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National Malaya & Borneo Veterans Association Australia Tasmania Inc. (NMBVAATASINC) U2/21 Scott St Beauty Point TAS 7270 Tel : (03) 6383 4677 email
: info@nmbvaatasinc.com |
MEMBERSHIP APPLICATION FORM - Copy & Paste to a Word document
I, ………………………………………………………………...............................(Print Name
in full)
of ………………………………………………………………................................
Post Code……….
hereby apply to join the NMBVAATAS Inc and understand that by applying I agree to abide by the Constitution of NMBVAATAS Inc. Date of Birth ............................
Signature: ................................................................... Date: / /
Phone No .......................................
Mobile..................................
Email............................. ........ ...............................
Service (circle) :- NAVY ARMY AIRFORCE Other:…………………………….
Country of Enlistment…………………………Date of Discharge..……../………../
Dates Served ..From…………./
…………/..…. To:………./…………./………..
Units / Ships / SQNs Served …………………………
Date: ……./…………/………
Type of Membership (Tick one)
Ordinary Associate*
Honorary
members $15.00 , - Associates $12.50 annually
*Relationship to Service Member: ……………………………………………………….
OFFICE USE ONLY
Proposed by…………………………………………..
Date: / /20
Seconded by…………………………………………..
Date: / /20
Membership Number:………………..…… Approved Yes
No
State/Branch Signature:………………… Date: :
/ /20