APPLICATION FOR MEMBERSHIP AANSOEK OM LIDMAATSKAP
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1 LIMOUSIN CATTLE BREEDER S SOCIETY OF SA LIMOUSIN BEESTELERSGENOOTSKAP VAN SA Posbus / P O Box 12560, BRANDHOF, 9324, / Epos info@limousinsa.co.za APPLICATION FOR MEMBERSHIP AANSOEK OM LIDMAATSKAP TEL NO: / SEL NO / FAKS NO: I / WE EK / ONS SURNAME (or member name if not an individual) VAN ( of lidmaatskap naam indien nie n individu) INITIALS (if applicable) VOORLETTERS (indien van toepassing) / FIRST NAMES NAME ID NUMBER ID NOMMER / MEMBERSHIP NAME LIDMAATSKAP NAAM VAT / BTW NO / COMPANY / BESIGHEID NO / TYPE OF MEMBERSHIP FOR WHICH APPLICATION IS MADE TIPE LIDMAATSKAP WAARVOOR AANSOEK GEDOEN WORD INDIVIDUAL MEMBER / INDIVIDUELE LID COMPANY / MAATSKAPPY PARTNERSHIP / VENNOOTSKAP NUMBER OF PARTNERS / AANTAL VENNOTE BODY CORPORATE / REGSPERSOONLIKHEIDSLIGGAAM /
2 LANGUAGE IN WHICH CORRESPONDENCE IS REQUIRED TAAL WAARIN KORRESPONDENSIE VERLANG WORD AFR ENG TITLE (indicate PROF, DR, MR, MRS, MISS, etc) TITEL (meld PROF, DR, MNR, MEV, MEJ, ens) / ADDRESS OF APPLICANT / ADRES VAN AANSOEKER ADDRESS LINE 1 ADRES LYN 1 / ADDRESS LINE 2 ADRES LYN 2 / PROVINCE PROVINSIE / POSTAL CODE TEL NO (CODE) NO POSKODE TEL NO (KODE) NR CELL NO SEL NO E-POS NAASTE DORP NEAREST TOWN HERD PARTICULARS / KUDDEBESONDERHEDE FARM NAME PLAAS NAAM / TOWN OR CITY NEAREST TO YOUR FARM / DORP OF STAD NAASTE AAN U PLAAS / / POSTAL ADDRESS WHERE YOUR CORRESPONDENCE MUST BE SENT TO: MELD DIE POSADRES WAARHEEN U KORRESPONDENSIE GESTUUR MOET WORD: ADDRESS LINE 1 ADRES LYN 1 / ADDRESS LINE 2 ADRES LYN 2 / ADDRESS LINE 3 ADRES LYN 3 / POSTAL CODE POSKODE I DO HEREBY APPLY FOR MEMBERSHIP / DOEN HIERMEE AANSOEK OM LIDMAATSKAP MEMBERSHIP REQUIRED AS FROM LIDMAATSKAP WORD VERLANG VANAF / / /
3 WERE YOU FORMELY OR ARE YOU AT PRESENT OF ANY BREED SOCIETY WITH REGARD TO THE SAME OR ANY OTHER BREED? IS U HUIDIGLIK OF WAS U VOORHEEN N LID VAN ENIGE TELERSGENOOTSKAP TEN OPSIGTE VAN DIESELFDE OF ENIGE ANDER RAS? YES / JA / / NO / NEE IF YES, STATE HEREUNDER THE BREED SOCIETY AND YOUR MEMBER NUMBER, IF AVAILBLE. INDIEN JA, MELD HIERONDER VAN WELKE GENOOTSKAP EN VERSTREK U LIDNOMMER, INDIEN BESKIKBAAR: SOCIETY / GENOOTSKAP : MEMBER NUMBER/ LID NOMMER : / MY CHOICE FOR HERD DESIGNATION MARKS ARE: (KANTOOR GEBRUIK) Please supply six (6) combinations in order of preference MY KEUSE VIR KUDDEKENMERK IS: Verstrek asb ses (6) kombinasies in orde van voorkeur A) B) C) D) E) F) MY / OUR CHOICE FOR A HERD NAME (PREFIX) IS: Please supply six (6) combinations in order of preference MY / ONS KEUSE VIR KUDDENAAM (VOORVOEGSEL) IS: Verstrek asb ses (6) keuses in orde van voorkeur. Name van dorpe en stede word nie toegelaat nie. PREFIX / VOORVOEGSEL A) B) C) D) E) F)
4 I AGREE TO OBSERVE AND BE BOUND BY THE CONSTITUTION AND THE RULES, REGULATIONS AND BUY- LAWS OF THE SOCIETY / EK ONDERNEEM OM MY AAN DIE BEPALINGE IN DIE GRONDWET EN DIE REëLS, REGULASIES EN VERORDENINGE VAN DIE GENOOTSKAP TE ONDERWERP. ATTACHED FIND A LIST OF ALL STUD BOOK ANIMALS CURRENTLY IN MY POSSESSION / AANGEHEG VIND U N LYS VAN AL DIE STAMBOEK DIERE WAT EK TANS IN MY BESIT HET. A CHEQUE FOR THE AMOUNT OF IN PAYMENT OF THE FOLLOWING IS ATTACHED / N TJEK VIR DIE BEDRAG VAN _ TER BETALING VAN DIE VOLGENDE WORD HIERBY INGESLUIT: ANNUAL SUBSCRIPTION / JAARLIKSE SUBSKRIPSIE R ENTRANCE FEE / INTREE FOOI R REGISTRATION OF PREFIX / VOORVOEGSEL REGISTRASIE R STUDBOOK ANIMALS IN MY POSSESSION x R90-00 STAMBOEK DIERE IN MY BESIT x R90-00 AANHANGSEL A EN/OF B DIERE x R42-00 APPENDIX A AND/OR B ANIMALS x R42-00 SUB TOTAAL / SUB TOTAL BTW / VAT TOTAAL / TOTAL SIGNED AT THIS DAY GETEKEN TE HIERDIE DAG SIGNATURE OF APPLICANT HANDTEKENING VAN APPLIKANT Banking details / Bankbesonderhede: FIRST NATIONAL BANK, ACC / REK: BRANCH / TAK: Indien u belangstel in n kudde bestuur program kontak Micheal by
5 LIST OF STUD ANIMALS OF THE BREED OF THE SOCIETY WHICH YOU ARE JOINING LYS VAN STAMBOEK DIERE VAN DIE RAS BY DIE GENOOTSKAP WAT U AANSLUIT REGISTRATION NUMBER REGISTRASIE NOMMER IDENTIFICATION IDENTIFIKASIE SEX GESLAG NAME OF ANIMAL NAAM VAN DIER
6 PLEASE COMPLETE THE FOLLOWING FORM VOLTOOI ASSEBLIEF DIE VOLGENDE VORM AANWYSING OM PLAAS TE BEREIK / DIRECTIONS TO GET TO THE FARM NAAM / NAME: FARM ADDRESS PLAAS ADRES TEL NO / NR Kindly furnish a good sketch indicating the road to your farm. Verstrek asseblief n duidelike skets waarop u die pad na u plaas aandui.
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