Application for Interstate Transfer

Interstate Membership Transfer Application

Step 1 of 5

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-Branch
Sub-Branch*
Region*
State Branch*

Personal Details
Name*
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 Country
Work Phone (inc STD)
Home Phone (inc STD)
Mobile*
Email*

Membership Details
Date First Joined
Date Format: MM slash DD slash YYYY
RSL Badge Number
Previous Member of
Membership Type
- Service
- Life Member
- Life Subscriber
- Honorary

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*
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About Us

The RSLWA is the governing body of RSL Sub-Branches across Western Australia. We aim to commemorate, support and provide comradeship to veterans and their families.

Call us (08) 9287 3799

Visit Us
28 St Georges
Terrace Perth WA 6000

PO Box Z5424
St Georges Terrace Perth WA 6831

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Application for Interstate Transfer

Interstate Membership Transfer Application

Step 1 of 5

Personal Details

Service Details

Membership Details

Declaration and Agreement

About Us

Links

Members Area

Locate a Sub-Branch