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DMA REGISTRATION FORM (NEW/RENEW) - 2025 - 2026
Please use this form to register at Derby Malayalee Association for the 2025- 2026 Year
Email *
Email *
Registration type *
Full Name
 *
Please enter the name of the person filling the form
No of Adults registering this year *
Adults 18 years or above
No of Children
 *
Please enter the No of Children staying in the house
UK Home address *
UK Post Code *
Mobile Number *
Contacting Whats App Number *
Please add the whats app number with country code (+44, +91 etc)
DMA Registration details will be communicated through this No.
Date Form Filled
MM
/
DD
/
YYYY
Please transfer the Registration fee £10 for the family to below account, (kindly mention the following code reference for accounting purpose)
For Renewal -  "First Name REN" 
For New  - "First name NEW"

Our Bank Details
Account Name - Derby Malayalee Community
Sort Code - 40-33-30
Account number - 11257919
Declaration

I hereby confirm the above information are true and correct as best of my knowledge and we have no concerns about the association getting a picture of our family / Individual
 *
Thank you for registering, you application will be approved after completing the verification process by DMA Committee.
The data gathered from Google forms for DMA registration will be treated in confidence in accordance with UK GDPR, the General Data Protection Regulation. We'll save the data in Google Cloud and use the members' contact information to inform them of any updates pertaining to our Malayalee community. By completing this form, you confirm that you have no objections to the above mentioned uses, storage, and collection of your information.
A copy of your responses will be emailed to .
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