APPLICATION FOR LIFE MEMBERSHIP OF
NSW RSL YOUTH CLUBS
Details of Nominating Body
(District Council, sub-Branch, Youth Club District Council or Youth Club)
Nominating Body - Click here to enter text.
Nominating Body Address - Click here to enter text.
Recommendation was approved at a General Meeting (after due notice, one month prior having been given to members to such meeting) by at least 75% of members present and voted on by secret ballot at Click here to enter text.(location) on Click here to enter text.(date – DD/MM/YYYY).
Details of Nominee
Surname - Click here to enter text.
Other Names - Click here to enter text.
Has membership been continuous (minimum 15 years)? Click here to enter text. (Yes or No).If “No”, please state the broken period Click here to enter text.
Has Nominee rendered 10 years Outstanding Honorary Service to the Youth Club?.Click here to enter text.(Yes or No)
Details of Services Rendered
Dates in Chronological SequenceOffice or Position Held
(DD/MM/YYYY)
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Citation
Click here to enter text.
Nominating Body Chairperson______(Signature)
Click here to enter text.(Full Name)
Nominating Body Honorary Secretary______(Signature)
Click here to enter text.(Full Name)
Endorsement by Parent RSL sub-Branch
We hereby certify that this nomination for Life Membership of RSL NSW Youth Clubs was endorsed at the Click here to enter text.(sub-Branch Name)RSL sub-Branch meeting held on Click here to enter text.(date – DD/MM/YYYY).
Sub-Branch President______(Signature)
Click here to enter text.(Full Name)
Sub-Branch Honorary Secretary______(Signature)
Click here to enter text.(Full Name)
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State Branch Use Only
Youth Council Chairperson______(Signature)
Click here to enter text.(Full Name)
RSL NSW State Secretary______(Signature)
Click here to enter text.(Full Name)
Approved Click here to enter text.Date Issued Click here to enter text.Recorded Click here to enter text.(date – DD/MM/YYYY).
February, 2016