Memformmay 06
Memformmay 06
Memformmay 06
PERSONAL DETAILS
NAME ID NUMBERS
SURNAME GENDER
MARITAL STATUS DATE OF BIRTH
CONTACT DETAILS
RESIDENTIAL ADDRESS HIGHEST SCHOOLING
SURBUB TERTIARY QUALIFICATION
CITY OTHER SKILLS
POSTAL CODE POSTAL CODE
HOME LANGUAGE
POSTAL ADDRESS OTHER LANGUAGES
OCCUPATION
POSTAL CODE OTHER SKILLS
ORGANISATIONAL STRUCTURES
CELL NUMBER PROVINCE
TEL NUMBER (HOME) REGION
TELEPHONE NO (WORK) BRANCH
FAX NUMBER WARD
EMAIL ADDRESS OTHER ORGANISATIONS
MEMBERSHIP ACCOUNT DETAILS
ANC YOUTH LEAGUE MEMBERSHIP ACCOUNT DATE ____________________
BANK: FIRST NATIONAL BANK
BRANCH NAME: PRESIDENT STREET WEST
ACCOUNT NO: 62034176471
BRANCH CODE: 255055
REF:
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 DATE:
APPLICANT
OFFICE USE ONLY
EXPIRY DATE JOINING PERIOD
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 __________________________________________