1. Personal Details

Gender

 

( dd/mm/yyyy )

2. Address

POSTAL Address

as above 

3. Contact Details

4. Police Service History

   

Current / Last

or ...

5. Other Employment

6. General Information

7. Membership Details
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Membership Unit *

Visitor Contact

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*** Use the More Info field above for any special conditions.
8. Declaration "I hereby apply for membership of the International Police Association as above and agree with the Aims and Objectives of the said association as laid down in the Consitution and Regulations and that I shall conform to such regulations as may be made by the said section.

"I will endeavour to further the work of the association by fulfilling the obligations of membership and will submit my membership renewal fee of $20.00 regularly before the 31st of December each year. I will promptly pay the $50.00 invoice comprising an enrolment fee of $30.00 and a membership subscription of $20.00 once this application has been approved."