MEMBERSHIP APPLICATION FORM "*" indicates required fields URLThis field is for validation purposes and should be left unchanged.Details of applying institutionName*Cultural community interest represented*Physical address*Type of institution Note: Only recognised institutions representing cultural community interests are eligible for membership.Type of institution* cultural organisation community organisation royal or traditional leadership structure community representative organisation other (please specify) Other*Appointed delegatesTitle, full names and surname of first delegate:*Title, full names and surname of second delegate:*Contact detailsName and surname of contact person:*Cell phone number*E-mail address* WhatsApp numberRequired documentsFile Drop files here or Select files Accepted file types: jpg, png, pdf, docx, doc, jpeg, Max. file size: 20 MB, Max. files: 5. Signed resolution confirming a) the endorsement of the Rules of Order of the CCN b) the decision to apply for membership, c) the person authorised to apply for membership and d) the appointment of the representative(s).* Signed resolution confirming a) the endorsement of the Rules of Order of the CCN b) the decision to apply for membership, c) the person authorised to apply for membership and d) the appointment of the representative(s).*Declaration and signatures I, the undersigned, confirm that all the information supplied on this form are true and correct and that all decisions and resolutions were taken by the appropriate and legitimate decision-making body of the applicant.Signed at (place)*Date* SignatoryTitle, full names and surname:*Designation (role)*SignatureYour NameYour NameYour NameYour NameWitnessTitle, full names and surname:*Designation (role)*SignatureYour NameYour NameYour NameYour Name