2/6 Cavalry Commando Regiment Association - Application for Membership Form

Application for Membership Form

	Asterisk (*) denotes a required field
I, (Full Name) *
Wish to :	apply for membershipchange my details
I am an:	Ex 2 CavServing 2 CavRelative of member
If a relative, please specify relationship:		Eg: Son, daughter, wife, grandson, etc
	Nominal Roll Details
of, (Full Name of member) *
Regimental Number *
Date of Birth
Date of Enlistment
Date of Discharge
If deceased, Date of Death
Posting on Discharge
His name appears on the nominal roll of the Regiment verified in the National Archives *	(Please tick)
I understand that I am bound by the rules and regulations, code of dress and conduct as set out by the executive from time to time *	(Please tick)
	Contact Details
	Items marked "#" not for publication without permission
Title (Mr/Mrs/Ms/Sir/Mm...)
# Street Number & Name
# Town or Suburb
State
# Postcode
# Email Address *
	Please note that an email address is required for contact purposes only and will NOT be made public.
# Mobile
# Phone