AUSTRALIA KRIYA YOGA ASSOCIATION INCORPORATED

APPENDIX 1

(Rule 1(3))

APPLICATION FOR MEMBERSHIP OF ASSOCIATION

Australia Kriya Yoga Association Incorporated
(Incorporated under the Associations Incorporation Act 1984)


Applicant details

I,                                                                                                                                                     
    (Full name of applicant)

Of                                                                                                                                                  
      (Address)

Other contact details
 

                                     
Telephone - home		                                        
telephone - mobile		                                     
telephone - work
                                                              

                                                                                                          
Email address (if available)
 

Hereby apply to become a member of the above named incorporated association. In the event of my
admission as a member, I confirm that I am over the age of 18 and agree to be bound by the rules of
the association for the time being in force.

I confirm my initiation details as below.

Initiated by
 		                                                                 
 
Month and year
 		                                        
 
Place
 		                                        
 
                                                       
Signature of applicant 		                            
Date

                                                                                                                                                       

Association use only - Entered into register of members:

                                                     
Signature 		                          
Date