Membership Application Form Membership Application Form Personal Details / Taarifa Binafsi Full Name / Jina Kamili: Email Address / Barua Pepe: Phone Number / Namba ya Simu: Address / Anwani: Date of Birth / Tarehe ya Kuzaliwa: Age / Umri: Bank Details / Taarifa za Benki Bank Title: HSBC Name of Account: Arrahman Community Account Number: 02287161 Sort Code: 40-42-08 Medical Condition / Hali ya Matibabu Briefly explain your medical condition if any / Eleza kwa ufupi hali yako ya matibabu ikiwa ipo: Declaration / Tamko I declare that the information supplied is true and correct. I accept all the information described in this form. / Mimi natangaza kuwa maelezo niliyotoa ni ya kweli na sahihi. Nakubali taarifa zote zilizoelezwa kwenye fomu hii. Signature / Saini: Date / Tarehe: Terms of Membership / Masharti ya Uanachama Please read our Terms of Membership before proceeding. / Tafadhali soma Masharti ya Uanachama kabla ya kuendelea. I have read and agree to the Terms of Membership. / Nimesoma na nakubaliana na Masharti ya Uanachama. Submit / Tuma Declaration / Tamko I declare that the information supplied is true and correct. I accept all the information described in this form. / Mimi natangaza kuwa maelezo niliyotoa ni ya kweli na sahihi. Nakubali taarifa zote zilizoelezwa kwenye fomu hii. Signature / Saini: Date / Tarehe: Agreement / Kukubali I am 18 years old and above and agree to the Membership Terms for joining Arrahman Community and Educational Trust. / Nina umri wa miaka 18 au zaidi na nakubali Masharti ya Uanachama kwa kujiunga na Arrahman Community and Educational Trust. For Office Use Only / Kwa Matumizi ya Ofisi Pekee Name / Jina: Title / Cheo: Comments / Maoni: Signature / Saini: Date / Tarehe: CAPTCHA / Udhibitisho: Submit / Tuma
