Travel Notice Form Please enable JavaScript in your browser to complete this form.ቀን / Date / Time (copy) *የአባል መታወቂያ ቁጥር / Membership IDየአባል ሙሉ ስም - Member's Full Name *FirstMiddleLastየመኖሪያ አድራሻ - Address *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip Codeስልክ - Phoneየእጅ ስልክ - Phone *ኢሜል/ Email *_____________________________________________________________________________________________ማሳሰቢያ- አባላት ይህንን ከአገር ውጭ ጉዞ ማስታወቂያ ቅጽ ሳይሞሉ ከ30 ቀናት በላይ ከዲኤምቪ (DMV) አካባቢ ውጭ የሚቆዩ ከሆነ አባላት ምንም ዓይነት ጥቅም አያገኙም። NOTICE: Members who stay outside the DMV areas for more than 30 days without filling this travel departure form will not receive any benefits. ለኅብረት መረዳጃ ማህበር አስተዳደር እኔ የኅብረት መረዳጃ ማህበር አባል ይህንን የአባላት ከአገር ውጭ ጉዞ ማስታወቂያ ቅጽ ስፈርም የመተዳደሪያ ደንቡንና መመሪያዎች በማንበብና በመረዳት መብትና ግዴታየን በሚገባ አውቄ ነው። አባላት አገሪቱን ለቅቀው ከመውጣታቸው በፊት ይህን የጉዞ ማስታወቂያ ቅጽ እንዲያቀርቡ ይጠበቅባቸዋል። For Hebret Mutual Aid Society, Inc. Board I agree to be bound by the Bylaws and Membership Manual of the Hebret Mutual Aid Society, Inc, having read and understood all the stated terms and conditions. Thereof all Hebret Mutual Aid Society members are required to submit the departure notification form prior leaving the country. ፊርማ/Member Signature__________________________ Date______________________________ፊርማ / Member Signature * Clear Signature DateMM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920የጉዞ ቀናት / Date or Dates of Travel እስከ / Toየጉዞ ምክንያት / Purpose of TravelHebret Mutual Aid Society, Inc7961 Eastern Ave NW Ste# 301, Silver Spring, MD 20910–Email: Hebret2021@gmail.comSubmit