APPLICATION FORM FOR MEMBERSHIP

N.B. If approved, all memberships are subject
to a 3 month probationary period
Membership No:

Applicant's Details Partner Details
Status of Membership Applied for: Single:      Family:      Nominated
Surname: Surname:
Other Names: Other Names:
Title: Title:
Nationality: Nationality:
CPR No: CPR No:
Applicant's Employer:

Partner's Employer:

Applicant's Occupation:

Partner's Occupation:

P. O. Box No: P. O. Box No:
Mobile No: Mobile No:
Telephone No (Work): Telephone No (Work):
Telephone No (Home): Telephone No (Home):
email address: email address:
Date of arrival in Bahrain Anticipated Period of Residence:

Details of Children under 18 years of age
Name: DoB: male/female CPR No:
Name: DoB: male/female CPR No:
Name: DoB: male/female CPR No:
Name: DoB: male/female CPR No:

Date of Application:

 

 Applicant's Signature:

Proposed by

Name: Membership No: Signature:
How long has proposer known applicant:

Seconded by

Name: Membership No: Signature:
How long has proposer known applicant:

 

 

 

 

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CLUB SECTIONS

Below is a list of activities, which have their own sections within the Club. If you are interested in joining any of these sections please tick the box and the Club Secretary will forward your name to the section chairman.

 

AC Jurassic Cricket Football Wine Club Swimming (kids)
Badminton Cycling Tots & Toddlers Snooker Tae Kwon Do
Bridge Darts Netball Squash Tennis

 

                                        SUBSCRIPTIONS
Subscriptions run from the 1st of the month and are renewable on expiry.
All memberships must expire on either 30 September or 31 March and the initial subscription fee will be a pro rata payment advised by Reception; thereafter renewals may be made for either 6 months or 12 months. 
 

 

12 Months

Single Status 
BD 150/-

Family Status 
BD 200/-

Nominated Partner
 BD 200/-

 

PLEASE SUBMIT
1 photograph for each person named on the form
Photocopy of CPR Card for Applicant, Spouse/Partner and Resident Children, or photocopy of Passport showing personal details and entry stamp
and letter from employer confirming CPR has been applied for.

FOR OFFICE USE ONLY
 

Date Application Received Receptionist's Signature Membership Secretary's Signature