Passport Photo, Max. 2MB (required)

    Name (required)

    Surname (required)

    Email (required)

    Mobile number (required)

    Home number

    Work number

    Postal Address (required)

    Home Address (required)

    ID/Passport number (required)

    Date of Birth (required)

    Membership Type (required)

    I have attended the following official meets of the Eastern Province Section :
    (Meet descriptions, Date, Leader's name)
    1. Meet Description:

    Leader:

    2. Meet Description:

    Leader:

    3. Meet Description:

    Leader:

    I have attended the following Thursday evening social :

    Have you ever been or are you a member of any other Section?
    Have you ever been refused membership of any other Section?

    Are you prepared to participate in rescue work?

    I agree to abide by the Constitution and Rules of the Section

    Date (required)

    Signature (required, sign in the rectangle below)
    [signature* signature-applicant cols:300 rows:200 color:Black background:Yellow]

    Proposer and Seconder to be Honorary, Full or Life members of more than 2 years standing. Typically they are the hike leaders of the hikes you have attended.
    One preferably to be a current Committee Member.

    Proposer (full name) (required)

    Email (required)

    Seconder (full name) (required)

    Email (required)