E-mail: msc1896@ikenya.com
DATE:
I, MR/MRS/MISS
of P. O. Box No
...
TELEPHONE NO
..MOMBASA
wish to apply for SINGLE/FULL/JUNIOR membership of your club.
The following details to be
completed by the Proposer and Seconder:
Note: a) Please read the form carefully before
completing.
b) Incomplete form will not be considered.
I, Mr/Mrs/Miss
agree to propose the above
candidate for membership of our club.
I am a FULL/SINGLE member of the
club for the last
..years and have not proposed/seconded more than six (6)
candidates in this current year. My membership number is
SIGNATURE
. DATE:
.
P. O. Box No.
.. TELEPHONE:
.....
I, Mr/Mrs/Miss
.agree to
second the above candidate for membership of our club.
I am a FULL/SINGLE member of the
club for the last
..years and have not proposed/seconded more than six (6)
candidates in this current year. My membership number is
SIGNATURE
. DATE:
..
P. O. Box No.
. TELEPHONE:
..
1. a) Occupation
.
b)
Name of Business/Institution
2. For how long have
you known the candidate?
.
.
3. Relationship to
the candidate?
.
4. Does he/she
belong to any Professional/Service Organization
...
5. Does he/She
belong to any sporting clubs?
6. Does he/she hold
or has he/she held any club position?
.
...
7. a) Name specific games the candidate actually plays
..
b) Indicate games the candidate intends to
play Main Sport:
..Others:
..
...
c) Is he/she currently playing any
game
.
...
d) Does he/she intend to become a social
member only?
.
8. Why do you want him/her to become a member?
....
9. Are you satisfied as to your candidates integrity in public life and his financial
standing?
..
10. Age of your candidate
..
11. Any other information you may wish to add
..
12. If Junior, a) State if parent are members or
not
.
b) Name of the school
c) Sporting Activities
...
d) Birth date
.
...
NAME:
.
. SIGNATURE:
.
.
.
(CANDIDATE)
NOTE:
1. Your application for membership will be
considered by the membership sub-committee and the outcome will be
communicated to
you.
2. Fees infrastructure of the club to-date is
as follows which may be reviewed from time to time.
ENTRANCE FEES: FAMILY Kshs.___________________________
SINGLE
Kshs.___________________________
JUNIOR
Kshs.___________________________
MONTHLY SUBSCRIPTIONS: FAMILY Kshs._____________________
per month
SINGLE
Kshs._____________________
per month
JUNIOR
Kshs._____________________
per month
3. Liability of Proposer
&/or Seconder:
Club
Rule No. 21:
(Once the candidate is balloted and approved, the proposer
and seconder are responsible as per Club Rule
No.21.
The candidate cannot withdraw his/her application after he/she has been
balloted).
4. VALIDITY OF THIS FORM IS ONE MONTH ONLY
FROM THE DATE OF COLLECTION.
Yours faithfully,
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- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- - - - - - - - - - - - - -
DATE RECEIVED
APPLICATION APPROVED/REJECTED
.
...
DATE
COMMENTS BY MEMBERSHIP CONVENOR
P. O.
Email: msc1896@ikenya.com
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------------------------------------- 1. Proposer --------------------
2. Seconder --------------------