Membership Registration Form

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Personal Information

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Full Name *

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Ward

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Work Details

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Employer *

Job Title *

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Type of Mining *

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Union Membership/Declarations

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Guarantor's Name *

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I wish to join the Mines Workers Union and participate in its activities.
I understand that membership is voluntary and I will support the progress of the union.

You must agree to the terms of union membership.

I, , hereby declare that the information provided is true and accurate to the best of my knowledge. I understand that the union will use my personal data for communication and administrative purposes.

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Personal Information

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Union Membership/Declarations

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