MEMBERSHIP FORM

SURNAME: ID NUMBER: RESIDENTIAL ADREESS: PROVINCE: CELL: EMAIL: TEL:

FIRST NAME: GENDER: F

PROVINCE: FAX: OCCUPATION:

DECLARATION

I . Solemnly declare that I will abide by the aims, objectives and policies of Southern Stars Foundation as set out in the Deed of Trust and Constitution of S.S.F. I voluntarily join S.S.F. without any motive of personal gain or material benefit. I will participate in the life of the Foundation striving towards total emancipation of the Southern Region, Zimbabwe, Africa and the oppressed and marginalised of the world and will do so as a loyal, active and disciplined S.S.F. Community
Activist.

I further declare to always defend the proud legacy pioneered by the Founding Fathers of the Foundation; that of Community development.
Signature Date..

For Official Use Authorising Officer.. Card No: Date.. Branch......