Australian Education Union (Victorian Branch): Online Membership Form

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Online Membership Form

Personal Details

Title:
First Name:
Family Name:
Postal Address:
Suburb:
State:	Postcode:
Home Phone:
Mobile:
Email Address:
Date of Birth:
Gender:	Male Female
Are you of Aboriginal or Torres Straight Islander descent?:	Yes No
Have you been a member of the AEU Vic Branch previously?:	Yes No
Employment Details
Sector:
Workplace:
Position:
Employment Status:
Time Fraction:
I hereby apply for membership of the AEU Victorian Branch and authorise the AEU, through its officers and agents, to represent me on all and any matter pertaining to the terms and conditions of my employment. I understand the rules of the union require notice of resignation in writing.
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Last Modified: Friday, 17-Aug-2007 16:57:43 EST
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