Area Boyz Riders Club: (Membership Form)

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AREA BOYZ RIDERS CLUB

(Membership form)
PERSONAL INFORMATION

Nick Name: ____________________________

Name: ____________________________

Address: _________________________________________________________________

Birth date: ______________ Birth Place: __________________ Age: _____________

Civil Status: ______________ Name of Spouse: ______________ Sex: M F

Mobile Number: ______________ Email: _______________________

Person to contact in case of emergency: _________________________

Mobile Number: _________________________

Motorcycle / License Information

Motorcycle Brand: _____________ Model: _________________ Year: ___________________

Body Color: ___________________ Plate No: _______________ Engine No: ______________

Type of Driver’s License: Pro Non-Pro Restriction Code: _________________


License No: __________________________

I hereby certify all the above statement are true and correct. I have joined this organization my own will
and promise to abide its existing rules and regulation

______________________________________

Signature over printed name

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