SATAWU membership application form

SATAWU membership application form
SATAWU House, 117 De Korte Street, Braamfontein

SOUTH AFRICAN TRANSPORT AND ALLIED WORKERS UNION

Johannesburg. 2001 011 403 2077/2078/2168

A registered union (ref no: LR2/6/2/914) P. o. Box 9451, Johannesburg, 2001; Fax: 0866611119; 0114032021, email: membership@satawurewards.co.za
MEMBERSHIP APPLICATION FORM (COMPLETE IN CAPITAL LETTERS USING BLACK PEN if printed)
Member Details
Personal Information of New Member
Name

First NameLast Name
Gender
Disabled
ID Number or Passport Number
Y Y Y Y M M D D
Date of Birth
Province
Contact Number 1
Please enter a valid phone number.Format: (000) 000-0000.
Contact Number 2
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Next of Kin

First NameLast Name
Next of Kin Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Member Work information
Place of Work
Employee Number
Department
Position
Gross Monthly Salary
Office Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Office Email Address
example@example.com
Contact Person At work

First NameLast Name
Local Office information
Member Local Union Office
Union Sector
Full Name of Shop Steward

First NameLast Name
Contact Number for Shop Steward
Please enter a valid phone number.Format: (000) 000-0000.
Company SATAWU Ref No
Stop Order Authorisation
I, the undersigned hereby authorize my employer to deduct from my basic wage or salary subscription or levies payable by me to SATAWU or it's the successor in title ("the union") in terms of Section 13 of the Labour Relations Act No.66 of 1995 ,amended ("LRA" The amount of the union's subscription that I authorize the employer to deduct from my salary or wage is :(a) the equivalent of 1.5% of my basic wage or salary; or (b) if the amount in (a) is less than R30 per month, then R30 per month; or (c) if the amount in (a) is more than R90 per month, then R90 per month. Also authorize the employer to deduct from my wage or salary and pay over to the union any further levies that the Central Executive Committee of the union decides upon. The employer is required to pay all subscriptions and levies deducted from the wage or salary to the union's head office, whose address appears above, by no later than the 7th day if themonth first following the date each deduction was made.The unionmay change this address from time to time. I hereby authorize the employer to provide the union with any information that is requested by the Central Executive Committee of the union, including any information relating to employment and membership of the union. Ifcancel this authorization as a result of my resignation from the union, then I agree that the cancellation of this authorization will only become valid: (a) four week after I have given the union written notification of my resignation from the union; and, (b) after I have complied with all the relevant provisions of the union constitution, including clause 9.6.1 thereof. Ihereby terminate any other authorization to the employer in terms of Section 13 of the LRA to deduct from salary or wage subscription or levies for any other trade union(s
Upload Copy of Member ID Here

Cancelof
Members' signature

Clear
Date

MonthDayYear
Date
Witness Name

First NameLast Name
Witness Signature

Clear
For Office Use Only
Recruited By:

First NameLast Name
Processed by:

First NameLast Name
Membership Application type
Signature

Clear
Should be Empty:

SATAWU membership application form

MEMBERSHIP APPLICATION FORM (COMPLETE IN CAPITAL LETTERS USING BLACK PEN if printed)

Member Details

Personal Information of New Member

Member Work information

Local Office information

Stop Order Authorisation

For Office Use Only