3. Declaration

Name: .........................................................................................................................................................

(Position) of (name of institution): ...................................................................................................................

Signature: .......................................... Signature Date:  /   /         Official Seal/Chop: .......................................