FAX NUMBER. WARD. EMAIL ADDRESS. OTHER ORGANISATIONS. MEMBERSHIP ACCOUNT DETAILS. ANC YOUTH LEAGUE MEMBERSHIP ACCOUNT.
ANC YOUTH LEAGUE MEMBERSHIP APPLICATION FORM BANK ACCOUNT APPLICATION FORM
PERSONAL DETAILS ID NUMBERS
NAME 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 PROVINCE REGION BRANCH WARD
CELL NUMBER TEL NUMBER (HOME) TELEPHONE NO (WORK) FAX NUMBER EMAIL ADDRESS
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
DATE:
APPLICANT
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 __________________________________________
