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Application form ACCUR
First name (s)
Date of birth
Educational level and background
Personal email address
ACCUR member since (year)
Are you interested in participating in one of the activities committees of ACCUR or joining the Board of ACCUR
Yes, interested in joining the Activities Committee
Yes, interested in joining the Board
With acceptance of my application I herewith declare I will at all times respect the Articles of ACCUR. I have never been convicted of a crime and that there is no criminal charge pending against me. Furthermore I declare the above provided information is complete and accurate. I herewith release ACCUR and each such person from liability regarding information provided to ACCUR. I understand that any false or misleading statement I have made in connection with this application may be ground for rejection of my application or termination of my membership.
I agree to the above conditions and payment of the membership fee of 250 ANG per year.
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