[aC] CLAN APPLICATION FORM

This is a confidential membership application.
Please answer all questions as completely, accurately, seriously and professionally as possible.
Failure to complete this form thoroughly may result in disqualification of your application.
If a question does not apply, put N/A (not applicable) in place of an answer.




* Please Enumerate All! *



PLDT Play Current Account Names / User Names:

Alternative PLDT Play Accounts:
Previous PLDT Play Accounts:
Other PLDT Play Aliases:

First Name:
Middle Name:
Last Name:
Nick Name:

Age:
Birthday (Month/DD/YYYY):
Gender:

E-mail Address:
Other E-Mail Addresses:
Friendster E-Mail Address:
Yahoo Messenger:
MSN Messenger:
Website:

Home Address:
Mailing Address:
City:
Province:
Zip Code:
Country:

Mobile / Cell Phone Number/s:
Home Phone Number/s:

Marital Status (Single / Married / In a relationship):
Virginity Status:
Occupation:
Interests:

Current Income Per Month:
Allowance Per Month:

Recommended By:

Clans Applying For:
Clans Currently Belonging To:
Clans Previously Belonged To:
Clans You Want to Belong To:

PLDT Play Games You Play:
PLDT Play Most Active Game You Play:
Non-PLDT Play Games You Play:

Weapon Specialization:
Map Specialization:
Maps Usually Played:
Other Maps Played:
Servers Usually Played:
Other Servers Played:

Location (Home / Office / Shop / Cafe):
PLDT Play IP Mask Address / Whois Address:
Home Internet Protocol Address:
Shop Internet Protocol Address:

Shop-mates / LAN-mates / Clones:

Number Of Times Banned:
Reason/s For Being banned:
Cheats Used (Specify):

Computer Specifications
Operating System:
Processor:
Motherboard:
Video Card:
Memory:
Monitors:
Hard Disk Drive:
Optical Disk Drive:
Casing:
Mouse / Pointing Device:
Keyboard:
Speakers:
Headset:
Web-Camera:
Others:


Rate your own gameplay from 1 to 10 with 1 being the lowest and 10 the highest:

This application form was already modified by our clan elder... For filling up of registration form, please proceed in our website at http://www.adventclan.tk
under "Apply in our Clan" located at the navigation bar...
Thank you...and Good Luck!

haha repost pa nga gusto ni syria