ACA CYPRUS MEMBERSHIP APPLICATION
SECTION 1 – PERSONAL INFORMATION
RANK/TITLE: …………… SURNAME: ……………………………………….. INITIALS: ……………
FIRST NAME: ………………………………. KNOWN AS: …………………………… DOB: …………
WIFE/PARTNER’S NAME AND SURNAME (IF DIFFERENT): ………………………………….
DECORATIONS: …………………. EMAIL ADDRESS: ………………………………………….
ADDRESS: …………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………..
………………………………………………………………. POST CODE: …………………………………..
TEL NO: …………………………….. MOBILE NO: ……………………… FAX NO: ………………..
SECTION 2 – DETAILS OF MILITARY SERVICE
PARENT SERVICE: ………………………… RANK ACHIEVED: …………………………………….
AIRCREW CATEGORY: …………………………………. SERVICE NO: ……………………………
AIRCREW TRAINING SCHOOLS: …………………………………………………………………………
SQUADRON AIRCRAFT TYPES FLOWN: ……………………………………………………………..
SQUADRONS: ……………………………………………………………………………………………………
SECTION 3 – DETAILS OF POST-MILITARY CAREER
COMPANY: ………………………………………………… DATES: ……………………………………
POSITION: …………………………………………………. DATES: ……………………………………
POSITION: …………………………………………………. DATES: ……………………………………
COMPANY: ………………………………………………… DATES: …………………………………….
POSITION: ………………………………………………… DATES: …………………………………….
POSITION: ………………………………………………… DATES: …………………………………….
COMPANY: ………………………………………………… DATES: ……………………………………..
POSITION: …………………………………………………. DATES: ……………………………………..
POSITION: …………………………………………………. DATES: ……………………………………..
COMPANY: ………………………………………………… DATES: ……………………………………..
POSITION: ………………………………………………… DATES: ……………………………………..
POSITION: ………………………………………………… DATES: ……………………………………..
SECTION 4 – DATA PROTECTION STATEMENT
I HAVE READ THE ACA CYPRUS POLICY FOR DATA PROTECTION AND I HAVE NO OBJECTION TO THE ASSOCIATION HOLDING AND USING MY PERSONAL DATA TO FACILITATE THE ADMINISTRATION OF THE ASSOCIATION.
SIGNED……………………………………………………………………. DATE………………………………….
NAME……………………………………………………………………….
DISCLAIMER
PARTICIPATION IN ALL AND ANY ACA CYPRUS ACTIVITY IS UNDERTAKEN AT THE MEMBER’S OWN RISK AND NEITHER THE ACA CYPRUS, NOR ITS OFFICERS AND ORGANISERS CAN BE HELD RESPONSIBLE FOR ANY INJURIES/MISHAPS HOWEVER OCCASIONED.
FOR OFFICE USE ONLY
DATE RECEIVED: ………………………. MEMBERSHIP FEE PAID: …………………………….
RECEIPT NO: ……………………………… MEMBERSHIP – FULL/ASSOCIATE: ………………