Membership application

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Your personal details 您的个人资料

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Membership number

Name(Required)

Title 称呼 Given name 名字 Surname 姓

Preferred name 常用名(Required)

Date of Birth 出生日期(Required)

Address 地址(Required)

Street Address Suburb State / Province / Region Postcode Country

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Mobile 手提电话(Required)

Email 电邮地址(Required)

Enter Email Confirm Email

Occupation 职业

Nationality 国籍(Required)

Country of Birth 出身国家(Required)

Note: Membership fee is not refundable if a member decides to withdraw their membership. 请注意如果会员: 决定取消会籍，已交付的会员费概不退还。

Method of Payment(Required)

For direct bank transfer please include as reference, your surname followed by the type of membership (S – Single; F – Family; L – Life). For example: AhKowTan F

Bank details:
BSB: 066 164
Account number: 105 164 43
Account name: Hainanese Association of Western Australia Inc.

Direct bank transfer

Cash

Your Application 您的申请

Membership Type 请选择您的适用类别(Required)

Standard single membership 普通单身会员 $20.00 per year

Standard family membership 普通家庭会员 $30.00 per year

Life membership 终身会员 $500.00

If applying for family membership, please provide details of your family 如果您申请的是家庭会员，请填写家庭成员的资料

Spouse details

Spouse’s first name 配偶名字 Spouse’s surname 配偶姓氏

Spouse preferred name 配偶常用名

Name of children under 18 years old 十八岁以下孩子的姓名

Application must be supported by two current financial members 您的申请必须得到两位当前“普通会员“的推荐

Proposer’s Name 提议人姓名

Proposer’s given name 提议人名字 Proposer’s surname 提议人姓氏

Proposer's Membership Number

Seconder’s Name 附议人姓名

Seconder’s given name 附议人名字· Seconder’s surname 附议人姓氏

Seconder's Membership Number

Declaration(Required)

I have read and understood the Rules of the Association

I hereby declare that all the information provided by me in this form is true and accurate. 我保证在本表格中填写的信息真实和准确。

Membership application

Your personal details 您的个人资料

Your Application 您的申请

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