Transcription of SADTU Membership Application
1 TITLE INITIALS FIRST NAMESDate of Birth IDENTITY NUMBER POSTAL ADDRESS SUBURB CITY/TOWN POSTAL CODE TELEPHONE No. (Home) TELEPHONE No. (Work) BRANCH REGIONPLEASE FORWARD TO:THE GENERAL BOX Department:.. School: .. SALARY REF. No. RANK ( teacher, HOD etc) SCHOOL PAYPOINT No. Membership NUMBER DEPT PAYPOINT NUMBER REGION BRANCH MEMBER DATE JOINED TYPEYYMMDD1. APPLICANTS PARTICULARS2. NAME OF SADTU REGION AND BRANCH3. NAME OF DEPARTMENT, SCHOOL AND SCHOOL ADDRESS4. FOR OFFICE USE ONLYYYMMDD I hereby agree to abide by the constitution of the South African Democratic Teachers Date: ..The Accountant/Secretary (address of Department).. RANK ( teacher HOD etc) SALARY REFERENCE NUMBERI, the undersigned, hereby apply for Membership of the South AfricanDemocratic Teachers Union ( SADTU ) and authorize and request theAccounting Officer of my Department/Administration to deductthe amount of R.
2 From my salary as Membership fee to SADTU for the month 19 ..and thereafterto continue such monthly deductions until my further written Name:..Address of Member:..Work Address:..Date of Birth: ..Title:..Identity Number:..SignatureDateSouth AfricanDemocratic Teachers Union ( SADTU ) Box 6401 Johannesburg 2000 Tel: (011) 331-9586/7/8/9 STOP ORDERAUTHORISATIONS outh AfricanDemocratic Teachers UnionAPPLICATION FOR MEMBERSHIPPAYPOINT NUMBER
