Online Application

Application for Membership
Name
Username* Please use current email address not a nickname.
First Name*
Last Name*
Preferred Name*
ID
Post-nominal initials (APM etc)
Agency if not AFP
AFP Badge Number
Pol_number
Rank on Leaving AFP
Where Served
Service began
Service ended
Name of Spouse/Partner
Certificate of ServiceUpload
Proposed By
Full Name *Required
AFP Badge Number *Required
Known Applicant (In years) *Required
Seconded By
Full Name *Required
AFP Badge Number *Required
Known Applicant (In years) *Required
Contact Info
E-mail*
Address
Suburb
State
Postcode
Postal Address If different to above
Phone (H) Required phone number format: ### ### ####
Phone (M)
Date of Birth
Password*
Repeat Password*
Acknowledgement*I declare that I am of good fame and character and I desire to become a member of the AFP Veterans Association Inc (AFPVA). I acknowledge that my application for membership is subject to review by the AFPVA Committee. The AFPVA Committee has ultimate discretion over whether my application for membership is accepted. If my application is accepted, I agree to be bound by the rules of the Association whilst a member.
Membership Plan
ASSOCIATE MEMBER - $10 / 1 Year and a $10 sign-up fee
$20 ASSOCIATE MEMBER ($10 + $10 JOINING FEE)
FULL MEMBER - $20 / 1 Year and a $10 sign-up fee
$30 FULL MEMBER ($20 + $10 JOINING FEE)

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