Membership Form

British Sikh Council UK Membership Form
Give a Little. Help a Lot.

Full Name:………………………………………………………………………………………………………
Date of Birth(dd/mm/yyyy):………………………………………………………………………..
Address:………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..
House Phone Number:…………………………………………………………………………………
Mobile Number:…………………………………………………………………………………………….
Email Address:……………………………………………………………………………………………….
Qualifications:………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….
State of any medical illnesses/disabilites:……………………………………………………………………………………..

Branch President:……………………………………………………………………..
President Signature:…………………………………………………………………

I confirm all details above are correct and agreeing to become a member of the British Sikh Council
(FULL NAME):………………………………………………………………………………….
(SIGNATURE):………………………………………………………………………………….

 

(PLEASE PRINT AND SEND TO 101 WOLVERHAMPTON ROAD WEST, WALSALL, WEST MIDLANDS, WS2 0BX, OR COPY AND PASTE AND EMAIL IT TO deol_bsc@hotmail.com. THANK YOU)