Name ………………………………………………….
First name ……………………………………………..
Address …………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………………………….
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Date
of birth ………………………………………………………………..
Phone number ……………………………………
Mobile ……………………………………………………..
E-mail …………………………………………………………………………..
Occupation with Lufthansa
PK number ……………………………………….
From …………………………………………………
To ………………………………………………………………
At ………………………………………………………
From …………………………………………………
To ……………………………………………………………..
At ……………………………………………………..
Last Department ………………………………
As ………………………………
Name of Spouse/Partner ………………………………………………………………………………………………
I agree that my personal details under A may be published in the membership list
Date ………………………………..
Signature
Please complete form and send to Ms B. Slack
26 Fleetway, Thorpe, Egham,
Surrey TW20 8UA
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