Interstate Membership Transfer Application Step 1 of 5 20% To begin your application please fill out the below. I hereby apply to be admitted as a Service Member of the League and a member of the following Sub-BranchSub-Branch*Select a BranchAlbanyApplecrossArmadaleBakers HillBallajuraBassendean (Eastern Regional)Bedford-MorleyBellevueBelmont (City of)BencubbinBeverleyBicton-PalmyraBoddingtonBoulderBoyup BrookBridgetownBrooktonBroomeBruce RockBullsbrook & DistrictsBunburyBusseltonCambridgeCanning DistrictsCapelCentralChidlowClaremontCockburn (City of)Collie-CardiffCottesloeCunderdinDarkanDawesvilleDenmarkDerbyDongaraDonnybrookDowerinDumbleyungDwellingupEllenbrookEsperanceFremantle CityGascoyneGeraldtonGnowangerup - BordenGosnellsGreenbushesHalls CreekHarveyHighgateJoondalup CityJurien BayKalamundaKalgoorlieKambaldaKarratha & DistrictsKarridale - AugustaKatanningKellerberrinKelmscott-RoleystoneKojonupKondininKulinKununurraKwinanaLake GraceLancelin & Coastal DistrictsLeonoraMandurah (City of)ManjimupMargaret RiverMenoraMerredinMooraMorawa - GuthaMorawa-GuthaMosman ParkMount BarkerMount HawthornMount Lawley-InglewoodMt Lawley - InglewoodMundaringNannupNarroginNedlandsNew SbNewmanNollamaraNorsemanNorth BeachNorthamNorthamptonOsborne ParkPeaceful BayPembertonPerenjoriPerth (City of)PingellyPinjarraPort HedlandPort KennedyQuairadingQuinns RocksReturned Ex-ServicewomenRivertonRockingham (City of)ScarboroughSerpentine-JarrahdaleShark BaySir John MonashSouth Perth (City of)State BranchSubiaco-Shenton ParkTamminThree Springs-ArrinoTom PriceToodyayTurkishVictoria Park - South Perth & DistrictsVietnamese ServicesWaginWalpoleWannerooWaroona - HamelWubin - DalwallinuWyalkatchemWyndhamYanchep - Two RocksYokine - JoondannaYorkRegion*State Branch* Personal DetailsName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Middle Last Nee (Maiden Name):Date of Birth* Date Format: DD slash MM slash YYYY Country of Birth*Mail Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Work Phone (inc STD)Home Phone (inc STD)Mobile*Email* Service DetailsBranch of Service*ArmyNavyAir ForceNational ServiceAllied ForcesPoliceType of Service*RegularReserveBothLast Unit*Service Number*Rank*Length of Service*Date of Enlistment* Date Format: DD slash MM slash YYYY EnlistmentStill ServingDischarge DateDischarge Date Date Format: DD slash MM slash YYYY RSL Eligible Service*Please selectWorld War 1World War 2BCOF (Japan)KoreaMalayan EmergencyBorneo ConfrontationVietnamPeacekeepingOtherEast TimorGulf WarNational ServiceADF (Regular)ADF (Reserve)Allied ForcesRwandaAfghanistanIraqSolomon IslandsHonours/Awards/Decorations (Post Nominals)Campaign and Service Medals Membership DetailsDate First Joined Date Format: MM slash DD slash YYYY RSL Badge NumberPrevious Member ofSelect a BranchAlbanyApplecrossArmadaleBakers HillBallajuraBassendean (Eastern Regional)Bedford-MorleyBellevueBelmont (City of)BencubbinBeverleyBicton-PalmyraBoddingtonBoulderBoyup BrookBridgetownBrooktonBroomeBruce RockBullsbrook & DistrictsBunburyBusseltonCambridgeCanning DistrictsCapelCentralChidlowClaremontCockburn (City of)Collie-CardiffCottesloeCunderdinDarkanDawesvilleDenmarkDerbyDongaraDonnybrookDowerinDumbleyungDwellingupEllenbrookEsperanceFremantle CityGascoyneGeraldtonGnowangerup - BordenGosnellsGreenbushesHalls CreekHarveyHighgateJoondalup CityJurien BayKalamundaKalgoorlieKambaldaKarratha & DistrictsKarridale - AugustaKatanningKellerberrinKelmscott-RoleystoneKojonupKondininKulinKununurraKwinanaLake GraceLancelin & Coastal DistrictsLeonoraMandurah (City of)ManjimupMargaret RiverMenoraMerredinMooraMorawa - GuthaMorawa-GuthaMosman ParkMount BarkerMount HawthornMount Lawley-InglewoodMt Lawley - InglewoodMundaringNannupNarroginNedlandsNew SbNewmanNollamaraNorsemanNorth BeachNorthamNorthamptonOsborne ParkPeaceful BayPembertonPerenjoriPerth (City of)PingellyPinjarraPort HedlandPort KennedyQuairadingQuinns RocksReturned Ex-ServicewomenRivertonRockingham (City of)ScarboroughSerpentine-JarrahdaleShark BaySir John MonashSouth Perth (City of)State BranchSubiaco-Shenton ParkTamminThree Springs-ArrinoTom PriceToodyayTurkishVictoria Park - South Perth & DistrictsVietnamese ServicesWaginWalpoleWannerooWaroona - HamelWubin - DalwallinuWyalkatchemWyndhamYanchep - Two RocksYokine - JoondannaYorkMembership TypeServiceLife MemberLife SubscriberHonorary Declaration and Agreement* I declare that I have not been convicted of a criminal offence and do not have charges outstanding pertaining to a criminal offence. * My application details are true and correct. * I agree to uphold the Constitution of the League and its By-Laws. We will not use any of the information on this membership form without your specific permission in writing, other than to record you as a member of the League and will not pass that information to anyone outside the League. As per By-Law 12.Signature*CAPTCHA Online form not working? Please download the PDF version to complete and mail. Download