HSA

Testing a netsuite form;

https://forms.na3.netsuite.com/app/site/crm/externalleadpage.nl?compid=4854968&formid=2&h=AACffht_HEXXX5gNWJuUSc5G7YskkvXig40

Statement by Applicant: (copied please supply correct version)

I hereby apply for membership of the Australian Workers’ Union – Victorian Branch, ABN 17 106 150 504.

I declare that the information provided above is true and accurate and agree to be bound by the rules of the Australian Workers’ Union, which are publically available on the website of Fair Work Commission at here.

I understand that the Australian Workers Union – Victorian Branch may refuse my membership if any of the information outlined above is found to be false in any respect. In order to resign from the union I understand that I must send my resignation in writing.
AUTHORITY
I agree to the following to assist the AWU to represent me:

Personal Authority
I do hereby authorise and provide full and absolute authority to The Australian Workers’ Union as my representative to access all of my employment records of any nature held with my employer. I provide said authority to access employee records as defined pursuant to section 6 of the Privacy Act 1988 (Cth) defined as a record of personal information relating to my employment with my employer which includes health information and personal information.

Appointment of Bargaining Representative
I hereby expressly authorise, recognise and accept, as of the date of my signature, pursuant to section 176 of the Fair Work Act 2009 (Cth), that as a member of The Australian Workers’ Union – Victorian Branch, the AWU is my default bargaining representative and agent in relation to:,
a. The making, variation or termination of an industrial instrument pursuant to the Fair Work Act 2009 (Cth) or its predecessors, and
b. Meeting and conferring with my employer or any other body on my behalf about the making, variation or termination of an industrial instrument pursuant to the Fair Work Act 2009 (Cth) or its predecessors, and
c. To initiate bargaining for an industrial instrument pursuant to the Fair Work Act 2009 (Cth).

To Resign I Agree To Inform The Union Of My Intention In Writing
I hereby certify that the above information is correct. I agree to become a member of the Australian Workers’ Union registered under the Fair Work (Registered Organisations) Act 2009 (Cth), and abide by the rules of the aforesaid union and to any alterations/amendments made in conformity with the above mentioned Acts or in accordance with the Rules which are publically available on the website of Fair Work Commission at here.