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NZLF Form. 1.
SURNAME.
NAME (In full).. .
PERMANENT ADDRESS: (In full)
.
.
Date of Birth:
NATIONALITY (please specify) .
DECLARATION:-
If accepted by the Legion of Frontiersmen, I undertake to uphold and maintain the
principles of the Legion and conduct myself in a manner which will reflect credit upon
myself and the Legion of Frontiersmen, whilst performing duties assigned to me.
N.B. The signing of this DECLARATION does not involve any compulsory Military
obligation to the State whatsoever.
DATE:.. PLACE:.
(Applicants Signature)
PROPOSER:.
SECONDER:.
I hereby certify that I have verified the particulars contained herein and to the best of my
Knowledge, same are correct.
WITNESSED BY:.
DATE:
DATE OF ISSUE:..