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BCM Membership Application Form
We'll review your application and email you once a decision has been made.
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1. Personal Details
Full Names
Surname
South African ID Number (13 digits)
Date of Birth
Gender
Male
Female
Other
Nationality
Profession
2. Contact & Voter Status
Mobile Number
Email Address (optional)
Registered to Vote?
Yes
No
3. Residential Address
House No. & Street Name
Village / Township
Province
Region / District
Ward No.
Nearest Branch
Select…
Mahikeng
4. Membership & Banking Details
Membership Period
1 Year — R20.00
2 Years — R40.00
5 Years — R100.00
Also get the Founder Card — +R350.00
Premium vintage-style card design. 9,997 slots left — one payment, added to your membership fee below.
Membership Fee
Select a period
Official Banking Details
Account Name:
Bophuthatswana Civil Movement
Bank Name:
FNB (First National Bank)
Account Number:
63201995199
Branch Code:
210554
Swift Code:
FIRNZAJJ
5. ID Document
Photo or scan of your ID (book, smart card, or a clear phone photo)
JPEG, PNG, WEBP, or PDF, up to 5MB. Optional now — if you skip it, we'll follow up to request it before your application can be approved.
I voluntarily commit to the objectives, values, and principles of the BCM as set out in its Constitution and Code of Conduct. I pledge to uphold the Constitution, serve the movement with discipline, and promote unity, ethical conduct, and loyalty. I understand that membership is a solemn responsibility.
Applicant Signature (type your full name)
Submit Application
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