DEMOCRATIC UNION OF SOUTH AFRICA

Office No. 701, Protea Towers, 246 Paul Kruger Street, Pretoria, 0002

Cell: 064 664 1044 - E: info@idusa.org.za - Tel: 3174 www.idusa.org.za

I, THE SIGNATORY DECLARE THAT I AM JOINING IDUSA TRADE UNION VOLUNTARILY AND WILL ABIDE BY THE AIMS, OBJECTIVES AND PROGRESSIVE POLICIES AS STIPULATED ON THE CONSTITUTION OF THE UNION (IDUSA I VOLUNTARILY JOIN WITHOUT ANY MOTIVES OF PERSONAL GAIN OR MATERIAL BENEFIT.

STOP ORDE AUTHORIZATION: I, THE UNDERSIGNED HEREBY AUTHORIZE THE EMPLOYER TO DEDUCT R80.00 MONTHLY FROM MY SALARY AND PAY IT TO THE UNION ON THE 7ᵀᴴ DAY OF THE FOLLOWING MONTH, ON MONTHLY BASIS AS PER SECTION 13 OF LABOUR RELATIONS ACT NO. 66 OF 1995, AS AMENDED

RESIGNATION FROM THE PREVIOUS UNION: I ALSO RESIGN FROM ANY PRIOR UNION THAT I CURRENTLY BELONG TO OR IS A MEMBER OF AND CONTINUE WITH IDUSA FROM THE SATE THAT I SIGN THIS FORM.

Authority and Mandate for payment Instruction: Electronic and Witten Mandates:

Abbreviated Name as Registered with the Bank:

This signed Authority and Mandate refers to our contract dated I/We hereby authorise you to issue and deliver payment instructions to your Banker for collection against my/our above-mentioned account at my/our above-mentioned Bank (or any other bank or branch to which I/we may transfer my/our account) on condition that the sum of such payment instructions will never exceed my/our obligations as agreed to in the Agreement and commencing on continuing until this Authority and Mandate is terminated by me/us by giving you notice in writing of not less than 20 ordinary working days, and sent by prepaid registered post or delivered to your address as indicated above. The individual payment instructions so authorised to be issued must be issued and delivered as follows: monthly.

In the event that the payment day falls on a Sunday, or recognised South African public holiday, the payment day will automatically be the preceding ordinary business day. Payment Instructions due in December may be debited against my account on I/ We understand that the withdrawals hereby authorized will be processed through a computerized system provided by the South African Banks and I also understand that details of each withdrawal will be printed on my bank statement. Each transaction will contain a number, which must be included in the said payment instruction and if provided to you should enable you to identify the Agreement. A payment reference is added to this form before the issuing of any payment instruction. Mandate I/We acknowledge that all payment instructions issued by you shall be treated by my/our above-mentioned Bank as if the instructions have been issued by me/us personally. Cancellation I/We agree that although this Authority and Mandate may be cancelled by me/us, such cancellation will not cancel the Agreement. I/We shall not be entitled to any refund of amounts which you have withdrawn while this Authority was in force, if such amounts were legally owing to you. Assignment I/We acknowledge that this Authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party, but in the absence of such assignment of the Agreement, this Authority and Mandate cannot be assigned to any third party.