APPLICATION FOR MEMBERSHIP BLUE MOUNTAINS VIETNAM VETERANS & ASSOCIATED FORCES INC. Postal Address: Post Office Box 55, Springwood NSW 2777 PERSONAL DETAILS - I, Title:........ Surname:....................... Given Names:........................................................ Home/postal Address:................................................ ...................................................Postcode:........ Phone Number:(....).................Date of Birth:.................. Pension Details:.................................................... Trade Skills:....................... Blood Group: .................. Religion:........................................................... Next of Kin Surname:...................Given Name:.................. Relationship:.................Phone Number:(....)................... Address:........................................Postcode:........... SERVICE DETAILS - Service Number:................................... Rank:....................RAS No (if applicable)..................... Branch of Service:.................................................. Dates of Service Overseas:.......................................... .................................................................... Date Enlisted:.....................Date Discharged:................. Theatre/s of Operation:..................Unit:...................... hereby apply to become a member of the above-named inc. association. In the event that this application is successful, I agree to be bound by the rules of the Blue Mountains Vietnam Veterans & Associated Forces Inc. - Entrance Fee: $10.00 Annual Fee: $10.00 Total: $20.00 Signature of Applicant:.............................Date............ Proposer's Signature & Membership Number:........................... Seconder's Signature & Membership Number: .......................... _____________________________________________________________________ Office Use Only - Credentials Verified: .............Date............ Committee Meeting: ....................Decision:..................... Letter of Advice Sent: ..............................Date............ Receipt No:..........................................Date............ Membership Badge No:.................Copy of Rules:.................. Membership Register:.................................Date:........... _____________________________________________________________________