Junior Membership

Date: December 2, 2018

– under 18, and

– one of your parents is Full member

No Fee or Subscription Fee, only benefits!

You can also complete this form online.

Application for Membership

To unite and support Ukrainians of all generations and all backgrounds in South Africa, to be a valid representation of Ukrainian community in South Africa;
To develop network of South Africans as well as other nationalities who are interested in Ukrainian culture, language or other aspects of its social, economic, academic or political life;
To promote Ukrainian culture, language and expand the information about Ukraine in South Africa;
To promote academic, social, cultural and economic cooperation between South Africa and Ukraine;
To support and promote the territorial integrity, national identity, pride, security, humanitarian projects and economic prosperity of Ukraine.

Title (Mrs, Miss, Ms, Mr, Dr, Prof):

First Name and Surname :

Date of Birth:

Occupation:

Home Address (Physical):

(Please include Province and Postal Code )

Home City in Ukraine (if any )

E-mail Address:

Telephone No: (Home)

Telephone No: (Cell)

_________________________________________

(please tick all appropriate boxes)

I support objectives of UAZA
my parent/guardian
________________________________
(Name,surname)
is Full Member of UASA