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APPLICATION FOR CLUB MEMBERSHIP

Valentine Eleebana Junior Rugby League Football Club Incorporated (incorporated under the Associations Incorporation Act 1984.

I,…………………………………………………………………………………………

(full name of applicant)

of………………………………………………………………………………………...

(address)

……………………………………………………………….hereby apply to become a

                               (occupation)

member of the above-named incorporated association.  In the event of my admission as a member, I agree to be bound by the rules of the association for the time being in force.

………………………………………………….

Signature of applicant

Date…………………………………………….

I,………………………………………………………. a member of the association,

(full name)

nominate the applicant, who is personally known to me, for membership of the association.

………………………………………………….

Signature of proposer

Date…………………………………………….

I,………………………………………………………. a member of the association,

(full name)

second the nomination of the applicant, who is personally known to me, for membership of the association.

………………………………………………….

Signature of seconder

Date…………………………………………….