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

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Level 3,
66 St Georges Terrace
Perth WA 6000

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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