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ANC YOUTH LEAGUE MEMBERSHIP APPLICATION FORM

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ANC YOUTH LEAGUE MEMBERSHIP APPLICATION FORM

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									ANC YOUTH LEAGUE MEMBERSHIP APPLICATION FORM
BANK ACCOUNT APPLICATION FORM

PERSONAL DETAILS
NAME SURNAME

ID NUMBERS
GENDER DATE OF BIRTH

MARITAL STATUS
RESIDENTIAL ADDRESS SURBUB CITY POSTAL CODE POSTAL ADDRESS POSTAL CODE

CONTACT DETAILS
HIGHEST SCHOOLING TERTIARY QUALIFICATION OTHER SKILLS POSTAL CODE HOME LANGUAGE OTHER LANGUAGES

OCCUPATION
OTHER SKILLS

CELL NUMBER TEL NUMBER (HOME) TELEPHONE NO (WORK)
FAX NUMBER EMAIL ADDRESS

ORGANISATIONAL STRUCTURES PROVINCE REGION BRANCH WARD
OTHER ORGANISATIONS

MEMBERSHIP ACCOUNT DETAILS ANC YOUTH LEAGUE MEMBERSHIP ACCOUNT BANK: FIRST NATIONAL BANK BRANCH NAME: PRESIDENT STREET WEST ACCOUNT NO: 62034176471 BRANCH CODE: 255055 REF: DATE ____________________

Y

L

DECLARATION
I____________________________________ SOLEMNLY DECLARE THAT I WILL ABIDE BY THE AIMS AND OBJECTIVES OF THE ANC YOUTH LEAGUE AS SET IN THE CONSTITUTION. I AM JOINING THE ORGANISATION VOLUNTARLY AND I WILL PARTICIPATE IN THE LIFE OF THE ORGANISATION AS A LOYAL, ACTIVE AND DISCIPLINED MEMBER SIGNATURE___________________________ DATE ___________________ JOINING FEE R ________

SIGNATURE OF
APPLICANT

DATE:

OFFICE USE ONLY
EXPIRY DATE JOINING PERIOD

…cut here …………………………………………………………………………cut here………..

JOINING RECEIPT
This is to confirm that Mr/Ms.Mrs. has joined and paid R________ to the BEC member or recruiter ______________________ Official stamp branch/region Member signature _______________________________ Recruiter signature_______________________________ Date __________________________________________


								
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