New User Registration Title* <---- Select One ----> Mr Mrs Ms Miss Doctor
First Name*
Last Name*
Address 1*
Address 2
City*
County
Postcode
Date of Birth*
Email*
Home Telephone/Mobile*
Employee No. (without the "P")*
Confirm Employee No.*
Employment Class* <---- Select One ----> Full Time Part time - 16 hours a week or over Part time - Under 16 hours a week On Maternity Leave Pensioner
Branch/department*
Find Branch
Diversity The following questions are optional but we would invite and encourage you to help us monitor the diversity of our membership and to ensure equality of opportunity by providing the following information. Any information you do provide will be kept confidential.
Ethnicity <---- Select One ----> Asian - other Bangladeshi Black - other Black African Black Caribbean Chinese Indian Irish Other Other Mixed Background Pakistani Prefer Not To Say White & Asian White - other White British White Irish White White/Black Caribbean
Are you disabled? <---- Select One ----> Yes No Prefer Not To Say
Your Sexual Orientation <---- Select One ----> Heterosexual Lesbian Gay Bisexual Prefer Not To Say
Religion <---- Select One ----> Buddhist Christian Hindu Jewish Muslim No Religion Other Sikh Prefer Not To Say
Monthly Subscription Draw NGSU members may subscribe for chances in our Monthly Draw. Members may subscribe for up to ten £1 chances each month.
75% of the monies subscribed are paid out in prizes.
The Draw is held on the first Wednesday each month.
Number of Chances Required Not in the Draw 1 Subscription = 1 chance 2 Subscription = 2 chances 3 Subscription = 3 chances 4 Subscription = 4 chances 5 Subscription = 5 chances 6 Subscription = 6 chances 7 Subscription = 7 chances 8 Subscription = 8 chances 9 Subscription = 9 chances 10 Subscription = 10 chances
Method of Payment Nationwide employees may choose to pay their subscriptions by Payroll Deduction or Direct Debit. Associates, Temps and Contractors must pay by Direct Debit.
Salary Deduction (I agree that subscriptions will be paid by salary deduction and consent for NGSU to disclose my membership to Nationwide and share information necessary for the collection of payment). Direct Debit Method to pay* <---- Select One ----> Paid by Payroll Deduction Paid by Direct Debit
Communications and Marketing Please tick to agree to receive union communications.
From time to time we would like to send you details of benefits and discount schemes. This may be as part of our normal member communications, including newsletters and member magazine, which will also include articles about union activity, or as separate communications. We may include information on behalf of other organisations who are our approved partners but we will not share or sell your personal information to other organisations for direct marketing purposes. Our newsletters and magazine are available in digital format on our website www.ngsu.org.uk. We will always send you information necessary to meet our statutory obligations, for example, to conduct ballots and elections.
I agree to receive NGSU communications which include marketing material:
Apply for Membership & Declaration Please tick to confirm your agreement and consent:
Membership : I apply for membership of NGSU and agreed to abide by the Union’s rules and to pay the appropriate subscription rate for the duration of my membership. Read the rules
here .
*
Personal Information : I understand that you will use the information I have provided for the purpose of union activities; determining my membership class; provision of services and to fulfil statutory obligations. Please tick to confirm you have read our Use of
Personal Information Policy .
*
* Required field
