National Membership Form

NUFBWSAW Online Application

Office 111 Commissioner Street, 2nd Floor, Solly Sachs House, Johannesburg

Telephone (011) 833 1140 / 1 / 2

Email admin@foodbev.org.za

Website www.foodbev.org.za

Step 1 of 4 Applicant details

Applicant

Employment

Authorisation

Review

Applicant Details

Please enter your personal details exactly as they appear on your official documents.

Full Names *

ID Number *

Use numbers only. Example: 9001011234088

Telephone / Mobile *

Email Address

City / Town

Residential Address *

Employment Details

Provide your current workplace information so the union can process membership and the stop-order correctly.

Employer's Name *

Company Number

Employer's Address *

Telephone (Work) *

Position *

Stop Order Authorisation

The original membership form authorises an employer deduction of 1% of salary or R50.00, whichever is greater, plus other union subscriptions or levies determined under the Union Constitution.

I authorise my employer to deduct 1% of my salary or R50.00, whichever is greater, and remit it to the Union. I authorise the employer to deduct any subscriptions or levies determined by the Union from time to time. I confirm that this authorisation cancels any previous stop-order authorisation I may have signed in favour of another Union. I confirm that the information I provide may be used for membership administration and official union communication.

Signature Method *

Digital Signature *

Typing your full name acts as your signature on this online form.

Hand-Drawn Signature *

Use your finger, stylus, mouse, or trackpad to sign in the box.

Date *

Review and Submit

Check your details before submitting. When connected to a live endpoint, this form can send applications directly to email or Google Sheets.

Submission endpoint

This form is configured to submit to the live application handler on this website: const SUBMIT_ENDPOINT = "submit.php"