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Membership Secretary Martin Foster 55 Haig Road Uxbridge Middlesex UB8 3EF England |
| Surname....................................................... | Forenames..................................................... |
| Home Address.......................................................................................................... |
| ...................................................................................................................... |
| Post Code.............................................. | Tel. No........................................ |
| Rank or Rating (at end of service).................... |
Non Sub.................... |
Depot.................... |
Official No.................... |
| Ganges Joining Date as (Boy/Junior/H.O.)................... |
Division................... |
Mess................... |
Class................... |
| Joining Date as Ships Company/Instructor..................... |
| Signature of applicant.............................................................. |
| *Membership No............... |
| Account (Name and Number) to be debited............................................................................... |
| Sort code.................................. | Signature............................................. | Date................................................ |