ASSOCIATION OF UKRAINIANS IN GREAT BRITAIN LIMITED

Head Office: 49 Linden Gardens, London W2 4HG.

Tel.020 72298392.


Company Reg. No 446916
FULL MEMBER APPLICA FULL MEMBER APPLICA FULL MEMBER APPLICA FULL MEMBER APPLICATION FORM TION FORM TION FORM TION FORM

For office use only:

Date of acceptance
Membership No
Full / Concessionary Rate

ABOUT YOU

All prospective members of the Association of
Ukrainians in Great Britain Limited are required to
complete this registration form and return it to the
local Branch secretary. You must have the right to
reside in the UK to apply to be a member. Your
details will be kept in a secure database with access
restricted to authorised personnel only. Please
write clearly in block capitals.

Whilst most questions on this form may be
completed in English, we ask you to pay particular
attention to ensure that you accurately respond to
the questions on Names(s), Surname and Maiden
Name (if applicable) in both Ukrainian and English.
If you need assistance with the Ukrainian language,
please do not hesitate to ask your local AUGB
Branch chair or secretary. The reason that we are
asking you for both is to ensure that the correct
spelling is used in both cases. A Ukrainian surname
in written English might not always be correctly
interpreted into Ukrainian and vice-versa.
Similarly, we ask you to ensure that your first
name(s) are registered as they are recorded on
your birth certificate or passport and NOT as you
might be known locally by your friends (eg Anna in
your passport but known locally as Hania). Please
also use the native language when providing your
place of birth (eg English if born in the UK,
Ukrainian if born in Ukraine, etc).



SIGNATURES OF GUARANTORS /

SIGNED /


DATE /


MEMB. #
. .

SIGNED /


DATE /


MEMB. #
. .



TITLE / Mr/Mrs/Miss/Ms/Other (please state)
FIRST NAME(S) / , ENGLISH / UKRAINIAN /
SURNAME / ENGLISH / UKRAINIAN /
MAIDEN NAME / . ENGLISH / UKRAINIAN /
LOCAL AUGB BRANCH
ADDRESS LINE 1 / 1
ADDRESS LINE 2 / 2
ADDRESS LINE 3 / 3
TOWN /
POST CODE /
HOME PHONE / . .
MOBILE PHONE / . .
EMAIL / -
PLACE OF BIRTH / .
DATE OF BIRTH / .
PARENTS NAMES /
EDUCATION /
PROFESSION /
RELIGION /
Declaration: As a member of the Association of Ukrainians in Great Britain Limited (AUGB) I agree to
abide by its Memorandum and Articles of Association and to comply with these and any other
supplementary rules or decisions approved of by any General Meeting of the AUGB, its Board of
Directors or local Branch Committee.
SIGNED /


DATE /