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Completing the form

For the registration form below, it is compulsory to fill in the following fields:

    - First name
    - Last name
    - Organisation you work for

     

    Once you have successfully submitted the form, the Submit button will become greyed out and red text will appear at the top of the form to instruct you on your next steps.

     


    Please complete the following form, check the terms and conditions and click the "Submit" button at the bottom of the form. 


    Personal Details:
    First Name:
    Surname:
    Home Address:
    Home Email:
    Home Phone:
    Mobile Phone:
    Gender:
    Date Of Birth:
    Do you identify as?
     
    Work Details:
    Employer:
    Employer Site:
    Your current occupation:
    Physical Address:
    Postal Address:
    Work Phone:
    Work Email:  
    Hours Of Work per Week:
    Pay Range:
    Collective Agreement? Is the position covered by a collective agreement?
    Payment Options:
    Payroll deductions (preferred)
    I authorise my employer to deduct and pay the PSA (Public Service Association Inc) any membership subscription as determined and duly notified from time to time by the PSA Executive Board.
    Payroll / employee number:
     
     
    Terms and Conditions:
    I agree to abide by the rules of the PSA and authorise the PSA to act as my representative in all matters relating to my employment, including the negotiation and enforcement of my employment agreement. I understand the PSA offers a range of services including expert advice in employment law. In the event there is a legal issue, the PSA will make final determination with respect to progression and PSA representation on the issue.