Old Khormaksarians Membership Application Form

N.B. Only the starred fields NEED to be filled in at this stage.
Telephone number(s) would also be useful. Other fields can be added now if available
or they could be added at a later date.

New Member's Data

Use style shown

Data for OK Membership
    ** First Name or Initial :

    ** Surname whilst in Aden :

    ** Surname Now :

     Month and Year of Birth : Will help us calculate your cohort code

     DateIntoAden : as accurately as you can remember

     AgeOnEntry :

     DateOfTourex : as accurately as you can remember

    ** Email Address we need to use for OK correspondence

     Alternative Email Address(es) : just in case previous one fails.

    ApproxLocation : To show other members roughly where you are

Next three items may help us find you if emails stop working.
It happens ! Alas, we have already 'lost' 50 members.
They are not visible to other members.

    ** Postal Address, with commas:

    ** UK Post Code : (or country if overseas)

    Telephone number(s) :

    Comments : (something about your time in Aden)

     LifeSinceAden : ( something about your life since leaving Aden)