Name*:
Surname*:
Location of birth*:
Date of birth*:
Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Select
January
February
March
April
May
June
July
August
September
October
November
December
Select
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
Street address*:
Country*:
Select one:
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Arctic Ocean
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Atlantic Ocean
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Baker Island
Bangladesh
Barbados
Bassas da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Coral Sea Islands
Costa Rica
Cote d Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Juan de Nova Island
Kazakhstan
Kenya
Kingman Reef
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pacific Ocean
Pakistan
Palau
Palmyra Atoll
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Southern Ocean
Spain
Spratly Islands
Sri Lanka
Sudan
Surivalue
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan entry follows Zimbabwe
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Internationale dialling code:
Select-one
Afghanistan+ 93
Albania + 355
Algeria + 213
Antigua/Barbuda + 1 268
Argentina + 54
Armenia + 374
Aruba + 297
Australia + 61
Austria + 43
Bahamas + 1 242
Bahrain, Kingdom of + 973
Bangladesh + 880
Barbados + 1 246
Belarus + 375
Belgium + 32
Benin + 229
Bermuda + 1 441
Bosnia-Herzegovinia + 387
Botswana + 267
Brazil + 55
Bulgaria + 359
Burkina Faso + 226
Burma + 95
Cambodia + 855
Cameroon + 237
Canada + 1
Cayman Islands + 1 345
Chile + 56
China + 86
Colombia + 57
Costa Rica + 506
Croatia + 385
Cuba + 53
Cyprus + 357
Czech Republic + 420
Denmark + 45
Dominican Republic + 1 809
Ecuador + 593
Egypt + 20
Estonia + 372
Falkland Islands + 500
Finland + 358
France + 33
French Polynesia + 689
Gabon + 241
Gambia + 220
Georgia, Republic of + 995
Germany + 49
Ghana + 233
Greece + 30
Greenland + 299
Grenada + 1 473
Guyana + 592
Haiti + 509
Hong Kong SAR + 852
Hungary + 36
Iceland + 354
India + 91
Indonesia + 62
Iran + 98
Ireland, Republic of + 353
Israel + 972
Italy + 39
Jamaica + 1 876
Japan + 81
Jordan + 962
Kazakhstan + 7
Kenya + 254
Korea, Democratic People's Republic of + 850
Korea, Republic of + 82
Latvia + 371
Lebanon + 961
Liechtenstein + 423
Lithuania + 370
Luxembourg + 352
Macedonia + 389
Malaysia + 60
Malta + 356
Martinique + 596
Mauritius + 230
Mexico + 52
Monaco + 377
Mongolia + 976
Morocco + 212
Namibia + 264
Nepal + 977
Netherlands + 31
New Zealand + 64
Nigeria, Republic of + 234
Norway + 47
Oman + 968
Pakistan + 92
Panama + 507
Peru + 51
Philippines + 63
Poland + 48
Portugal + 351
Puerto Rico + 1 787
Qatar + 974
Romania + 40
Russian Federation + 7
San Marino+ 378
Saudi Arabia + 966
Serbia & Montenegro + 381
Singapore + 65
Slovakia + 421
Slovenia + 386
South Africa + 27
Spain + 34
Sri Lanka + 94
St Lucia + 1 758
Swaziland + 268
Sweden + 46
Switzerland + 41
Syrian Arab Republic + 963
Taiwan + 886
Tanzania + 255
Thailand + 66
Trinidad & Tobago + 1 868
Tunisia + 216
Turkey + 90
Ukraine + 380
United Arab Emirates + 971
United Kingdom + 44
United States + 1
Uruguay + 598
Venezuela + 58
Vietnam + 84
Virgin Islands (UK) + 1 284
Virgin Islands (US) + 1 340
Zimbabwe + 263
Phone number:
Internationale dialling code:
Select-one
Afghanistan+ 93
Albania + 355
Algeria + 213
Antigua/Barbuda + 1 268
Argentina + 54
Armenia + 374
Aruba + 297
Australia + 61
Austria + 43
Bahamas + 1 242
Bahrain, Kingdom of + 973
Bangladesh + 880
Barbados + 1 246
Belarus + 375
Belgium + 32
Benin + 229
Bermuda + 1 441
Bosnia-Herzegovinia + 387
Botswana + 267
Brazil + 55
Bulgaria + 359
Burkina Faso + 226
Burma + 95
Cambodia + 855
Cameroon + 237
Canada + 1
Cayman Islands + 1 345
Chile + 56
China + 86
Colombia + 57
Costa Rica + 506
Croatia + 385
Cuba + 53
Cyprus + 357
Czech Republic + 420
Denmark + 45
Dominican Republic + 1 809
Ecuador + 593
Egypt + 20
Estonia + 372
Falkland Islands + 500
Finland + 358
France + 33
French Polynesia + 689
Gabon + 241
Gambia + 220
Georgia, Republic of + 995
Germany + 49
Ghana + 233
Greece + 30
Greenland + 299
Grenada + 1 473
Guyana + 592
Haiti + 509
Hong Kong SAR + 852
Hungary + 36
Iceland + 354
India + 91
Indonesia + 62
Iran + 98
Ireland, Republic of + 353
Israel + 972
Italy + 39
Jamaica + 1 876
Japan + 81
Jordan + 962
Kazakhstan + 7
Kenya + 254
Korea, Democratic People's Republic of + 850
Korea, Republic of + 82
Latvia + 371
Lebanon + 961
Liechtenstein + 423
Lithuania + 370
Luxembourg + 352
Macedonia + 389
Malaysia + 60
Malta + 356
Martinique + 596
Mauritius + 230
Mexico + 52
Monaco + 377
Mongolia + 976
Morocco + 212
Namibia + 264
Nepal + 977
Netherlands + 31
New Zealand + 64
Nigeria, Republic of + 234
Norway + 47
Oman + 968
Pakistan + 92
Panama + 507
Peru + 51
Philippines + 63
Poland + 48
Portugal + 351
Puerto Rico + 1 787
Qatar + 974
Romania + 40
Russian Federation + 7
San Marino+ 378
Saudi Arabia + 966
Serbia & Montenegro + 381
Singapore + 65
Slovakia + 421
Slovenia + 386
South Africa + 27
Spain + 34
Sri Lanka + 94
St Lucia + 1 758
Swaziland + 268
Sweden + 46
Switzerland + 41
Syrian Arab Republic + 963
Taiwan + 886
Tanzania + 255
Thailand + 66
Trinidad & Tobago + 1 868
Tunisia + 216
Turkey + 90
Ukraine + 380
United Arab Emirates + 971
United Kingdom + 44
United States + 1
Uruguay + 598
Venezuela + 58
Vietnam + 84
Virgin Islands (UK) + 1 284
Virgin Islands (US) + 1 340
Zimbabwe + 263
Mobile number:
E-mail address*:
Military Personal Number*:
Armed Forces*:
- Please select -
Army
Navy
Air Force
USMC
Cost Guard
Military Police
Civilian Police
Other
Nation*:
Select one:
Afghanistan
Akrotiri
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Arctic Ocean
Argentina
Armenia
Aruba
Ashmore and Cartier Islands
Atlantic Ocean
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Baker Island
Bangladesh
Barbados
Bassas da India
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Coral Sea Islands
Costa Rica
Cote d Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Dhekelia
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Europa Island
Falkland Islands (Islas Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia, The
Gaza Strip
Georgia
Germany
Ghana
Gibraltar
Glorioso Islands
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City)
Honduras
Hong Kong
Hungary
India
Indian Ocean
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Jan Mayen
Japan
Jarvis Island
Jersey
Johnston Atoll
Jordan
Juan de Nova Island
Kazakhstan
Kenya
Kingman Reef
Kiribati
Korea, North
Korea, South
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Man, Isle of
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Midway Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Namibia
Nauru
Navassa Island
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pacific Ocean
Pakistan
Palau
Palmyra Atoll
Panama
Papua New Guinea
Paracel Islands
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Southern Ocean
Spain
Spratly Islands
Sri Lanka
Sudan
Surivalue
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan entry follows Zimbabwe
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tromelin Island
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands
Wake Island
Wallis and Futuna
West Bank
Western Sahara
Yemen
Zambia
Zimbabwe
Military Unit:
Blood Group:
- Please select -
O + (Pos)
A + (Pos)
B + (Pos)
AB + (Pos)
-
O - (Neg)
A - (Neg)
B - (Neg)
AB - (Neg)
SUPPORTING DOCUMENTATION
Scan and upload supporting documentation certifing your military or police status (Active Duty, Reserve, Retired) please. Upload by clicking on the following button:
Message:
I hereby make application to become member of the European Paratroopers Association and I further state that any representations made on this online membership form and supporting documents are true and correct. (Please check box to continue.)
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