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FILIPINO DAIRY WORKERS IN NEW ZEALAND INC.

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E-mail address *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

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Personal Info

Next of Kin

Children *	Order
	*	Weight for row 1

Contact person in the Philippines

Contact Numbers *	Order
	*	Weight for row 1

Notification and Privacy

Privacy Clause: *

I agree to abide by the constitution and bylaws of the society, including any codes of conduct.

I support the aims and objectives of the society.

The personal information you are providing by completing this membership application form is being collected by the FILIPINO DAIRY WORKERS IN NEW ZEALAND INC to enable us to maintain accurate membership records, communicate with members, and such other purposes relating to membership. The information will be held at the registered office of the society. You are entitled to request access to and/or correct/update any of these information.

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