UK Press Card Application | British Associatio 1

UK Press Card Scheme: Part One for BAJ Records Only.

First Name (including any middle name) & Title (Block Capitals)

Last name (Block Capitals)

Email Address

Phone Number

Multi-line address

Country/Region

Address

City

Zip / Postal code

I confirm that I earn the majority of my income from journalism and I need to Identify myself in public as a Journalist.

Yes

My Job description is.

Describe your role in the box above in Capital Letters.

I am staff working for (Name of oranisation) Yes / No?

STAFF; I enclose an original letter (not a copy) form an editorial executive in my office on company headed paper. It says: I certify that (Full Name) is eligible for a UK Press Card because he/she needs to identify themselves in public.

I am freelance regularly working for (Name (s) of organisation) Yes / No

FREELANCE; I enclose am original letter (not a copy) from an editorial executive on company headed paper for whom I regularly work. I certify that (name) is eligible for a UK Press Card who needs to identify themselves in public on assignments.

The Press Card remains the property of the BAJ It is a conditon of issue that the card must be returned to the BAJ if requested. If the card holder leaves the union, fails to pay their membership fees an or leaves the industry. The UKPCA will be

immediately informed once a card is requested to be returned and will cancel the holders Press Card.

Single choice

I accept these Conditions in full.

I do not accept these conditions

Signature

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You must provide ID together with proof of signature

Date

Day

Month

Year