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MEMBER REGISTRATION
Being a member to
Work for Life for Differently Abled People Association is to support every person with a disability to the new way of work to gain Dignity and Pride
. By completing and submitting / posting the form below, you will be entitled to all the rights and privileges as specified in the
DAPA Constitution
.
All data will be submitted and maintained in our secured and encrypted database, unreadable by any other person
including the DAPA Management Committee members.
Type Of Membership
Please choose the type of membership. Individual Membership represents one person registration and Family Membership includes both individual and their parents or guardians registration.
Individual Membership
Family Membership
Applicant Info
Father Info
Mother Info
Applicant's details
Surname*
Given Name*
Date Of Birth*
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Gender*
Male
Female
Email
Mobile
App Username
Has Disabilities
Address
* denotes mandatory fields - Please ensure you supply complete and accurate information in these text boxes.
Street Address*
Suburb*
State*
Australian Capital Territory
New South Wales
Nothern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
Post Code*
Father's details (Parent / Guardian)
At least one family member's details must be present
Surname*
Given Name*
Date Of Birth*
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Email
Mobile
App Username
Has Disabilities
Mother's details (Parent / Guardian)
Surname*
Given Name*
Date Of Birth*
01
02
03
04
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02
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05
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08
09
10
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1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
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1974
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1980
1981
1982
1983
1984
1985
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1988
1989
1990
1991
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1993
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1995
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1997
1998
1999
2000
Email
Mobile
App Username
Has Disabilities
Many Minds Link User Agreement
I hereby agree to be a member of Many Minds Link Project and the Differently Abled People Association Inc. subject to all the membership terms and conditions as outlined in the
DAPA Constitution
MMLink App
Haven't got the app yet? Download it for
iPhone / iPad
or
Android
Being a member to
Work for Life for Differently Abled People Association is to support every person with a disability to the new way of work to gain Dignity and Pride
. By completing and submitting / posting the form below, you will be entitled to all the rights and privileges as specified in the
DAPA Constitution
.
All data will be submitted and maintained in our secured and encrypted database, unreadable by any other person
including the DAPA Management Committee members.
Download Membership Form (PDF)
Contact Us