Victorian Numbered Regulations

COUNTRY FIRE AUTHORITY REGULATIONS 2004 (SR NO 9 OF 2004) - SCHEDULE 7

SCHEDULE 7

Sch. 7

Regulation 35

APPLICATION FOR MEMBERSHIP OF BRIGADE

1.     Brigade and Type of Application

    Brigade name and no.

    Application     as a new member

            as a transferring member

    Type of membership—

            Junior

                Senior

2.     Applicant's details

    Family and given names:

    Home address:

    Postal address:

    Contact Details:

    Details of any relevant medical conditions:

    Details of any current or past membership of CFA brigades:

        Name of brigade

        Volunteer no.

3.     Applicant's acknowledgment of application

    Applicant's signature

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