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Application Form: New Zealand Nepalese Association (NZNA)
I, hereby, apply for the membership of the New Zealand Nepalese Association (NZNA) with my details below:
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Email
*
Your email
Full Name
*
Your answer
Which option below best describes you?
*
Choose
I am a New Zealand citizen or New Zealand resident of Nepalese descent.
I am Nepalese citizen currently studying and/or living in New Zealand.
I am not a Nepalese citizen, but connected with Nepali community.
Full address in New Zealand
*
Your answer
Your New Zealand contact number
*
Your answer
Declaration
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I confirm that I am over 18 years of age.
Required
Declaration
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I authorise NZNA to send me information related to the organisation to my contacts provided in this application form.
Required
Declaration
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I confirm that the details provided in this form are accurate and that it is my responsibility to inform NZNA of any change.
Required
Declaration
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I agree to abide by the NZNA constitution, rules and regulations.
Required
Declaration
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I agree to pay the annual membership fee of NZ $5.
Required
A copy of your responses will be emailed to the address you provided.
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