I the undersigned hereby apply to become a member of NEW RIGHT. I understand and agree to abide by the rules of NEW RIGHT as embodied in its constitution. I pledge that I will strive to never bring dishonour upon the movement, will uphold the law, and respect persons and property.

• I enclose annual fee of $20 (unwaged $10). Cheques are payable to "NEW RIGHT"

• Applicants must be at least 18.

• There is a probationary period of 6 months, after which membership is subject to confirmation.

Please print or type:

Name____________________________________________________________

Address________________________________________________________________________________

Electorate__________________________________________________ Age________________________

Phone #__________________________________ E-mail________________________________________

Have you ever had a criminal conviction ?(specify): _____________________________________________

______________________________________________________________________________________

Do you have any special abilities that might be of use to NR (e.g. artistic, IT, photography, martial arts)

______________________________________________________________________________________

Educational qualifications__________________________________________________________________

______________________________________________________________________________________

Occupation_____________________________________________________________________________

What clubs, parties, groups have you been a member of (past or present)____________________________

______________________________________________________________________________________

How would you like to be involved with NEW RIGHT? (Please circle preferences):

Host house meetings Deliver leaflets Put up posters

Man street stalls Street demonstrations Security

Other__________________________________________________________________________________

Date__________________________________________ Signed__________________________________

For Office Use Only:

Accepted ð Declined ð Signed by NR Chairman________________________Date____________________

6 month’s probation: Accepted ð Declined ð Chairman_______________________ Date_______________