Associate member app form

APPLICATION FOR ASSOCIATE MEMBERSHIP

The Chinese University of Hong Kong Alumni Association Australia Incorporated (incorporated under the Associations Incorporations Act 2009 of the State of New South Wales)
I,
(full name of applicant)
.
(Name in Chinese)
of*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Mobile Number*
hereby apply to become an associate member of the above-named incorporated association. In the event of my admission as an associate member, I agree to be bound by the constitution of the Association for the time being in force.
Options of receiving newsletters*

Electronic VersionPrinted Version
Signature*

Clear
(May sign with the mouse)
Date

DayMonthYear
Date
.........................................................................................................................................................................................................
(for official use only)

I, ______________________, a member of the Association, nominate the applicant, who is personally known to me, for membership of the Association.

_____________
Signature of Proposer

                                             Date : _______________

I, _______________________, a member of the Association, second the nomination of the applicant, who is personally known to me, for membership of the Association.

                                                      _______________
Signature of Seconder

                                             Date : _______________
Should be Empty:

APPLICATION FOR ASSOCIATE MEMBERSHIP