MEMBERSHIP REGISTRATION FORM

Confederation of Amalgamated Private Sector Workers Union

* Required fields. When you submit this form, your details will be stored securely.

1. Personal Details

1. Full Names *

2. National ID / Passport *

3. Date of Birth *

4. Gender *

5. Marital Status *

6. Nationality *

7. Contact Details

7. Postal Address *

8. Residential Address *

9. Mobile Phone No. *

10. Alternative Phone No. *

11. Email Address *

12. Employment Details

12. Name of Employer / Company *

13. Type of Industry / Sector *

14. Job Title / Position *

15. Employee Number (If Applicable)

16. Date Employed

17. Employment Status *

18. Monthly Basic Salary (Optional)

19. Branch & Union History

19. Branch *

20. Region *

21. Date of Application *

22. Have you been a member of a Union before? *

24. Next of Kin Details

24. Full Name of Next of Kin *

25. Relationship *

26. Contact Number *

27. Address *

28. Authorization & Declaration

28. I, the undersigned, hereby apply for membership of the Confederation of Amalgamated Private Sector Workers Union (CAPSWU) and authorize my employer to deduct union subscription fees from my salary as determined by the Union Constitution and remit same to CAPSWU. *

29. I declare that the information provided in this form is true and correct to the best of my knowledge. I agree to abide by the Constitution, rules, and regulations of the Confederation of Amalgamated Private Sector Workers Union. *

30. Applicant's Signature

30. Applicant's Signature (Full name and surname) * Typing your full name serves as your digital signature.

31. Date *

Your application will be reviewed by the union administration. Approval typically takes 2-5 working days.