06.12.2021 Views

OC7 Form

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

Please attach a

passport-style

photograph

Membership

OC7

SCHOOL /UNIVERSITY

Please complete all

sections in Black

or Blue Ink in

BLOCK CAPITALS

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

Postcode

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

Postcode

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

Applicant

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.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!