Pacific Association of Women Judicial Officers (PAWJO) Membership Application - Page 1 of 3 - Ministry of Justice

Page 1 of 3

Page 1

Your name

Judicial title

First name: (Required)

Last name: (Required)

Preferred name (optional)

Date of birth:

Day (dd)
-

Month (mm)
-

Year (yyyy)

Contact details

Residential address

Postal Address

Email address (work) (Required)

Email address (personal)

Phone number work (please include country code):

Phone number personal (please include country code):

Social media

Membership criteria

(Required) Are you a woman judge, magistrate or lay judicial officer? Are you currently serving in one or more Pacific jurisdictions?

Court details

Country of jurisdiction (Required)

Name of court (Required)

Court address

Contact details of alternative contact point: (e.g. Court Clerk, Associate or other contact)

Are you on a social media platform? (e.g. Facebook, WhatsApp, LinkedIn) If so, would you like to be connected to the PAWJO group?

Details

Do you have any professional interests and any areas you would like PAWJO to focus on?

Consent

I authorise the PAWJO to contact me in relation to any administration requirements related to membership and PAWJO meetings, events, surveys or other opportunities I agree for my details to be passed on to PAWJO Executive Komiti and to my Court in relation to any outstanding membership fees or to confirm my continuing appointment as a judicial officer. I consent to PJSP using photos or videos of me taken during PAWJO activities for reporting and communications (e.g. reports, social media, website).

Declaration

(Required) I hereby declare that all information provided above in my membership application form to the Pacific Association of Women Judicial Officers (PAWJO) is true and correct.