BAI - BISAYA AKO, IKAW FILIPINO COMMUNITY IN EAST ANGLIA MEMBERSHIP APPLICATION FORM New Renewing Change of Address/Permanent

ent Address Change Membership Category: Active Member Associate Member Affiliate Member MEMBERSHIP CONTACT INFORMATION (PLEASE PRINT CLEARLY) MALE FEMALE Month/Year Joined: ____________________ LAST NAME/SURNAME/FAMILY NAME: ________________________________________ FIRST NAME/GIVEN NAME: ________________________________________ MIDDLE INITIAL NAME: ________________________________________ ADDRESS : ________________________________________

Membership Number:_____

DATE OF BIRTH: _____________________ PLACE OF BIRTH: _____________________ PLACE OF ORIGIN: _____________________

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TOWN/CITY: ____________________________ COUNTY: ____________________________ POSTAL CODE: MOBILE NUMBER: _____________________ HOME PHONE: _____________________ EMAIL ADDRESS:

__________________________ WORK PHONE NUMBER: ___________________________

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MEMBERS AGREEMENT:

Consistent with my desire to take personal responsibility for my conduct, individually and as a member of BAI (BISAYA AKO, IKAW) Filipino Community in East Anglia, I agree to abide by the principles contained in the Constitution and By-Laws and its governing documents and polices. I will refrain from any form of discrimination, harassment, derogatory, illegal, or unethical conduct, and I understand that if I engage in such conduct, I may be responsible to reimburse fellow members, officers, or other individuals involved with the community, for any damages, losses, or cost resulting from my conduct.

I understand that by virtue of my membership, I must comply with BAI Constitution and By-Laws. I also understand that I may be required to participate in the communitys activity and payment of the monthly, quarterly or whole year membership contribution. By executing this form, I agree to abide by and/or participate in such programs, plans and projects for and on behalf of BAI. I understand that failure to do so will result in sanction.

BISAYA AKO, IKAW PREAMBLE:

To establish a Bisaya Community in East Anglia that shall embody our ideals, promote the common good, conserve and develop our patrimony thereby strengthening and improving communication and contacts with fellow Filipino workers. Furthermore, to strengthen the rapport, camaraderie and brotherhood among the members of BISAYA AKO, IKAW. United under God, we shall uphold the truth, honesty and excellence, we shall work together for the common good of all Filipino at home and around the globe, and trust and challenge one another to solve our problems and achieve our goals. Thus far, we shall do our share in shaping a progressive, just, democratic, humane and most of all, God abiding and morally upright Bisaya Community, whose people love and care for one another near and far.

_______________________________________ Signature