AFPA - Membership Form

AFPA Membership Application

Personal Information

*mandatory fields

Title

Gender

Date of Birth *

Postal Address*

State

Country

Preferred Address for correspondence

Home Address

Postal Address

Work Address

Please indicate if you wish to receive

AFPA Magazine Hard Copy

Diary

Home Address

State

Country

Add a same as postal

Work Address

State

Country

Add a same as postal

Employment

Office Location

Position *

Police Officer

Non-Sworn

Protective Service Officer

Non-AFP

Zone

If you need assistance choosing a zone please contact AFPA

Are You

National Operations

Uniform Policing

Staff Member

Beneficiaries

Nominate Beneficiaries

Pay benefits to my estate

Beneficiary Details

Remove Beneficiary

Preferred Method of Communication with Beneficiary

Mobile

Both

Address

State

Country

Any Special Instructions (E.g. I leave 75% to Beneficiary1 and 25% to Beneficiary2)

Registered Industrial Agent Authority

I authorise the AFPA to arrange with my employer the transfer of my tax-deductible fortnightly subscription to the AFPA from my salary adjusted in accordance with the AFPA rules.

I authorise the AFPA to represent my employment interests in accordance with the Fair Work Act, the Fair Work (Registered Organisations) Act and the AFPA's rules and policies.

The AFPA Authority to Deduct Subscriptions from Salary and AFPA Industrial Agent Authority will remain in force until revoked by me in writing.

Please note, it is very important to keep your information updated.