MEMBERSHIP APPLICATION FORM

1

.

Name(Mr/Miss/Mrs)

:

2

.

NRIC No

:

Date of birth

:

3

.

Race

:

Age

:

years

4

.

Employer

:

5

.

Position held in Company

:

Dept

:

6

.

Applicant's address

:

Residence address

:

Telephone No

:

(office)

(residence)

7

.

Applicant's Worksite

:

8

.

Previous experience in Union: Yes/No (if yes, please state your experience below)

Applicant's Signature

Proposer's :-

Seconder's:-

Name

:

Name

:

Signature

:

Signature

:

Verified by

:

(To be verified by any of the EXCO)

ENTRANCE FEE

:

M$10.00

BENEVOLENT FUND

:

M$30.00

MONTHLY

SUBCRIPTION

:

a) Monthly basic salary M$800 & below : M$8.00/Mth

:

b) Monthly basic salary M$801 & above : M$10.00/Mth

Note: Entrance and subcription fees are to be enclosed with the applicaion form.