Application for Membership

YUWAALARAAY EUAHLAYI ABORIGINAL CORPORATION YEAC

Corporations (Aboriginal and Torres Strait Islander) Act 2006 (Cth)

* Required

Email address *

1 - Name & Details

Name *

Any other names by which you may have been known:

A description would go here.

Address *

Date of birth *

Day

Month

Year

Place of birth

Contact phone number

2 - Membership Type

I would like to become a member (18 and over): *

I declare I belong to the Nominated Family Group: *

Add another family group

I am the biological descendant of:

I advise that I am the child of : (name of parent/s)

I advise that I am the grandchild of : (name of grandparent/s)

I advise that I am the great grandchild of: (name of great grandparent/s)

My siblings are: (name/s of siblings)

My children are: (name/s of children)

My grandchildren are: (name/s of grandchildren)

3 - Signature

Signature of Applicant*

I confirm that:
a) I am 18 years of age or older;
b) I am a Yuwaalaraay Euahlayi person;
c) The information submitted in this application is true and correct to the best of my knowledge and I understand that any false statements may result in denial or revocation of my membership with the Corporation;
d) That I consent to the Corporation using the information provided by me in this form for the purpose of making decisions relating to my membership application, and to update and maintain the Corporation's genealogical and membership database, and for any other purpose at the discretion of the Corporation to assist the Corporation to perform its functions and duties; and
e) That I agree to abide by the Rules of the Corporation and I agree to abide by any Code of Conduct adopted by the Corporation Please sign your full name as your signature.

Submit

Thank you for your application.

We will be in contact once it has been reviewed.