EmailMe Form - Office Bearers-Multiple Workplace Sub Branch

Workplace Name: *
AEU Workplace Representative's Name:
Email Address:
Member Number:
Nominated Contact at your Workplace
Women's Contact Name:
Email:
Member Number:
SSO Contact Name:
Email:
Member Number:
Health & Safety Rep (HSR) Name:
HSR Position End Date:
Email:
Member Number:
PAC Rep Name:
Email:
Member Number:
Staff Rep on Governing Council Name:
Email:
Member Number:
Other Workplace Organising Committee Members:
Member Number & Name:
Email:
Member Number & Name:
Email:
Sub Branch Office Bearers: Your workplace together with other workplaces forms an AEU Sub Branch. Please provide the following details about your Sub Branch:
Sub Branch Name:
Sub Branch Secretary's Name:
Email:
Member Number: