Returned and Services League of Australia Qld Branch

  1. Services Membership Application.

    Proof of Service is required for eligibility to membership. Please email or post proof of service. This is an online membership form - membership fees will be processed through PayPal which accepts most Credit and Debit Cards. Note PayPal Membership is not required.

    I hereby apply to be admitted as a Services Member and a member of the sub branch of:
  2. Sub Branch Details(*)
  3. Title:
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    e.g. Mr, Ms, Mrs, Dr, Rank ...
  4. Surname(*)
    Please type your full name.
  5. Given Name(*)
    Please type your full name.
  6. Maiden Name
    Please type your full name.
  7. Address(*)
    Please type your full name.
  8. Suburb(*)
    Please type your full name.
  9. Postcode(*)
    Please type your full name.
  10. State/Country(*)
    Please type your full name.
  11. Service Number(*)
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  12. Date of Birth(*)
    Please type your full name.
  13. Country of Birth(*)
    Please type your full name.
  14. Telephone(*)
    Please type your full name.
    Include Area Code
  15. Gender(*)
    Please specify your position in the company
  16. E-mail(*)
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  17. Branch of Service(*)
    Please specify your position in the company
  18. Length of Service(*)
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  19. Date of Enlistment(*)
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  20. Currently Serving?(*)
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  21. Date of Discharge
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  22. Current serving Australian Defence Force members get the first financial year FREE
    Membership Fees charged will be reversed.
  23. Previous Membership?(*)
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  24. Date Joined
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  25. RSL Membership No.
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  26. Previous Member of
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  27. Sub Branch in State of
    Please type your full name.
  28. OPTIONAL INFORMATION
  29. Next of Kin Surname
    Please type your full name.
  30. Next of Kin Given Name
    Please type your full name.
  31. Next of Kin Relationship
    Please type your full name.
  32. Next of Kin Telephone
    Please type your full name.
  33. Next of Kin Mobile Phone
    Please type your full name.
  34. Postal Address
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  35. Choose your Membership


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  36. PayPal Total
    0.00 AUD
  37. DECLARATION AND AGREEMENT
    By completing this Application Form I am declaring that:
    a. the above information is true and correct
    b. I agree to uphold the Constitution of the League and its By-Laws
  38. Agreement(*)

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  39. Today's Date(*)
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  40. PRIVACY STATEMENT We will not use any of this information on this Membership Form without your specific permission in writing, other than to record you as a Member of the League or to forward you League related material. We will not pass that information to anyone outside the League.
  41. Verify This Form
    Verify This Form
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    Type what you see in the box to verify this form.
  42.   
  43. Thanks for completing our form, and submission confirmation message will result if this form has been completed correctly. If not it will prompt you to revisit all fields to correct them.

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