Membership Application


DUNEDIN RETURNED AND SERVICES’ ASSOCIATION (Incorporated)

Nomination for Associate Membership

Name: ………………………………………………………………………………………… (please print)

Address: ………………………………………………………………………………………………….

……………………………………………………Email ………………………………………………...

Telephone: Home …………………………………. Mobile ………………………………………….

Occupation: ……………………………………. Date of Birth: …………………………………….

Declaration: I hereby apply for membership of the Dunedin Returned and Services’ Association and certify that the information given herein is correct. I undertake to abide by the Constitution and Rules of the RSA. I have never been expelled or rejected from membership of any other branch of the Returned and Services’ Association organisation.

Signature of applicant: ………………………………………………………… Date: ……………..

Proposition: We, the undersigned, being financial members of the Dunedin Returned
and Services’ Association, hereby nominate the above named applicant for membership
of the association. We believe this person to be a fit and proper person, of good character,
and possessing the necessary qualifications for membership.

Proposer: How long have you known the applicant? .……………………………..years

Proposed by: ……………………………… Signed: ……………………………… Date: …..........

Seconder: How long have you known the applicant? ……………………………..years

Seconded by: ……………………………… Signed: ……………………………… Date: ………..

Committee use only

Date application received: …………………………………..

Committee Members to Initial: 1) ………………….. 2) ……………………
Accepted / Declined Accepted / Declined
(delete as applicable) (delete as applicable)
Office use only
Letter sent date: …………………………..

Amount due: ……………………. Amount paid: ………………….. Date: ……………………

Card Number: ……………………. Card and Badge sent date: ………………………………..

Application complete - Secretary signature: ……………………………………… Date: …………..
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