Membership Application

Membership Application Form

Please provide the following information. IPPR will review your application after submission.

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Language 繁中 English 日本語

Membership Type *

Please select the appropriate membership type

Name

Chinese Name

English Name

Please enter at least a Chinese or English name

Basic Information

Gender

Date of Birth *

ID / ARC / Passport No. *

Taiwan ID, ARC, or passport number is accepted

Contact Information

Email *

This email will be used as your login account. Only one account is allowed per email.

Mailing Address

City/County

District

Postal Code

Street Address *

Residence Address

Same as mailing address

City/County

District

Postal Code

Street Address *

Phone *

Mobile *

Fax

Academic / Professional Information

School / University

Research Area

Expertise

Organization

Organization (English)

Job Title

Personal / Organization Website

Introducer

After submission, IPPR will review your application within 3-5 business days and notify you.