This document is an application for service membership with the Returned and Services League of Australia (New South Wales Branch). It requests personal details such as name, address, date of birth, service details including rank, unit, overseas service record, and previous membership information. The applicant must declare their citizenship status and willingness to uphold the Australian constitution, that they have no criminal record, and agree to the rules and privacy policies of the organization. Sub-Branch administrators must verify service documents and consider the application at a committee meeting before provisionally approving the applicant for membership.

1. The Returned and Services League of Australia
(New South Wales Branch)
(“the League”) sub-Branch
ABN 78 368 138 161 Membership Number
APPLICATION FOR SERVICE MEMBERSHIP
I HEREBY APPLY to be admitted as a Service Member of the League and a member of the
(i) ………………………………………Sub-Branch or (ii) Unattached List of the New South Wales Branch (*Strike out whichever
is not applicable)
PERSONAL DETAILS
Surname Postnominals
Christian/Given Names
Mr. Mrs. Miss. Ms. Male Female
Address Mob:
Ph:
Suburb State Postcode
Email
Date of Birth / / Country
of Birth
SERVICE DETAILS
PMKEYS/Service Number: __________________________ Rank: ________________________________
Unit: ____________________________________________ Still Serving Not Serving
Service in: Navy Army Air Force Merchant Navy Other
Date Enlisted / / Discharged / /
Type of Service: Regular Reserves National Service Other ________________________
If service is in an Allied Force please state allied Country
Overseas Service using codes below
Codes: 02 World War II 03 BCOF Japan 04 Korea 05 Malayan Emergency 06 Borneo 07 Vietnam
08 Peacekeeping: _____________________ 09 Other: ___________________________ 10 Gulf War 11 East Timor
12 Iraq 13 Afghanistan 14 Solomon Is.
RAS Badge No_______________ Discharge Certificate Number (if applicable)___________________
Campaign/Service Medals ______________________________________________________________________________
PREVIOUS MEMBERSHIP
Previous membership (tick one) No Yes Date previously joined (if applicable) ____/____/____
Badge Number of previous Membership (if applicable) _____________________
State and sub-Branch of previous Membership (if applicable) __________________________________
Page 1 P.T.O. see reverse side ►

2. DECLARATION
I DECLARE * (i) I am an Australian citizen and am prepared to swear/affirm loyalty to the sovereign of the
Commonwealth and will uphold the Constitution of the Commonwealth of Australia.
*(ii) I am not an Australian citizen and am prepared to swear/affirm loyalty to the
sovereign of the Commonwealth and will uphold the Constitution of the Commonwealth of
Australia.
*(iii) I am not an Australian citizen and request exemption from making the declaration of
loyalty under the provisions of sub-Clause 19.10 of the Constitution.
(*Delete the declaration that is not applicable to you)
(iv) I have never been found guilty of an indictable offence.
(v) I will abide by the Constitution of the League, and its By-Laws, and I will abide by and
promote its Standing Policy and be bound by the Rules and By-Laws of the above sub-
Branch.
(vi) I have read and understood the Privacy Statement and consent to my personal information
being used and disclosed by the RSL in accordance with the Privacy Statement.
(If you do not sign this consent we will be unable to process your application)
X Applicant’s Signature: _____________________________ Date: ____/____/________
SUB-BRANCH ADMINISTRATION
1. Service Documents sighted by: ___________________________________________ Date: ___/____/___
Checked by: ____________________________________________ Date: ___/___/____
2. Date of consideration of applicant by sub-Branch Committee (clause 19.14) Date: ___/____/____
3. Date of sub-Branch Meeting at which applicant was elected to provisional membership (clause 51.1 (vii))
Date: ___/___/___
Signed: ___________________________ sub-Branch Secretary. Date: ___/___/_____
SUB-BRANCH TO PHOTOCOPY APPLICATION AND RETAIN COPY FOR THEIR RECORDS
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