I, the undersigned, being of sound bodily health truthfully affirm that I am a former member of either the Trinidad and Tobago Police Service (formerly Trinidad and Tobago Police Force), Trinidad and Tobago Special Reserve Police, Trinidad and Tobago City Police, Trinidad and Tobago Municipal Police, or Trinidad and Tobago Estate Police and I am desirous of being admitted as a member of the Trinidad and Tobago Ex-Police Association Int’l (New York Chapter), Inc. (the “Association”). If accepted, I promise to abide by the Constitution and Bye-Laws of the Association. I declare the statements below to be true and correct to the best of my knowledge and belief and agree that by typing my name below, I am hereby affixing my electronic signature as if I had physically signed this application.