Join the QPSU

Title (Mr, Mrs, Ms, Miss, Dr or Other)
Name*
Preferred Name
Date of Birth
Gender
Home Address
Suburb
Postcode
Phone (H)
Phone (W)*
Fax (W)*
Mobile
Email (W)*
Email (H)*
Job Title
Agency*
Classification (eg AO2)*
Work unit/street address (include section, team, branch, etc.)
Employment Status
.....Employment Other (please describe)
Do you identify yourself as an Aboriginal or Torres Strait Islander?
Your gross salary range per fortnight*
Payment Option*
Amount CLICK HERE to confirm the current union fees
Name Account is Held in
Name of Bank ot Credit Union
Address of Bank ot Credit Union
BSB
Account Number
Card Holder's Name
Expiry
Card Type
Card Number
Update List

I hereby apply for membership of the Queensland Public Sector Union (QPSU) and declare if admitted, I will abide by the rules of the union. I understand that in order to resign from the union, a member must give two weeks notice in writing.