Join Online | ANF Tasmania

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Member Name

Title: *

Given Names: *

Surname: *

Preferred Name:

Personal Details

Date of Birth: *

Gender: *

Home Address: *

Suburb / Town: *

Postcode: *

Home Phone:

Mobile:

Personal Email:

Postal Address

If different from home address.

PO Box:

Suburb / Town:

Postcode:

Employment Details

Employer: *

Workplace: *

Ward/Area/Unit: *

Work Phone:

Work Fax:

Work Email:

Workplace 2:

Average Weekly Hours Worked: *

Worker Type:

Membership Details

Membership Type: *

Payment Method: *

Upon receipt of your online application ANF will forward you specific forms to complete for your preferred payment option.

Terms and Conditions: *

I Agree

I hereby make application to become a member of the Australian Nursing Federation (Tasmanian Branch) and, if admitted, agree to abide by the registered rules and declare that the details given in the application are true and correct. In addition to the authority conferred upon the ANF by the Workplace Relations Act 1996 and the registered rules of the ANF to act on my behalf.

I hereby authorise the ANF (Tas Branch), its officers, servants and agents to act as my representative as the case may be in negotiations with my employer in relation to salary, terms and conditions of employment. I further authorise my employer to provide ANF with my current address. This authority will remain in force until countermanded in writing by me. The rules of the federation state thatat least 2 weeks notice of resignation in writing to the Branch Secretary must be given.