INTERNATIONAL FEDERATION OF WOMEN LAWYERS

INTERNATIONAL FEDERATION OF WOMEN LAWYERS
FÉDÉRATION INTERNATIONALE DES FEMMES JURISTES
FEDERACIÓN INTERNACIONAL DE ABOGODAS (FIDA)
"In Consultative Status with the United Nations"
www.fidafederation.org
HONORARY LIFE PRESIDENT
Ambassador Aduke Alakija (Nigeria)
Membership Application Form
Demande d'adhésion/Solicitud de Afiliación
EXECUTIVE COUNCIL 2014 – 2017
Name: ____________________________________________________________________________________________________________
Nom/NombrePRESIDENT:
Jethlyn A. Burrows (Bahamas)
P. O. Box F-41012
Address:
__________________________________________________________________________________________________________
Freeport,
Grand Bahama
The Bahamas
Adresse/Domicilio
242-352-9428 (work)
242-352-7905 (home)
242-727-4033 (mobile)_____________________________________________________________________________________________
City/State/Country:
242-352-9429 (facsimile)
Ville.État.Pays/Ciudad.Estado.País
[email protected]
Telephone:
_______________________________________________________________________________________________________
FIRST VICE
PRESIDENT:
Angela Dolmetsch (Colombia)
Téléphone/Teléfono
[email protected]
E-mail Address:
__________________________________________________________________________________________________
SECRETARY:
Ezinwa Okoroafor
(Nigeria)
Courriel/Correo
electrónico
[email protected]
Profession:TREASURER:
_______________________________________________________________________________________________________
Profession/Profesión
Surinder Kapila (Kenya)
[email protected]
Degree(s):
________________________________________________________________________________________________________
UN REPRESENTATIVE:
Diplôme(s)/Título(s)
Stella Ugboma (Nigeria)
[email protected]
Signature: __________________________________________________________
Date: ___________________________________
Signature/Firma
Johanna Sterbin (USA)
Date/Fecha
DIRECTORS:
[email protected]
Yearly Hsiu
Dues:
Active Member – US$ 40.00
Fon Chen (Taiwan)
Membre Actif/Miembro Activo
Frais Annuelles
[email protected]
Cuotas Anuales
Giovanna Chiara (Italy)
Life Membership – US$ 400.00
Membre à Vie/Miembro Vitalicio
[email protected]
Patron – US$ 40.00
Patron/Patrón
Student – US$ 20.00
Étudiant/Estudiante
Association – US$ 400.00
Association/Asociación
Gladys Fri Mbuya (Cameroon)
Please send
this form along with the exact amount due by bank draft/cheque payable to the “International Federation of Women
[email protected]
Lawyers” in American Dollars (USD) to the President or Treasurer at the address below. For wiring instructions, contact the
V. P. Seemandhini (India)
President
via email.
[email protected]
Meza Ingar
(Peru) avec le montant exact dû par traite bancaire/chèque payable à la “International Federation of Women Lawyers” en dollars
S’il vousCarmen
plaît envoyer
ce formulaire
[email protected]
américains (USD) pour le Président ou le Trésorier à l'adresse ci-dessous. Pour les instructions de câblage, contacter le Président par courriel.
EDITOR-IN-CHIEF:
Por favor envíe
este formulario junto con la cantidad exacta por giro bancario / cheque a nombre de la “International Federation of Women Lawyers” en dólares
Cris McCurley
(United
estadounidenses
(USD)
paraKingdom)
el Presidente o Tesorero en la dirección abajo. Para instrucciones de cableado, póngase en contacto con el Presidente a través de correo
[email protected]
electrónico.
HISTORIAN:
PRESIDENT
Mercy Agbamuche (Nigeria)
[email protected]
Jethlyn A.
Burrows
P. O. Box F-41012
Freeport, PARLIAMENTARIAN:
Grand Bahama, The Bahamas
242-352-9428Sheeela
(work) .Anish
242-352-7905
(India) (home)
[email protected]
242-727-4033
(mobile) . 242-352-9429 (facsimile)
[email protected]
TREASURER
Surinder Kapila
P. O. Box 40636 – GPO 00100
Nairobi, Kenya
254-20-722-240 (mobile)
[email protected]