Form H
Alternate mailing address :
Line 1
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Country
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Language Preferences
Language(s) you wish to use for communicating with RI (lasted in order of fluency):
Read
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Speak
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For each of the following, please choose one:
International Assembly sessions
English
French
Japanese
Korean
Portguese
Spanish
Rotary Publications produced in 6 languages
English
French
Japanese
Korean
Portguese
Spanish
Rotary Publications produced in 9 languages
English
French
German
Italian
Japanese
Korea
Portuguese
Spanish
Swedish
Rotary Publications produced in 12 languages
Chinese
English
FInnish
French
German
Itallian
Korean
Portguese
Spanish
Swedish
Thai
Personal History(Please Do not use abbreviations)
Business and Professional Organizations(listed in order of importance; use an additional sheet of paper, if necessary):
Organization
Office
Dates Office Held
Dates of Membership
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Organization
Office
Dates Office Held
Dates of Membership
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Business/Professional Career (Please provide a brief outline, including each firm and dates):
Principle Hobbies (list two):