Membership Application Form

Wireless World Research Forum (WWRF)

The Wireless World Research Forum (WWRF) is open to all interested parties.
To become a member of the forum, please complete this form carefully. The
completed and signed form should be sent to the secretariat of WWRF. The
applicant (Individual or organization) ill become a WWRF !ember on
acceptance of the application by the WWRF "eneral #ssembly,
Four different member categories are available. The annual membership fee is
payable as per the calendar year. It amounts to $%% &uro for Individual
!embers. For organizational members, it is '(% &uro for #ssociate !embers,
$%%% &uro for Full !embers and $% %%% &uro for )ponsor !embers. *lease
refer to notes $, ' and + at the end of this page.
!eeting participation costs ill be additional to the membership fee. !ore
information ill be given in connection to every meeting.
Please note: the application form includes a short ritten statement identifying
the applicant describing its interest in participating in the WWRF.
Name of Applicant Individual

or !r"ani#ation:

$
% &
*lease specify hat ,ind of WWRF membership is intended.
Individual Member Associate Member
Full Member 'ponsor Member
(alendar )ear of membership applied for:
(*lease fill in -r '%$+, etc.)
Release of name.
/pon becoming a !ember of the WWRF, the #pplicant (Individual or
0rganization) agrees that the WWRF may, in connection ith the membership,
and so long as the #pplicant is a !ember, publish the applicant1s name, the
!embership status and the date on hich the #pplicant became a !ember.
Website address to appear in WWRF membership listing and applicant2s
(individual or organization2s) homepage, if any.
$
Individual membership is available for 3ualified individuals. For further details, please refer to
article 4.' of WWRF #rticles of #ssociation.
'. 0nly )mall and !edium &nterprises ()!&s) are eligible for #ssociate !embership. *lease
refer to &5 definition of )!&s for further details.
'+
*lease note that one membership may be used to represent multiple6affilliate companies
ithin a group.
Page 1 of 4
Membership Application Form
Wireless World Research Forum (WWRF)
Declaration:
I, Name
as a 3ualified individual or an authorized person of the #pplicant 0rganization
mentioned above, hereby apply for membership of the Wireless World
Research Forum (WWRF), and further declare that the #pplicant .
- #grees to respect all legal provisions and statutes concerning the WWRF
as described in the #rticles of #ssociation, signed version, dated #ugust
$4
th
,'%%$
(available on WWRF homepage. http.77.ireless6orld6research.org)
- or its representative(s) named overleaf shall be the official contact
person(s) for receiving formal notices, voting papers, and invoices,
- shall become a member of the WWRF upon payment of membership fees
after the acceptance of this application by the "eneral #ssembly.
*lease send the application form to the WWRF )ecretariat (Further details are
available on page 4). #n invoice for the annual membership fee ill be sent to
you after approval of the membership application.
)ignature.
8ame in Full.
*osition.
9ate 7 *lace.
5ompany stamp.
Page 2 of 4
Membership Application Form
Wireless World Research Forum (WWRF)
*esi"nated Representative (+otin" (ontact):
*lease fill in all the fields belo.
First 8ame
:ast 8ame
5ompany
Title
#ddress
5ity
)tate
5ountry
*ostal 5ode or ;I*
Telephone
Fa<
&6mail
,illin" (ontact (To be filled in if different from the 9esignated Representative)
*lease fill in all the fields belo.
First 8ame
:ast 8ame
5ompany
Title
#ddress
5ity
)tate
5ountry
*ostal 5ode or ;I*
Telephone
Fa<
&6mail
Page 3 of 4
Membership Application Form
Wireless World Research Forum (WWRF)
9escription of #pplicant (Individual or 0rganization).
Reasons for the #pplicant to apply for WWRF membership.
*lease fa< the completed application form(s) to WWRF )ecretariat.
Fa-: . && &/ 00 1 00
WWRF secretariat contact person.
8ame, :ast 8ame 9r. =inod >umar
*ostal #ddress #lcatel6:ucent France
5entre de =illarceau<
Route de =ille?uste
@$ A'%, 80;#-
France
&6mail vinod.,umarBalcatel6lucent.com
Telephone C ++ $ +% DD 'D +D
Telefa< C ++ $ +% DD A$ DD
EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE
The #rticle of #ssociation for WWRF can be re3uested through the secretariat
contact person or donloaded from the WWRF homepage on Internet.
http.77.ireless6orld6research.org
Page 4 of 4