Ideb Membership Form -

Signature: ___________________ Date: ________

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

📧 Send completed form to: membership@ideb.org 📞 For inquiries: +[Your Phone Number] 🌐 Website: www.ideb.org ☐ Lifetime Member – One-time contribution for lifelong

☐ – 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) ideb membership form

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

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