Membership Form

Personal Data:

Full Name*(Underline Surname)

Gender*

Occupation

Home Address

Contact Number(H)

Contact Number(Mobile)

Email

Name of Spouse

Children

Age

Are your children interested in Cultural activities? If Yes give details:

Interests / Skills

Skills which I can share during volunteer service:
South Asian Dance, Music and Drama:
Teaching Tamil children of their Heritage & Language:
Arts & Craft:

Others(Please State)

Annual Fee ( Jan-Dec ) & Donation

Student Under 18 - $10.00

Donation

Family & Adult - $20.00

Donation

Comments

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