National Servicemen’s Association of Australia
President
Colin Bell
Secretary
Howard Bazley                     


Patron
Major-General Kevin Cooke AO RFD ED

    Please Address all Correspondence to
    P.O. Box 7014
    Holland Park East  Qld  4121
    Phone 07 3324 1277
    Fax     07 3324 2777

   APPLICATION FOR MEMBERSHIP

 FEE - $36.00 (Includes Lapel Badge)

Name:
 

Known As

Street:
 

Suburb:
 

Post Code:

Phone:
 

Service No:

Intake Date:

Date of Birth

Recruit Training – Where

Discharge Date 

60’s Nashos Only

Corps Training – Where

Posting Where 

Are you a member of the  R S L 

Yes

Do you require details of  R S L  Membership

Yes

 

No

 

No

 

   Please select the Branch that would most suit you.

Bayside

 

Darwin

 

Pine Rivers

 

Beaudesert & District

 

Dalby & District

 

Pipes & Drums

 

Beenliegh/Logan & District

 

Gladstone & District

 

Redcliffe & District

 

Bribie Island

 

Gold Coast North

 

Rockhampton & District

 

Brisbane North

 

Gold Coast South-Twin Towns

 

South Burnett District

 

Brisbane North Western

 

Gympie & District

 

Stanthorpe

 

Brisbane South

 

Hervey Bay

 

Sunshine Coast

 

Brisbane West

 

Ingham & District

 

Tableland

 

Bundaberg & District

 

Innisfail/Tully & District

 

Toowoomba & District

 

Caboolture & District   Ipswich & West Moreton   Townsville  & District  
Cairns & District   Mackay & District   Warwick & District  
Coral Coast   Maryborough & District   Unattached to any Branch  

         


Signature of Applicant      


Date
      

PLEASE NOTE: It is essential that a copy of your certificate of Service and Discharge be received before being accepted as a full member. If you do not have one you can apply to the address listed overleaf.
You can apply for membership of the association before having your certificate of service however you will not become a full member until you provide these details.
You can still be a member of the Association without being a Nasho but you will not be able to hold office or vote.

Office Use Only

Date Received: 

Certificate of
Service or
Discharge Papers
Received

Yes

Month Nominated
at SMC

Receipt No: 

No

Entered on
Computer by:

                                                               
Please Forward Completed Form together with cheque to:
National Servicemen’s Association of Australia (Queensland) Inc.
P.O. Box 7014
Holland park East    Qld    4121