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Employee / APS number

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Direct Debit Request Authorisation

By submitting this application, the applicant and account holder(s) named above in Billing Information declare they have read, understand and agree to the following:I/We authorise the CWU Postal and Telecommunications Branch Victoria, to arrange for funds to be debited from the above nominated account at the financial institution nominated above.The amount to be debited may change from time to time, as determined by the Union, in accordance with the CWU Rules.

Application Agreement

By submitting this application, I declare I have read, understand and agree to the following:I hereby make application to be a member of the CWU Postal and Telecommunications Branch Victoria. If accepted, I agree to conform to the Union rules and any amendments thereof.Financial Obligation: Members are required to pay membership fees and levies (if any). Resignation: You may resign from the CWU by written notice to the Branch Secretary. If you are no longer eligible to be a CWU member, your resignation will take affect on the day the resignation is received, or on any later date specified in the resignation. Else, your resignation will take affect 14 days after the resignation is received or any later date specified in the resignation. You remain liable for any dues until resignation takes affect.

Your agreement with the above Direct Debit Request Authorisation is required in order to submit your application.*

I Agree

Your agreement with the above Application Agreement is required in order to submit your application.*

I Agree

Privacy Statement: The CWU is bound by the Privacy Act. Information is collected to enable CWU to contact you about matters relating to your membership and to ensure that we have the necessary information to represent your employment and related interests. If you do not wish to receive any communications not related to the CWU and your employment, please advise our Office after submitting your application.

Personal Details

Employment Details

Billing information

Direct Debit Request Authorisation

Application Agreement

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