Membership

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Membership Type*

I wish to make application to the Board of Directors of the John James Foundation¹ to be admitted as a Full Member of the Foundation.

I confirm that:

I am interested in promoting the objectives of the Foundation;
I am currently a Registered Medical Practitioner in the ACT and a Visiting Medical Officer at the Calvary John James Hospital; and
I undertake to be bound by and to comply with the Constitution² of the Foundation.

The full name of the Company is the John James Memorial Foundation Ltd and it trades as the John James Foundation.
A copy of the Constitution of the Company (which includes the objects of the Company) is available on request.

I wish to make application to the Board of Directors of the John James Foundation¹ to be admitted as an Associate Member of the Foundation

I confirm that:

I am interested in promoting the objectives of the Foundation;
I am currently a Registered Medical Practitioner in the ACT; and
I undertake to be bound by and to comply with the Constitution² of the Foundation.

The full name of the Company is the John James Memorial Foundation Ltd and it trades as the John James Foundation.
A copy of the Constitution of the Company (which includes the objects of the Company) is available on request.

Given Names*

Surname*

Title

Postnominals

Email*

Phone*

Business Address*

Street Address Address Line 2 Suburb State Postcode Country

Area of Speciality*

Message*

Please enter a short statement on why you wish to become an Associate Member of the Foundation

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