* You may print multiple copies of the Application for Membership and Oath of Membership forms for distribution to others who may want to join by filling out the hard copies of the forms. Please have the filled out forms sent to the mailing address of Buklod as indicated in the Application for Membership form or by email to ben.buklod@yahoo.com

Downloadable Forms:

Buklod- Application for Membership

Buklod – Affirmation of Membership Form

Thank you.

PERSONAL INFORMATION

Surname*

Given Name*

Middle Name

Date of Birth*

Address

No./Street/Building/Village

Town*

Barangay*

Province/City*

Congressional District No.

If Province/City has more than one Congressional district; if not, leave blank

Communication Contact Details

Telephone; cellphone; or both*

Email*

OCCUPATION AND EDUCATION

Present Occupation*

Please selectFarmerUnskilled WorkerHousehelp/ Family driverPublic Vehicle Driver/ conductorSkilled worker (welder, carpenter, etc.)Factory/ Labor Work SupervisionSmall Business Owner/ VendorOffice WorkerOffice Work: SupervisionBusiness ManagementLarge Business entrepreneurNGO ManagementGovernment WorkerGovernment: SupervisionEducation: Teacher/ SupervisorPracticing DoctorPracticing LawyerPracticing CPAEconomistEngineerHealthcareOFWOthersStudentHousewifeRetiredUnemployed

If Engineering (Present Occupation):*

If Healthcare (Present Occupation):*

If Others (Present Occupation):*

Specify field of work

Highest educational attainment*

Please selectStudent (currently)Elementary school, not completedElementary school, completedHigh school, not completedHigh school, completedVocational school, completedCollege, not completedCollege, completedMaster's degree (Completed)PhD (Completed)

Professional Qualification*

Please selectNot ApplicableArchitectureCPADentistryEducationEngineeringLawMedicineNursingOthers

If Engineering (Professional Qualification):*

If Others (Professional Qualifications):*

Specify field of qualification

PARTY ACTIVITIES

Check one or more if you want to directly engage in Buklod activities*

Organizing/ membership development: Barangay

Organizing/ membership development: Town

Organizing/ membership development: Province/City

Fund raising

Research/ study

Office work

Security

Community affairs (promoting good citizenship; assistance to poor; etc.)

Disaster relief/ assistance

Youth cadre (18 to 25 years old)

(Note: Assignments will be voluntary, and generally of short-duration and may be done outside of regular work hours.)

MEMBERSHIP CARD

Please upload your photo for your membership card

* Even without your signature, we shall consider the Oath of Membershop as having been signed by you when you email to us this Application Membership.

CERTIFICATION AND DATA PRIVACY

By choosing "I Agree", I have agree that I have not been convicted of any crime and have not engaged in graft and corruption. I am not been an elected or appointed official in the National or Local Government.*

I Agree

By choosing "I Agree" and clicking the "Sign Up" button below, I hereby acknowledge and certify that I have carefully read and understood the Terms and Conditions of the Data Privacy Policy/Notice of the Buklod. By providing personal information to Buklod, I am confirming that the data is true and correct. I understand that Buklod reserves the right to revise any decision made on the basis of the information I provided should the information be found to be untrue or incorrect. I likewise agree that any issue that may arise in connection with the processing of my personal information will be settled amicably with Buklod before resorting to appropriate arbitration or court proceedings within the Philippine jurisdiction. Finally, I am providing my voluntary consent and authorization to Buklod and its authorized representatives to lawfully process my data/information.*

I Agree

Please type the characters*

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Sign Up

* Those who have been convicted of any crime or engaged in graft and corruption; and those past and present elected or appointed national or local government official (except at the Barangay Level), need not apply.

You can also find us here

Suite 2415 West of Ayala Bldg.
252 Sen. Gil Puyat Avenue
Makati City

P.O. Box 2534
Makati Central Post Office
1265 Makati City
Philippines

Telephone: 886-5510
Fax: 886-6019
Email: ben.buklod@yahoo.com
https://buklod.org