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Application for membership form
OLD MAPOON ABORIGINAL CORPORATION (ICN 7792)
I,
of
apply for membership of Old Mapoon Aboriginal Corporation.
I declare that I am eligible for membership because I am an Aboriginal person, over 18 years of age and particularly concerned with the Mapoon Land* in the following ways (explain how the applicant is connected to Mapoon Land, as shown in the below map):
*Under section 3 of the Aboriginal Land Act 1991, an Aboriginal person is "particularly concerned with the land" if that person has, or is a member of a group, that has, a particular connection with the land under Aboriginal tradition, or lives on or uses the land or neighboring land.
Date