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

☐ – 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)

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): __________________

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

Signature: ___________________ Date: ________

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

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.

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