Membership Application Form

NAME:*
FIRST NAME: MIDDLE NAME: SURNAME:
GENDER*
- MALE
- FEMALE
DATE OF BIRTH:*
ADDRESS:*
STREET: SUBURB: POSTCODE:
POSTAL ADDRESS:
If different from residential address.

STREET: SUBURB: POSTCODE:
EMAIL:*
MOBILE:*
ARE YOU A MEMBER OF ANY OTHER NATIVE TITLE CLAIM GROUP?*
- YES
- NO
IF YES PLEASE SPECIFY WHICH OTHER GROUP(S):
WHAT IS YOUR PRIMARY LAND GROUP?*
- BYRO
- BURRINGURRAH
- NGOONOORU
- MINANGU
DO YOU HAVE A SECONDARY LAND GROUP?*
- YES
- NO
IF YES PLEASE STATE SECONDARY LAND GROUP?
WHAT IS YOUR WAJARRI YAMAJI AREA?
LOWER MURCHISON - REMAINING AREAS
DO YOU HAVE ANY IMMEDIATE FAMILY WHO IS ALREADY A MEMBER OF WYAC?*
- YES
- NO
IF YES PLEASE STATE THEIR NAMES AND RELATIONSHIP:
The details of my Wajarri Yamaji connection are:

Please fill out this section to the best of your knowledge. We understand there may be times where some information may be unavailable. The more information that can be provided makes it easier for your application to be assessed.

Using the diagram above for reference, please fill the numbered fields below.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
My Children
Please list the First Name, Surname and Date of Birth of you children.
MY APICAL ANCESTOR IS:
Please tick
- Kia (also known as Murgoo Fred)
- lnnie (also known as Annie)
- Rosie English (also known as Yangudgi)
- Badja and Kadjba (siblings)
- Baljarba (also known as Jim Crow) (married Badja)
- Mogagee (also known as Daniel Dann) (married Annie)
- Jinatharra (also known as Bobby Clark)
- Tommy Glass
- Wannanu (also known as Waurene Porter)
- Billelia (also known as Nellie) (mother of Fred Simpson)
- English Edwards and Mary Jane (also known as Mununmarie)
- Yanbaree
- Kitty Gilbert
- Dija
- Mary from Twin Peaks
- Emily (mother of Lizzie Worth)
- Ivy, Robby and Simon Walgar (siblings)
- Tommy and Fanny Jones
- Frances, Tiger, unnamed and Boomer Ryan (siblings)
- Molly (married unnamed Ryan)
- Caroline (mother of Lena Sullivan)
- Budjeeyona and Jinny
- Jinty (also known as Cindy Tyson nee Sullivan)
- Amy Porter and Jigaroo
- Polly Parker
- Frank Franklin (also known as Punch)
- Charlie Dongara
- Eniwani Jimmy and Jenny (also known as Jinnie)
- William Jones and Sarah
- Julia (mother of Cecil Lane)
- Jimmy and Judy
- Bunnabuddy (also known as Daisy) and Molly (siblings)
- Jibija (also known as Rosie Jones)
- Moweramarra (also known as Caroline) (mother of Ruby Nairn)
- Nyuga and Isaac
- Jane Towser
- Coolya (also known as Judy)
- Jubyjub (also known as Janie Narry)
- Angelina (mother of Alice Darby)
- Polly (mother of Paddy Donnelly)
- Topsy (Mother of Mary Wheelock)
Wajarri Yamaji People means those persons who:
(a) Are descended from one or more of the above ancestors
"where descent can be either by birth or adoption in accordance with the traditional laws acknowledged and the traditional customs observed by the Wajarri Yamaji;
(b) identify themselves as Wajarri Yamaji in accordance with the traditional laws acknowledged and the traditional customs observed by the Wajarri Yamaji; and
(c) are accepted as Wajarri Yamaji in accordance with the traditional laws acknowledged and the traditional customs observed by the Wajarri Yamaji."

Wajarri Yamaji Claim means: (a) the following native title determination application (including as amended from time to time) lodged in the Federal Court and allocated number/s; Wajarri Yamaji #1 WAD28/2019 Wajarri Yamaji #2 WAD382/2017 Wajarri Yamaji #3 WAD 32/2018 Wajarri Yamaji #4 WAD44/2018 Wajarri Yamaji #5 WAD157/2018 Wajarri Yamaji #6 WAD373/2018 Wajarri Yamaji #7 WAD611/2018 Wajarri Yamaji (Byro Plains) WAD278/2018 and (b) any other native title determination application which: i. is in addition to, substitution for or in replacement of the application referred to in paragraph (a) above; and ii. is authorised by all or substantial number of the persons who are, immediately before the filing of the application, Wajarri Yamaji and, means all the persons who, according to their traditional laws and customs, hold the common or group rights and interests comprising the native title claimed under a Wajarri Yamaji Claim.
Wajarri Yamaji Determination means an Approved Determination of Native Title made pursuant to a Wajarri Yamaji Claim that native title exists in respect of some part of the area the subject of the Wajarri Yamaji Claim and is held by, amongst others, some, or all members of the Wajarri Yamaji Claim Group in respect of the Wajarri Yamaji Claim
MEMBERSHIP RESPONSIBILITIES*
I agree to carry out the following responsibilities as a Member as required by Clause 5.5.1 of the WYAC Rule Book:
(a) to comply with the CATSI ACT and the Rule Book (b) to notify the Corporation of any change to my address within 28 days
(c) to comply with any Code of Conduct adopted by the members
(d) to treat other Members, the Land Committee and the Directors with respect and dignity.
(e) to not behave in a way that significantly interferes with the operation of the Corporation or of Board meetings or General Meetings
- I agree to carry out my responsibilities as a Member of the Corporation
Would you like to receive electronic communication notifications via email?
- Yes
- No
Would you like to receive electronic communication notifications via SMS?
- Yes
- No
Application Declaration
I declare that I am eligible to apply as a Member, according to the following requirements:
• I am 18 years old or over; and
• I am a Wajarri Yamaji Person
TO ACCEPT, TYPE YOUR NAME BELOW*
For any application enquiries please contact the office on 08 9997 3444 or email members@wajarri.com.au

Membership Application Form

The details of my Wajarri Yamaji connection are:

Application Declaration

Members

Other