Ideb Membership Form -

Email: _______________________________ Phone (with country code): ______________ Address: _____________________________ SECTION B: MEMBERSHIP TYPE (Select one)

Signature: ___________________ Date: ________

☐ Education & Capacity Building ☐ Research & Policy Advocacy ☐ Sustainable Development Goals (SDGs) ☐ Youth & Women Empowerment ☐ Technology & Innovation ☐ Health & Social Welfare ☐ Other: _______________ ideb membership form

I hereby apply for membership in IDEB. I agree to abide by IDEB’s constitution, code of conduct, and pay the prescribed fees (if any). The information provided is true and complete.

IDEB respects your privacy. Your data will be used only for membership and internal communication. IDEB respects your privacy

📧 Send completed form to: membership@ideb.org 📞 For inquiries: +[Your Phone Number] 🌐 Website: www.ideb.org

☐ – For professionals and individuals supporting IDEB’s mission. ☐ Student Member – For full-time students (valid ID required). ☐ Institutional Member – For universities, NGOs, or companies. ☐ Lifetime Member – One-time contribution for lifelong benefits. SECTION C: AREAS OF INTEREST (Select all that apply) ☐ Student Member – For full-time students (valid

Here’s a clean, professional text for an (assuming IDEB refers to an organization, institute, or network — e.g., International Development & Education Board). You can adapt the bracketed sections as needed. IDEB MEMBERSHIP FORM Join us in driving innovation, education, and sustainable development. SECTION A: PERSONAL INFORMATION Full Name: ___________________________ Date of Birth: ________________________ Gender: ☐ Male ☐ Female ☐ Other ☐ Prefer not to say Nationality: __________________________ Occupation/Title: _____________________ Organization (if any): __________________