COCO Enrolment Name * First Name Last Name Middle Initial * Date of Birth * MM DD YYYY Email * Phone Number (###) ### #### I am currently a member of these Yugambeh Organisations and allow a Yugambeh Nation officer to confirm the details I have provided herein with said Organisation/s and/or their representatives: * Yugambeh Land Enterprises Limited Yugambeh Region Aboriginal Corporation Yugambeh Youth Aboriginal Corporation Mununjali Housing and Development Corporation Danggan Balun Native Title Claim Group Kombumerri Aboriginal Corporation for Culture None of the above I confirm I am a member of a Yugambeh Nation clan (e.g. Mununjali, Kombumerri, Murangburra...) * I agree