PVO MEMBERSHIP APPLICATION FULL NAME/S* SURNAME* NAME KNOWN BY* ADDRESS Postal Code: E-MAIL ADDRESS* DATE OF BIRTH* ID NO: CONTACT NUMBERS LANDLINE: MOBILE:* MILITARY SERVICE RECORD* YEAR QUALIFIED: HANGAR INSTRUCTOR: NO: Hanger Course No: REGIMENT / UNIT QUALIFIED : REGIMENTS SERVED UNDER: PAID UP MEMBER OF WHICH CANOPY: CANOPY NO: – DECLARATION: I HEREBY ACCEPT THAT IF MY MEMBERSHIP IS APPROVED, I WILL BY THE CONSTITUTION APPLICANTS SIGNATURE approved by vetting officer DATE: / /20 DATE: / /20 Paid up member of which Canopy Canopy No: □ □ Yes□ NO Yes□ NO PVO NO: Approved Paid to: jk1@vodamail.co.za
MEMBERSHIP APPLICATION FULL NAME/S* SURNAME* NAME KNOWN BY* ADDRESS Postal Code: E-MAIL ADDRESS* DATE OF BIRTH* ID NO: CONTACT NUMBERS LANDLINE: MOBILE:* MILITARY SERVICE RECORD* YEAR QUALIFIED: HANGAR INSTRUCTOR: NO: Hanger Course No: REGIMENT / UNIT QUALIFIED : REGIMENTS SERVED UNDER: PAID – UP MEMBER OF WHICH CANOPY: CANOPY NO: DECLARATION: I HEREBY ACCEPT THAT IF MY MEMBERSHIP IS APPROVED, I WILL BY THE PVO CONSTITUTION APPLICANTS SIGNATURE approved by vetting officer DATE: / /20 DATE: / /20 Paid up member of which Canopy Canopy No: to: jk1@vodamail.co.za Approved Yes□ NO □ Paid Yes□ NO □ PVO NO:
Applcation-Form-OCT2017-1.docx