OC7 Form

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Please complete all

sections in Black

or Blue Ink in


1. Surname

2. Forenames

3. Mr / Mrs / Miss / Ms / Title / Rank 4. Honours and Decorations

5. Date of Birth DD/MM/YYYY 6. Nationality

7. Profession or Occupation (if retired, please indicate your former occupation)

8. Company / Organisation Name

9. Company / Organisation Address


10. If you have spent time in the East, please indicate where and for how long (not an essential qualification)

11. Clubs of which you are a Member

12. Has any application for membership of any other social club been refused or membership terminated other than

by resignation?

13. Schools / University Attended

14. Relationship to Member

15. Home Address


16. Home Telephone No. 17. Mobile Telephone No.

18. Email Address

19. LinkedIn Profile Address (if applicable)

20. OC7 School / University

21. I agree to be bound by the Rules and By-Laws of the Oriental Club

I agree to permit the Oriental Club to communicate with me by post, electronic means and telephone

Signature of


For Office Use: Date Application Received DD/MM/YYYY Membership No.:

Accounts Use:

Oriental Club is the trading name of Oriental Club (1824) Limited, a company limited by guarantee incorporated in England and Wales with company number 08986415. The registered office is Stratford House, Stratford Place, London W1C 1ES.

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