Membership Form

We are delighted that you wish to join the National Liberal Club and look forward to welcoming you as a Member.

If you require any assistance with completing the application form please contact our Membership Secretary at [email protected].

The information provided here and online will be held in accordance with the provisions of the Data Protection Act (UK-GDPR¹). For more information on how the National Liberal Club manages and stores your data, read our privacy notice.

SECTION 1 – ABOUT YOU

Surname *

Title *

First and middle name(s) *

Any post-nominals you wish to use? e.g. MBE, FRSA , JP, MP etc

Have you ever been known by any other name?

Yes

(if yes, please provide details)

Date of birth *

Your home address *

Your preferred telephone contact number *

Your preferred email address *

Address of any other residence frequently used by you within 70 miles of Charing Cross Station, London (used to determine your membership category) *

Present or previous (if retired) occupations with dates (just the last six years – or simply attach your current CV covering this period. Please specify trade and/or professional qualifications relevant to your work or employment) *

Attach CV Here:

Choose

Professional or Business addresses where you undertake work (including name of firm, company or employer and full postal address)

Telephone number

Email address

SECTION 2 – STATEMENTS WE ASK YOU TO MAKE

Have you previously been a Member of the NLC or have you previously applied for membership? (please tick whichever applies) *

Previously a Member

Previously applied for membership

I have neither applied nor been a Member previously

Please give details of any current or previous occasions on which you have stood for political office, including the name of the position and the party for which you stood, together with dates and whether or not you were elected.

Is there anything in your background which, if more widely disclosed, might bring the NLC into disrepute?

Yes, there is

No, there is nothing of this nature in my background (please tick if this is correct)

If yes please provide details, using an attached document, referring first to the guidance at section 7 for the grounds covered by this question

Choose

I consent to my personal information being used by the NLC for all reasonable purposes connected with the administration of my membership *

Please tick to confirm that is correct

I confirm that I have completed my Interests and Preferences Questionnaire (section 6) *

Please tick

SECTION 3 – COMMUNICATION PREFERENCES AND DATA PRIVACY

If you wish the NLC to communicate with you about your membership and the NLC’s activities, including events and fundraising, please indicate by ticking the boxes below: *

Text/SMS

Post

Telephone

I understand I can change these preferences at any time within the Members’ section of the NLC website, or by contacting the Membership Secretary.
Email is the NLC’s preferred communication method but telephone or post may also be used where necessary.
I undertake to promptly update my contact details with any permanent changes via the NLC website, or inform the Membership Secretary. I understand that the NLC will ensure my private data stays secure at all times in accordance with the UK implementation of GDPR¹. NLC’s Data Privacy Notice is on our website.

SECTION 4 – YOUR CHOICE OF MEMBERSHIP CATEGORY

Single or Joint Membership

Choose Single (just for you) or Joint membership (for two of you). Joint membership is for: EITHER spouses/life partners of Members currently paying the full subscription (or who are Life or Honorary Members) OR for spouses/life partners applying for membership together, provided in both cases that you share the same address and use just the one payment method for both of you. *

Single membership

Joint membership

For Joint membership, please provide below the name of your spouse or partner if they are already a Member, or if they are not yet a Member, please also attach their own application for membership.

Full name of Joint member (if applying for Single membership, please skip this question)

Town, Country, or Overseas Membership
Your main address and any work or business conducted within the limits below determines your geographical category of membership: ‘Town’ (if you live or have an alternative residence within a radius of 70 miles from Charing Cross Station, or a place of work within a radius of 20 miles from Charing Cross Station), ‘Country’ (if you don’t) and ‘Overseas’. Discounted membership rates apply to Country and Overseas Members. The appropriate option will be applied automatically for you as will any age-related discount.

Membership or Political Membership
The entry requirements for these two categories are slightly different. Members can enjoy all that the NLC has to offer and may propose resolutions and vote at AGMs. Political Members are exactly the same, but have a guaranteed majority of voting places on the Members’ Council, which represents the whole membership; and at AGMs they have additional voting rights on matters relating to Political membership. Political Member applicants are required to make a declaration in relation to their Liberal politics.

MEMBERSHIP

is open to any eligible candidate who can confirm that: “I will not use the NLC nor my membership for political activities contrary to Liberalism and in the event of my being elected I agree to observe the Rules, Regulations and Standing Orders of the Club as amended from time to time”.

We expect applicants to answer all the questions on this form honestly and accurately. The NLC reserves the right to suspend or terminate your membership if it transpires that you provided inaccurate information as part of the application.

APPLICATIONS FOR MEMBERSHIP

I certify that the statements made in this application are true to the best of my knowledge. I declare that I will not use the NLC nor my membership for political activities adverse to Liberalism or the ethos of the NLC and in the event of my being elected, I agree to observe the Rules, Regulations and Standing Orders of the NLC, as amended from time to time. I confirm I have read and understood the terms and conditions of this application and note that all of the Rules, Regulations and Standing Orders as amended, are available on the NLC website.

Your signature (Please type your initials as signature) *

Date *

If you don’t have a proposer tick here and please skip this section and go to section 5.

PROPOSER’S STATEMENT FOR CANDIDATES APPLYING FOR MEMBERSHIP

EITHER The applicant for membership named above is known to me personally for years and I consider the applicant suitable for membership.

If this is an application for Political membership, I confirm that the applicant is a Liberal in politics.
As Proposer, I confirm I will introduce the applicant to the customs and ethos of the NLC.
OR (in the case of a proposal by a Member of the NLC who has been asked to interview a prospective applicant) I have interviewed the applicant for membership, introduced them to the NLC and explained our customs and ethos. I am satisfied that the applicant is suitable for membership, and in the case of an application for Political membership, I am reasonably satisfied that the applicant is a Liberal in politics.

All Proposers should provide a supporting statement here for the applicant. For applicants for Political membership this is to include confirmation of their being a Liberal in politics.

Proposer’s name and NLC membership number

Proposer’s signature

Date

SECTION 5 – PAYMENTS OF SUBSCRIPTIONS AND RESIGNATIONS

In renewing your membership on 1st January each year, you agree to pay your subscription in full, through to the end of the calendar year.

The subscription is payable annually in advance, although if you pay by direct debit, you may opt to pay in half-yearly, quarterly or monthly instalments. In the year of election, you will pay a pro-rata annual subscription from the date on which elected.

All notices of withdrawal or resignation must be submitted to the Membership Secretary in writing by 30th November for the following year. If such notice is not submitted by 30th November, Members shall be liable for their full subscription for the following year irrespective of whether such subscription is usually paid by instalments.

SECTION 7

APPLICANTS’ GUIDANCE FOR QUESTIONS RELATING TO MATTERS IN THE CANDIDATES’ BACKGROUND WHICH SHOULD BE DISCLOSED TO THE CLUB

Please note:
The following guidance relates only to the question in section 2.3 and does not need to be answered otherwise.
In the following questions, please only answer questions (i) and (ii) below in relation to convictions and related orders that are NOT spent as defined in the Rehabilitation of Offenders Act 1974, as amended.

(i) Do you have any criminal convictions which are disclosable in accordance with the Rehabilitation of Offenders Act 1974? (if so, please provide details)

(ii) Have you ever been disqualified from being a director of a limited company? (if so, please provide details)

(iii) Are you currently an undischarged bankrupt? (if so, please provide details)

(iv) Have you ever had your membership of any other club of a similar type suspended or terminated for reasons relating to allegations of misconduct or a failure to pay subscriptions as they fell due?

(v) Any other matters which might objectively bring the NLC into disrepute?

Please download the attachment and fill out the Instruction to your Bank or Building Society to pay Direct Debits

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MEMBERSHIP

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PROPOSER’S STATEMENT FOR CANDIDATES APPLYING FOR MEMBERSHIP

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APPLICATIONS FOR MEMBERSHIP

PROPOSER’S STATEMENT FOR CANDIDATES APPLYING FOR MEMBERSHIP

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