Individual Membership Application Form
| Basic Information | |
| Full Name | |
| Gender | |
| Date of Birth | |
| Nationality | |
| Ethnicity | |
| Political Affiliation | |
| ID/Passport Number | |
| Phone Number | |
| Email Address | |
| Mailing Address | |
| Employer/Organization | |
| Position/Title | |
| Education/Degree | |
| Preliminary Review Organization | (e.g., Provincial/City Artists Association) |
| Application Category | □ Fine Arts Creation □ Theoretical Research □ Journalism & Publishing □ Professional Education □ Organization & Management □ Others (please specify) |
| Specialized Art Fields | (e.g., Oil Painting, Ink Painting, Sculpture, Printmaking, Contemporary Art, etc.) |
| Referee | (If applicable) |
| Art Resume | Please briefly describe your professional background in the arts, including education, representative works, exhibitions, awards, publications, etc. (Attach additional pages if necessary.) |
| Performance Statement | Please list your achievements related to the selected application category, including exhibition titles, work titles, awards, published papers, positions held, etc. Attach supporting materials. |
| Declaration | I hereby declare that all information and supporting materials provided are true, legal, and valid. I accept all consequences for any falsification. Applicant’s Signature: Date: |
| Opinion of Employer (with official stamp) | Organization Name: Signature of Person in Charge: Date: (Official Stamp Required) |
| Opinion of Preliminary Review Organization (with official stamp) | Organization Name: Signature of Person in Charge: Date: (Official Stamp Required) |
