This application must be accompanied by the payment of the $20.00 subscription to Family First Credit Union BSB 802 207 Account 100055165 with your initials and family name in the remarks.
When completed this form will be forwarded to the State Secretary who will match your details to the subscription payment and forward to the appropriate Sub-Branch Secretary who will then contact you.
The Sub-Branch Secretary will require you to provide evidence of service or status.
Membership Info
Initial Renewal Transfer
Transfer From (If Applicable)
Veteran Partner Child
Ordinary Life Associate
Veteran Name
Given Names
Family Name
Post-Nominals
Date of Birth
Residential Address
Building/Property/Apartment
Street
Suburb/Town
State Post Code
[If Partner or Child, enter your details as Next of Kin and the Veteran's Name and Service information in the spaces provided]
Postal Address (if different)
PO Box
Phone & eMail
Home Phone
Mobile
eMail
NOK Name
Relationship
NOK Address (if different)
Street or PO Box
Service Information
Service Number
Branch of Service RAN Army RAAF*nbsp; Other
Service (if Other)
Enlistment
Enlistment Date
Discharge/Retirement Date
Discharge Certificate
War Service 1
Area
Unit
From Date
To Date
War Service 2
Optional Information
DVA File Number
Pension Rate
