The Association for former pupils of

Hackney Downs School

(formerly The Grocers’ Company’s School)

APPLICATION FOR MEMBERSHIP

NAME ……………………………………………Years attended H.D.S. 19…. /19 ….

ADDRESS ……………………………………………………………

………………………………………………………………

……………………………………………………………… POST CODE …………………

HOME TELEPHONE ……………………… Email………………………

1.Which House were you in? Brittens Greens Hammonds Lucas Pickfords Richards Batchelor Craig Evison Gunter

2. It is helpful to the Club if you are able to let us know brief details of your career, any qualifications achieved, (e.g. Doctor, FCA etc.) but this is not a requirement of membership. Please list any details from your school career which you would like to mention.

3. Did you have brothers or other relatives who attended H.D.S.?

4. If you are in touch with other Old Boys, who you believe may be interested in joining, please provide contact details.

5. If there is a particular Old Boy with whom you would like to resume contact please give details and the Club will endeavour to put you in contact.

The Club’s mailing-list is only available to other members. Another member may request your details from the Secretary – please indicate whether you or disagree with the Club complying with such a request.

AGREE ……………. DISAGREE ..………….

I wish to apply for membership of The Clove Club and enclose my subscription (Currently – MARCH 2006 – �10 per Annum).

SIGNED

Please make cheques payable to “The Clove Club”

Banker’s Order forms are available.

Please send the completed form to G.L.Watkins, 12, The Crescent, Whittlebury, Northants. NN12 8XP together with the Standing Order form if using.