DEKLARACJA

The Polish Social and Educational Society
5, Parkgrove Terrace, Glasgow G3 7SD
Dom Polski im Gen. wl Sikorskiego
General Wl. Sikorski's Memorial House
Phone 0141 339 1368

Scottish Charitable Incorporated Organisation Reg. No. SC046143

Category applied for

Guide: Ordinary is for Polish nationalities and their direct relatives. Associate is for all other nationalities
All Members Guide: You MUST complete name and address (including post code). Completing as much of the other information will be helpful to us.
Title (Mr, Mrs, Ms..)    
Forename(s)
Surname
Address
 
Post code
Phone
e-mail
Occupation
Date of birth
Guide: eg 21/10/1924
     
Applicants must be aged 18 or over
Guide: You are required to sign the following general agreement before approval of membership
If admitted, I agree to comply with the rules and regulations as stated in the constitution of the Society, as well as the rulings of the committee. I agree to my membership details being held on computer (your details will not be passed to any other persons or organisations without prior consent).
Signature

Date

Proposers
     
Guide: You are required by our constitution to supply the names of TWO proposers from ORDINARY members. If you cannot supply proposers at this time, you will be interviewed by two members of our committee before approval of application can be completed.
My two proposers who nominate me for membership of The Polish Social & Educational Society and are prepared to accept full responsibility for my suitability are (signatures);-
First proposer


Second proposer
 
Guide: Once you have completed the application you can simply print it out <ctrl P> (as laid out on screen) and bring the form with you on your next visit to our Society. You must also pay the subscription fee before we can consider your application (post applicants must send a cheque with this form to us for the appropriate amount payable to "The Polish Social & Educational Society" with your name and address clearly written on the back). Your application will be considered at the next monthly committee meeting.
Office use only
Approved
 
Sec. signature
   
 
Date
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