KVA Unit # Unit Name Location
NAME Surname Given Names
CITY PROV. POSTAL CODE
UNIT IN KOREA SERVICE #
WHAT YEAR(S) WERE YOU IN KOREA?
MEDALS & DECORATIONS AWARDED
NEXT OF KIN RELATIONSHIP
As an applicant for membership in the Korea Veterans Association of Canada I hereby agree to abide by the rules & regulations as set forth by the Association from time to time and will to the best of my ability support all activities conducted by members of the unit and will strive to assist our Korea Veterans in every possible way.
If you are accepted as a member would you be willing to serve on Committees or Executive?
Yes □ No □ Maybe □
SIGNATURE OF APPLICANT
A cheque in the amount of the unit’s annual dues should accompany your application. A copy of this form should be forwarded to your Regional & National Membership Chairmen when reporting the new member.