Membership Application Portal

Join the Ershad Julekha Foundation as an official member. Contribute to our governance, participate in Annual General Meetings, and shape our community initiatives.

Official Application Form

Charities Services NZ • CC63864

Membership Application Form

Please complete the official details below. Required fields are marked with *.

1 Personal & Contact Information

Full Legal Name

Occupation / Profession

Year of Birth (Optional)

Gender (Optional)

Residential Address (New Zealand)

Mobile Number

Email Address

2 Emergency Contact

Contact Name

Relationship

Phone Number

3 Membership Tier & Contribution

Membership Tier

Primary Area of Contribution

Specialized Skills / Background (Optional)

4 Statement of Interest

Why would you like to join the EJ Foundation?

5 Declaration & Legal Agreement

Applicant Acknowledgment

I declare that the information provided in this application is true and complete.
I agree to support the aims of the EJ Foundation and comply with its Constitution, policies, and Code of Conduct.
I understand that membership approval is subject to Executive Board review.

Applicant Digital Signature

Date

I confirm and agree to the above declaration in full.