Diaspora Membership

Surname

Jamaican Pasport No.

First Name

Middle Name

Zone
(Office use only)

Division
(Office use only)

Address

Country

Date of Birth

Gender

Male Female Other

Home

Mobile

Yes No

Occupation

Name (reference 1)

Position

Phone Number

Name (reference 2)

Position

Phone Number

Applicant: Please indicate if

previous PNP Party Membership current PNP Party Membership

If yes, please list constituency:

Please indicate a maximum of two - one Commission & one special interest; or two special interests:

Party Commissions and Committees

Trainers: Jamaica (Tertiary level education desirable). Election worker, candidate, campaign worker, & election preparedness Super Canvassers: Jamaica (Field work activity primarily on weekends – must be skilled in person-to-person contact) Technology Liaisons: to work with divisions and constituencies and campaign teams in Jamaica; and to work within the Diaspora Region Communication Liaisons – Jamaica and Diaspora Election Campaigning Field Work - Jamaica Administrative – Jamaica and Diaspora Political Education - Diaspora Membership & Recruitment - Diaspora Any Other Areas (Please Indicate)

Applicant Full Name

Date

Applicant Signature

Please attach proof of Jamaican citizenship (JA Passport); and overseas residency Foreign photo ID)

File

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I confirm all information submitted is true and that I am the person stated herein

I confirm

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Arms & Affiliates

Diaspora

Media

Members Area

Conference

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