MEMBERSHIP APPLICATION FORM – LIFE MEMBER

MEMBERSHIP DETAILS
 

PERSONAL DETAILS
   
   
   
   
   
   
   
   
 
 
   
   
 

CHILDREN IF MEMBERSHIP PRIVILEGES DESIRED (UNDER 18 YEARS)
 
 
 
 

Declaration
I/We solemnly affirm that the above particulars are true and correct to best of my/our knowledge and belief and agree:
- to abide by the Constitution of the Indian society of W.A. at all times and by rules that the Management Committee may establish periodically.
- to advise the Secretary in any change in my/our contact details of the corporation.
- that my/our contact details may be used by ISWA for communicating activities and newsletter on ISWA’s activity.
- To any verification of the information provided on this form and understand that the membership will be effective form the date this application is approved by the    Management Committee.

I/We understand that the latest copy of the Constitution is always available at the Society’s office for members to read.
Signature of Applicant:
14/12/2018
Signature of Spouse (only if for a joint membership) :
14/12/2018