I am applying to become a member of NRNA NCC USA. Under the penalty of perjury per the bylaws of NRNA NCC USA (NRN NCC USA) and all applicable laws of the United States of America, I hereby authenticate that the information, material and documents provided by me within this application are true and correct. I further certify that the information provided below is true and valid. I am aware that each of the following information, material and document submitted and provided to the NRNA NCC USA to complete this application is subject to review by NRNA NCC USA’s Membership Verification Committee or the Board. I have submitted membership identification supporting document(s) voluntarily for membership verification purpose and am aware that it will be permanently removed after the purpose is fulfilled. I will respond to the enquiry submitted to me via email or the phone by the Committee within the requested time. If I do not respond to the email and submit the requested valid documents or information, I may be removed from the system as the applicant. If false information, material or document is submitted, I will be immediately disqualified as the applicant and may be subject to the penalty or punishment as required by the bylaws and the applicable Laws of the United States of America. I am aware that the application fee submitted with incomplete or invalid information will not be returned. If I do not return the email and/or phone call requested by Membership Verification Committee or the Board and provide the requested valid documents/information within the specified time, I am aware and agree that the application fee will be forfeited.