| APPLICATION FOR MEMBERSHIP
- UNION OF CYPRUS JOURNALISTS -
To the Executive Committee
of the Union of Cyprus Journalists:
Please examine my application for membership to the Union of Cyprus Journalists.
1. Surname: ......... First Name: ............
2. Date of birth: ..................
(Attach a birth certificate and two recent photos).
3. Identity card No: .............
4. No. of Social Insurance Card: .........
5. Passport No.: ..............
6. Studies: (attach copies of relevant certificates): .............
...................................
7. Since when you are working as a journalist: ...............
Place of work ..............
8. Conditions of employment: .............
9. Relationship with the Media you are working with: .........
..............................................................................................................................
10. Address: .......................
Tel. No.: ........ Fax No.:....... E:mail:.........
Signature: Five regular members of U.C.J. supporting the application:
1..........................................................................................
2..........................................................................................
3..........................................................................................
4..........................................................................................
5..........................................................................................
Date: ................
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