Service Member 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 to join*Select a BranchAlbanyApplecrossArmadaleBakers HillBallajuraBassendean (Eastern Regional)Bedford-MorleyBellevueBelmont (City of)BencubbinBeverleyBicton-PalmyraBoddingtonBoulderBoyup BrookBridgetownBrooktonBroomeBruce RockBullsbrook & DistrictsBunburyBusseltonCambridgeCanning DistrictsCapelCentralChidlowClaremontCockburn (City of)Collie-CardiffCoolgardieCottesloeCunderdinDarkanDawesvilleDenmarkDerbyDongaraDonnybrookDowerinDumbleyungDwellingupEllenbrookEsperanceExmouthFremantle CityGascoyneGeraldtonGnowangerup - BordenGosnellsGreenbushesHalls CreekHarveyHighgateJoondalup CityJurien BayKalamundaKalgoorlieKambaldaKarratha & DistrictsKarridale - AugustaKatanningKellerberrinKelmscott-RoleystoneKojonupKondininKulinKununurraKwinanaLake GraceLancelin & Coastal DistrictsLeonoraMandurah (City of)ManjimupMargaret RiverMerredinMooraMorawa - GuthaMosman ParkMt BarkerMt HawthornMt Lawley - InglewoodMundaringNannupNarroginNedlandsNewmanNollamaraNorsemanNorth BeachNorthamNorthamptonOsborne ParkPeaceful BayPembertonPerenjoriPerth (City of)PingellyPinjarraPort HedlandPort KennedyQuairadingQuinns RocksReturned Ex-ServicewomenRivertonRockingham (City of)ScarboroughSerpentine-JarrahdaleShark BayShenton ParkSir John MonashSouth Perth (City of)Subiaco (City of)TamminThree Springs-ArrinoThree Springs-ArrinoTom PriceToodyayTurkishVictoria ParkVietnamese ServicesWaginWalpoleWannerooWaroona - HamelWongan HillsWubin - DalwallinuWyalkatchemWyndhamYanchep - Two RocksYokine - JoondannaYork 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 AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican 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 RicoQatarRéunionRomaniaRussiaRwandaSaint 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 IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe 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*Proof of Service* Drop files here or Accepted file types: jpg, gif, png, pdf. 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 ForcesRwandaHonours/Awards/Decorations (Post Nominals)Campaign and Service Medals Previous Membership DetailsPrevious Membership*YesNoDate First Joined Date Format: DD slash MM 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-CardiffCoolgardieCottesloeCunderdinDarkanDawesvilleDenmarkDerbyDongaraDonnybrookDowerinDumbleyungDwellingupEllenbrookEsperanceExmouthFremantle CityGascoyneGeraldtonGnowangerup - BordenGosnellsGreenbushesHalls CreekHarveyHighgateJoondalup CityJurien BayKalamundaKalgoorlieKambaldaKarratha & DistrictsKarridale - AugustaKatanningKellerberrinKelmscott-RoleystoneKojonupKondininKulinKununurraKwinanaLake GraceLancelin & Coastal DistrictsLeonoraMandurah (City of)ManjimupMargaret RiverMerredinMooraMorawa - GuthaMosman ParkMt BarkerMt HawthornMt Lawley - InglewoodMundaringNannupNarroginNedlandsNewmanNollamaraNorsemanNorth BeachNorthamNorthamptonOsborne ParkPeaceful BayPembertonPerenjoriPerth (City of)PingellyPinjarraPort HedlandPort KennedyQuairadingQuinns RocksReturned Ex-ServicewomenRivertonRockingham (City of)ScarboroughSerpentine-JarrahdaleShark BayShenton ParkSir John MonashSouth Perth (City of)Subiaco (City of)TamminThree Springs-ArrinoThree Springs-ArrinoTom PriceToodyayTurkishVictoria ParkVietnamese ServicesWaginWalpoleWannerooWaroona - HamelWongan HillsWubin - DalwallinuWyalkatchemWyndhamYanchep - Two RocksYokine - JoondannaYork Membership SubscriptionMembershipMembership*1 Year Subscription1 Year Subscription For Current Serving ADF3 Year Subscription5 Year SubscriptionTotal $ 0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Expiration Date Security Code Cardholder Name 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. Annual membership $40.00 is required with this form if payment before 30 June. Pro-rata payments apply after 30 June. July-September $20.00 Oct-Dec $40.00 - covers following yearSignature*CAPTCHAEmailThis field is for validation purposes and should be left unchanged. Online form not working? Please download the PDF version to complete and mail. Download