Page:Self-Government for Uganda An African State Manifesto by the Progressive Party.djvu/27

THE PROGRESSIVE PARTY

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APPLICATION FORM

Name of Candidate-----------------------------------------

Address (full address). -------------------------------------

Occupation -------------------------------------------

This is to apply for membership of the Party.

I agree to abide by the rules and bye-laws of the Party at the time in force.

I enclose 2/- entrance fee.

Dated this---------- day of.----------19

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Signature of Member

.

NOTE: This form, when completed, should forwarded to:

The Hon. Secretary,

The Progressive Party,

P.O. Box 2530, Kampala.

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