Join Now - afpa.org.au

Select Title

First Name

Middle Name

Last Name

Preferred Name

Other Name

Email Work

Email Personal

Preferred email for communication

Email Work

Email Personal

Mobile

Work Phone

Select gender

Date of birth

Postal Address

Address Line 1

Suburb

City

State/Provience

Zip Code

Country

Home Address is same as Postal Address?

Yes

No

Home Address

Address Line 1

Suburb

City

State/Provience

Zip Code

Country

Employment Details

Office Location (Work)

Work Area

Work Address

Address Line 1

Suburb

City

State/Provience

Zip Code

Country

Enter AGS Number

Enter Service Number/AFP ID

Benefits Payment Details

AFPA takes insurance on behalf of members, for which we need you to nominate Beneficiaries

Pay Benefits to

Beneficiaries

My Estate

Beneficiary 1

First Name

Middle Name

Last Name

Beneficiary 1 Email

Beneficiary 1 Email Phone/Mobile

Beneficiary 1 Relationship Type

Beneficiary 1 Date of Birth

Beneficiary 1 Allocation %

Add Second Beneficiary?(Required)

Yes

No

Beneficiary 2

First Name

Middle Name

Last Name

Beneficiary 2 Email

Beneficiary 2 Email Phone/Mobile

Beneficiary 2 Relationship Type

Beneficiary 2 Date of Birth

Beneficiary 2 Allocation %

Add Third Beneficiary?(Required)

Yes

No

Beneficiary 3

First Name

Middle Name

Last Name

Beneficiary 3 Email

Beneficiary 3 Email Phone/Mobile

Beneficiary 3 Relationship Type

Beneficiary 3 Date of Birth

Beneficiary 3 Allocation %

Add Fourth Beneficiary?(Required)

Yes

No

Beneficiary 4

First Name

Middle Name

Last Name

Beneficiary 4 Email

Beneficiary 4 Email Phone/Mobile

Beneficiary 4 Relationship Type

Beneficiary 4 Date of Birth

Beneficiary 4 Allocation %

Any Special Instructions (E.g. I leave 75% to Beneficiary1 and 25% to Beneficiary2)

I Agree to all of the following

I authorise the AFPA to arrange with my employer the transfer of my tax-deductible fortnightly subscription to the AFPA from my salary adjusted in accordance with the AFPA rules. I authorise the AFPA to represent my employment interests in accordance with the Fair Work Act, the Fair Work (Registered Organisations) Act and the AFPA's rules and policies. The AFPA Authority to Deduct Subscriptions from Salary and AFPA Industrial Agent Authority will remain in force until revoked by me in writing.