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Onehunga
Panmure
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Ako Langimalie Pre-School
Tasilisili Research Quality + Teaching
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Become a member
About
Clinics
Onehunga
Panmure
Kelston
Other Services
Ako Langimalie Pre-School
Tasilisili Research Quality + Teaching
Integrated outcomes unit
Community Garden Centre
Outreach programme
News/Events
News
Events
Awards
contact
Search
Membership
Become a member
Become a financial Members of Tongan Health Society Inc
Applicant Details: Voting Member
Name
*
Name
First Name
Last Name
Address
*
Phone
*
Phone
(###)
###
####
Date of birth
Date of birth
MM
DD
YYYY
Email Address
*
Membership Type
*
(if family membership list family members below – maximum number is 6 only)
Individual
Family
Name & Date of Birth
Name & Date of Birth
Name & Date of Birth
Name & Date of Birth
Name & Date of Birth
Name & Date of Birth
Declaration
*
I understand that my application will be submitted to the THS Board before membership is considered according to the THS Consitution.
I wish to be a finacial member of the Tongan Health Society Inc including any dependents listed on my enrolment above.
The contents of this form have been explained to me in the Tongan language where I have requested futher.
I have paid the prescribed fee for financial membership to the Tongan Health Society Inc and I understand that I will be liable for an annual renewal fee as determined by the Tongan Health Society Board Inc
Membership is subject to the following terms and conditions (compulsory questionnaire)
1. All members must be a NZ Citizen Resident (evidence of residency / citizenship needed)
2. Do you have any outstanding payments to the Society
Yes
No
3. Have you been a previous member
Yes
No
4. If yes, since when / number of years of membership
5. Are registered at Langimalie clinic
Yes
No
6. If yes which clinic
Kelston
Pamure
Onehunga
7. Why do you want to be a member of the THS?
Thank you!