Ethiopian Friendship & Co-Operative IDIR in Sydney                 We can not direct the wind but, we can adjust the sails.
Est. 2010

Membership application form
--- Online ---

Applicant
       '*' Required
*First Name:
*Last Name:
Phone
          (H):
          (M):
*E-mail:
Address
   Street No.:
   Street Name:
   Suburb:
   Post Code:
   State:
Spouse details
   First Name:
   Last Name:
        Mobile:
Child 1st
   First Name:
   Last Name:
            Sex:
   Date of Birth:
   Live with / Left:
Child 2nd
   First Name:
   Last Name:
            Sex:
   Date of Birth:
   Live with / Left:
Child 3rd
   First Name:
   Last Name:
            Sex:
   Date of Birth:
   Live with / Left:
Child 4th
   First Name:
   Last Name:
            Sex:
   Date of Birth:
   Live with / Left:
Emergency Contact
   First Name:
   Last Name:
         Phone:
         Mobile:
Sign Date
I the above mentioned applicant hereby apply to become a member of the above mentioned incorporated IDIR. In the event of my admission as a member, I agree to be bound by the constitution of the IDIR for the time being in force, and fulfil my obligation as a member.
       

The information you provide us will be only used for the purpose of registration in IDIR.