Member Application Form
Member Personal Information
Date of Birth
Number of Dependants
Member Address Information
If you work for a Government Organisation, please complete the following section:
Department / Organisation Name
If you work for a Private organisation, please completed the following section:
Occupation / Position
Date commenced in this position
Subscribtion Payment Details
If you pay by Debit Order, please complete your Bank Details:
Bank Branch Code
Bank Account Number
Membership Details (For Office Use)
Site / Shop steward
Recruiter Member Number
Recruiter ID Number
STOP ORDER FORM
hereby authorise you to deduct 1.161% (not exceeding R57.00) of my income each month.
The first deduction to be made on
and be credited into the union account within seven days of the beginning of each month on the following conditions:
1. The deductions, which are made in respect of my monthly subscriptions, will be made in accordance with the current subscription rate subject to changes of which you will be duly informed.
2. Cancellation of this authorisation is subject to the provisions of the Union's constitution and section 13 of the Labour Relations Act of 1995.
3. I hereby revoke any previous authorisation for deductions in respect of any Union or staff association.