Membership Application

Batho Movement Membership Form

Title

First Name

Last Name

Gender

ID/Passport Number

Race

Phone

Address

Address Line 1

Address Line 2

City

Zip Code

Province

Ward Number

Voting Station Name

Sub-Region/Municipality

Employed

Yes

Occupation

Disabled

Yes

Amount

Period

Membership Oath Declaration

Full Name

I, [Your name above] , join the Batho Movement fully aware that membership is a solemn political responsibility and not a pathway to entitlement, personal status, or material gain.

I understand and accept that I am not automatically entitled to any leadership position within the movement…

I pledge to uphold the Constitution, principles, and values of the Batho Movement…

I commit myself to serve the people of South Africa, the African continent…

Signature of Applicant ( Full Name)

Date / Time