MEMBERSHIP APPLICATION FORM  
CR/85/2016, MALE’ / REPUBLIC OF MALDIVES
This section is completed by the applicant.
CONTACT INFORMATION
GENDER *
Required
FIRST NAME *
LAST NAME *
PERMANENT ADDRESS (with city) *
PHONE NUMBER *
EMAIL *
ID CARD NUMBER *
By submitting this application, I agree to the collection, use and processing of the personal information I provide to Women & Democracy NGO in this membership application for the purposes of organization administration, payment of my dues, and inclusion of my contact information in a members’ directory that will be distributed to members and management of Women & Democracy NGO.
DATE *
MM
/
DD
/
YYYY
Note:  
• Every individual wishing to become a member shall complete this application form, and submit this, with the membership fee (i.e. 100 MVR/- per annum). The Executive Board of Women & Democracy NGO reserves the right to refuse membership to the NGO. If you are not admitted as a Women & Democracy NGO member, your membership fee will be reimbursed.
 
• Your details will be held by the Executive Board of Women & Democracy NGO and will be used solely for the purpose of processing your interest in joining as a member of this NGO and will not be disclosed to any unauthorized third parties.

Bank Account Details: 
7730000471175
WOMEN AND DEMOCRACY
Bank of Maldives 

Please email payment slip to info@womendemocracy.org or Viber slip to 9494869
For questions, please contact info@womendemocracy.org or 9494869
                       
Handhuvarudheygoalhi |
G.Graceland, Male’ / Maldives |  Twitter : @women_democracy
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