PoLEPFoR Membership Application
PLEASE NOTE:
ALL Members of Police and Law Enforcement who are Rotarians are `Nominal Members’ of the Police Law Enforcement Professionals Fellowship of Rotarians.

`Ordinary Membership’ of PoLEPFoR shall be open to any active Rotarian who is either a serving or retired Police/Law Enforcement Officer, who is serving or has served, in a recognised Police/Law Enforcement Organisation and has left that Organisation in good stead, and/or is the Recipient of a Paul Harris Fellowship Award.

Membership will ALSO include Members of Police and Law Enforcement of any rank who have been accorded `Honorary Membership’ of a Rotary Club or of a Rotary approved institution.

`Associate Membership’ of PoLEPFoR (Friends of PoLEPFoR) shall be open to any Rotarian who has an interest in progressing the cause of Police and Community Relations Locally, Nationally or Internationally, through the facility of the Police Law Enforcement Professionals Fellowship of Rotarians and/or the Rotary District Peace Communities Programme (RDPCP).

PERSONAL DETAILS
Surname (*)
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Given Name (*)
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Residential Address (*)
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Town Suburb City (*)
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Postal or Zip Code
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Country (*)
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Email Address (*)
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Phone
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Fax
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Phone Mobile or Cell
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Date of Birth
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POLICE LAW ENFORCEMENT DETAILS
Particulars of current or previous Police or Law Enforcement Service
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Police Law Enforcement Establishment
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Location
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Position
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Current Rank if applicable
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Date Joined
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Date Retired or Resigned
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ROTARY DETAILS
Name of Rotary Club (*)
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Rotary District (*)
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Details of Rotary Service and Positions held in Rotary Club and or District
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Location
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I hereby submit my application for ordinary membership or Associate Membership of the Police/Law Enforcement Professionals Fellowship of Rotarians (PoLEPFoR).
*I agree with the aims and objectives of the Fellowship as laid down, and agree to abide by the rules as may be made by PoLEPFoR consistent with Rotary ethics.

Please find attached photograph of myself (in uniform if applicable).
Declaration Yes (*)
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ENTER THE LETTER ENTER THE LETTER
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UPLOAD YOUR PHOTO
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