Yankadi Membership Registration Application Form

General Information

Applicant Full Name

Gender

Maritial Status

Phone

Type Of Membership

Nationality

Date of Birth

Applicant Date of Birth

Home Address

Street

City

Postal Code

Province

Family Members

Spouse (if applicable)

Dependants

Name

Relationship

Date of Birth YYYY/MM/DD

Dependant 2

Relationship 2

dependant date of birth 2

Dependant 3

Relationship 3

dependant date of birth 3

Dependant 4

Relationship 4

dependant date of birth 4

Dependant 5

Relationship 5

dependant date of birth 5

Dependant 6

Relationship 6

dependant date of birth 6

I hereby accept the Yankadi by-law/membership policy and objectives. Also, I pledge not to involve in any fraudulent activities under the Yankadi Constitution.

(Note of Consent)

I, the undersigned, hereby grant permission to the Yankadi Cultural and Social Association to record and use my image or voice in photographs, video recordings, or other media formats created during Association activities, events, or meetings.

I give my consent for the Leadership to use my image and/or recordings as described above.

I do NOT give my consent for the Leadership to use my image and/or recordings.

Signature

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Date

Birthday

Year

Month

Day

Yankadi Social and Cultural Association of Vancouver

Yankadi Membership Registration Application Form

(Note of Consent)

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