Join/Rejoin the AJPA

First Name(s) *

Last Name *

Date *

Residential Address *

Number and Street/Road

Suburb

City

Postal Code

Country

Home Phone *

Mobile Phone

Postal Address (if different to above)

Address Line 1

Suburb

City

Postal Code

Country

JP Number *

Email *

Email

Confirm Email

Date of Appointment (if known)

Subject

Please provide any additional comments

Please tick the box to agree to the undertaking *

I confirm I have read and I fully understand the Association's Rules and the Royal Federation's Codes and Ethics & Conduct as they appear on this website and I undertake, as a member of the Association, to meet all requirements and standards expressed in both those documents. I further undertake: to participate in my local JP support group including its meetings and its rostered service desk activities; to keep my membership financially current; and to not bring the Association into disrepute. BY SUBMITTING THIS FORM YOU AGREE TO ALL THESE UNDERTAKINGS.

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