New Branch Council Delegates - booking form


Please complete all fields and click on Submit Form. You will receive a confirmation email once you have been registered.

Given Name (for badge/certificate)

Family Name

Workplace/University

Position

Union Member No.

Home Address

DECS ID No. (if applicable)

Phone No.

Email Address

Certification referenced to the National Professional Standards for Teachers
Tick here if you require a professional development certificate.

Special Requirements (please tick and give specific instructions below)

Special dietary
Disability
Access
Other
Relief Funding

Relief Funding Required No Yes
Insert Number of Hours or Days Required


Your position

Travel and Accommodation Support for Country Members Only

Travel support required No Yes
Please insert specific flight dates/times/airports/buses/ferries etc. Car travel will be reimbursed at 30c p/km.

Accommodation support required No Yes
Preferred dates, arrival/departure times, name of member you wish to share accommodation with etc.

Other

Additional details, instructions or questions
Please complete code


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