Join Shell Club15 Plus Now!

Membership application is now available online. The system will automatically send the accomplished form in PDF to the Shell Club15 email address for Board approval. You will be notified of the status of your application by The Secretariat.

Shell Club15 Plus, Inc. Membership Form

Last Name*
First Name*
Middle Name*
Nickname*
Present Address*
Landline No.*
Mobile No.*
Email Address*
Civil Status*
Name of Spouse*
Shell Employment Status*
- Still with Shell
- Retired
Local Area Council (LAC)*
When did you join Shell?
(Date Joined Shell) Month*
(Date Joined Shell) Year*
When did you leave Shell?
(Date Left Shell) Month*
(Date Left Shell) Year*
Current/Last Position in Shell*
Current/Last Department in Shell*
Years of Service*
Please enter a number from 1 to 100.
Date of Birth
(Birthdate) Month*
(Birthdate) Day*
(Birthdate) Year*
Senior Citizen Card Number and LGU*
Field of Specialization/Profession*
Present Employer/Nature of Business
Office Address
Contact Person in Case of Emergency*
Contact Number in Case of Emergency*
Photo*
Accepted file types: jpg, jpeg, gif, png, pdf.
Please attach a recent photo of yourself.
*
I certify that I am not actively engaged in the manufacturing and/or marketing of petroleum fuels (liquid or gas), lubricants and/or in competition with the Shell Group of Companies, either as a principal, partner or employee
*
I certify that I am not convicted of any crime involving moral turpitude.
*
I certify that the information provided herein are true and correct which may be validated by the Club. I declare that these are voluntarily given by me for the exclusive use of the Shell Club15 Plus, Inc. for the purpose of processing my membership application to the Club. I agree that the Club may store my information until such time that I cease to be a member thereof which may be brought about by expulsion, resignation or death. I further give my consent to the sharing of the above information by the Club to any of its affiliates, agents, representatives or assigns but only with respect to the furtherance of my membership in the said Club. Other than that, the Club must first obtain my consent before sharing my information to anybody else. I will abide by the rules of Shell Club15 Plus, Inc.
Email
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Join Shell Club15 Plus Now!

Membership application is now available online. The system will automatically send the accomplished form in PDF to the Shell Club15 email address for Board approval. You will be notified of the status of your application by The Secretariat.

Shell Club15 Plus, Inc. Membership Form

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