New Zealand Meat Union

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1 New Zealand Meat Union Thanks for your decision to Join Us. Please download the attached forms below and complete them in a clear handwriting. In case you choose to join the welfare fund, please fill in 002A form otherwise please complete both the forms 003 and 001A. You can send the forms in any of the following ways: 1) Scan and it to: 2) Fax: (09) ) Post it to the address: 259 Great South Road, P.O. Box Greenlane, Auckland 1546, New Zealand.

2 New Zealand Meat Workers & Related Trades Union Inc. (Aotearoa Branch) MEMBERSHIP APPLICATION/DATA CAPTURE FORM APPLICANT S INFORMATION (Required by Law) Name: First Middle Family Mobile Phone: Home Phone: Gender: Male Female Date of Birth: IRD No: Tax Code: Ethnicity/ Iwi: Union Joining Date: First Language: Second Language: PLEASE COMPLETE IF APPLICABLE If your answer is No to questions below, then would you like to join? Yes No Welfare Fund Member: Yes/No Southern Cross Member: Yes/No Meat Industry Superannuation Scheme Member: Yes/ No Are you Shed Official or Delegate: Yes/ No If Yes/ Joining Date: If Yes/ Joining Date: If Yes/ Joining Date: If Yes/ Start Date: Bank Account Details: [ ] [ ] [ _ ] [ _] Meat Company Meat Plant: EMPLOYMENT INFORMATION Department: Duration with Employer? Years/ Months PLEASE PROVIDE INFORMATION BELOW, SO THAT WE CAN BETTER SERVE YOU IN AN EMERGENCY Partner s Name: Mr./Miss/ Mrs. First Middle Last Home Phone: Mobile: Work Phone: ID: Date of Birth: Ethnicity/Iwi: First Language: Relationship: Please tick if same as above [ ] NEXT OF KIN/ LEGAL BENIFICIARY DETAILS FOR DEATH BENEFIT Legal Beneficiary s Name: Mr./Miss/ Mrs. First Middle Last Home Phone: Mobile: Work Phone: ID: Date of Birth: Ethnicity/Iwi: First Language: Relationship: NZMWRTU is a nonprofit organization serving its members. It is subject to the Privacy Act The Privacy act is supervised by the New Zealand Privacy Commissioner. We are committed to protecting your privacy. We recognise that your personal information is confidential and we understand that it is important for you to know how it is handled. We do not sell, trade or rent your personal information to others. All data is stored securely. Any information we collect will not be used in ways that you have not consented to. At any stage, you have the right to access and amend or update your personal details. If you wish to access or amend your personal details or do not want to receive communications from us, please contact us at Signature: Dated: Form 003 New Zealand Meat Workers & Related Trade Union Inc. 2014

3 Form Filling Instructions MEMBERSHIP APPLICATION/ DATA CAPTURE FORM (003) PLEASE PRINT CLEARLY This form is a must for each and every member, shed official and including organisers to complete, in order to have the information needed to process benefit applications at the time of need, like death or disability. Completed information in this form will also enable the union to provide better services and timely payments, as well as better communication through the use of our new CRM, we have implemented. Used for day to day signing up of Delegates as and when required. Used together with NZMWU Delegates and Shed Official commission sheet. Action: Use compulsorily on a day to day basis. Keep up to date for your records and send copy to union for updating its records Form Check List. Please follow the serial numbers with each blank on the form 1. Your Name; First name, Middle name, Last name ( Family Name) 2. Your full address; House Number, Street Name, Suburb, City, Post Code 3. Your mobile and home numbers 4. Your address 5. Your Gender; Tick or Circle one, Male or Female 6. Your Date of Birth 7. Your IRD Number 8. Your Tax Code 9. Your Ethnicity or Iwi you belong to 10. Your First Language spoken at home 11. Your Union Joining date 12. Your Second Language 13. If you are not a member of Welfare Fund, Southern Cross, Superannuation then please select Yes, if you would like to join.

4 14. Are you Welfare Fund Member? Write Yes or No 15. If Yes, Please write your joining date 16. Are you Southern Cross Member? Write Yes or No 17. If Yes, Please write your joining date 18. Are you Meat Industry Superannuation Scheme Member? Write Yes or No 19. If Yes, Please write your joining date 20. Are you a Shed Official or Delegate? Write Yes or No. If yes, Please select 21. If Yes, Please write your start date 22. Your Bank Account Details, Please fill all blanks correctly 23. Your Meat Company or Plant that you work at 24. Your Department, Please write clearly 25. Since how long have you been working for your employer? 26. Partner s Name, please select one from Mr. / Miss. /Mrs., then complete their First name, Middle name, Last name ( Family Name) 27. Partner s Current full address; House Number, Street Name, Suburb, City, Post Code 28. Partner s mobile, home and work numbers 29. Partner s address 30. Partner s Date of Birth 31. Partner s Ethnicity / Iwi they belong to 32. Partner s First Language 33. Partner s relationship with you; married, de facto etc. 34. Legal Beneficiary s Name, please select one from Mr. / Miss. /Mrs., then complete their First name, Middle name, Last name ( Family Name) 35. Legal Beneficiary s Current full address; House Number, Street Name, Suburb, City, Post Code 36. Legal Beneficiary s mobile, home and work numbers 37. Legal Beneficiary s address 38. Legal Beneficiary s Date of Birth 39. Legal Beneficiary s Ethnicity / Iwi they belong to 40. Legal Beneficiary s First Language 41. Legal Beneficiary s relationship with you; married, de facto, mother, father, brother, sister, son, daughter, nephew, niece etc. 42. Your Signatures 43. Dated when signed by you

5 New Zealand Meat Workers & Related Trades Union Inc. (Aotearoa Branch) BANK DETAILS FOR MEMBERS TO PAY DIRECTLY EMPLOYEE DETAILS Copy to Union Name: First Middle Family Mobile Phone: Home Phone: Employed by Meat Company Meat Plant: I HEREBY, (i) Confirm my membership with the New Zealand Meat Workers and Related Trades Union Incorporated. (ii) Accept the rights and obligations of membership as set out in the rules of the New Zealand Meat Workers and Related Trades Union Incorporated. (iii) Confirm that I will make direct payment to the Union by setting up automatic payment from my bank account for $5.95 per week, to the Union s bank account below: New Zealand Meat Workers and Related Trades Union Incorporated, Aotearoa Branch Direct Credit to Union's bank account: Westpac Banking Corporation, Penrose Branch, Auckland Bank Account No: (iv) Authorise, in accordance with ss 18 and 236 of the EMPLOYMENT RELATIONS ACT 2000, the New Zealand Meat Workers and Related Trades Union Incorporated to act as my representative in all matters relating to the negotiation and enforcement of my terms and conditions of employment. (v) I will confirm in writing by giving notice to the union, when I wish to cancel my Automatic payment, received by the Union, at P O Box , Greenlane, Auckland Signature: Dated: New Zealand Meat Workers & Related Trades Union Inc. (Aotearoa Branch) P.O. Box: , Greenlane, Auckland 1546, New Zealand Phone: Fax: (Form 001 A) Form001A New Zealand Meat Workers & Related Trade Union Inc. 2014

6 Form Filling Instructions AUTHORITY TO DEDUCT MEMBERSHIP FEE (001A) PLEASE PRINT CLEARLY This form must be completed by a new member who wishes pay directly to the Union without his employer s knowledge. This form not only confirms their membership to the NZMW Union, it also confirms employee s intent to set up automatic payment directly to the Union account. The majority of the union members may never make future contact with the union; it is MOST important that this form must have correct information. Print Clearly & Send Promptly. Action: Send a copy to the NZMW Union office in Auckland Keep a copy for your records (Shed Officials) Send original form to the employer for payment of Union Fee. Form Check List. Please follow the serial numbers with each blank on the form 1. Your First Name, Middle Name, Last Name (Family Name) 2. Your Full Address; House Number, Street Name, Suburb, City and Post Code 3. Your Phones; Mobile, Home and address 4. Your Employer, Meat Company & Meat Plant 5. Insert your Name ( I hereby ) 6. Your Signatures 7. Dated when Signed

7 NEW ZEALAND FREEZING WORKERS BENEFITS & WELFARE FUND BANK DETAILS FOR MEMBERS TO PAY DIRECTLY Copy to Union EMPLOYEE DETAILS Name: First Middle Family Mobile Phone: Home Phone: Employed by Meat Company Meat Plant: I HEREBY, (i) Confirm my membership with the New Zealand Freezing Workers Benefits & Welfare Fund. (ii) Accept the rights and obligations of membership as set out in the rules of the New Zealand Freezing Workers Benefits & Welfare Fund. (iii) Confirm that I will make direct payment to the Welfare Fund by setting up automatic payment from my bank account for $2.80 per week, to the Welfare Fund s bank account below: New Zealand Freezing Workers Benefits & Welfare Fund. Direct Credit to Welfare Fund s account: Westpac Banking Corporation, Penrose Branch, Auckland Bank Account No: (iv) Authorise, in accordance with ss 18 and 236 of the EMPLOYMENT RELATIONS ACT 2000, the New Zealand Meat Workers and Related Trades Union Incorporated to act as my representative in all matters relating to the negotiation and enforcement of my terms and conditions of employment. (v) I will confirm in writing by giving notice to the union, when I wish to cancel my Automatic payment, received by the Union, at P O Box , Greenlane, Auckland Signature: Dated: New Zealand Meat Workers & Related Trades Union Inc. (Aotearoa Branch) P.O. Box: , Greenlane, Auckland 1546, New Zealand Phone: Fax: Form 002 A Form002A New Zealand Meat Workers & Related Trade Union Inc. 2014

8 Form Filling Instructions AUTHORITY TO DEDUCT MEMBERSHIP FEE (002A) PLEASE PRINT CLEARLY This form must be completed by a new member who wishes pay directly to the Union without his employer s knowledge for the Welfare Fund. This form, not only confirms their membership to the NZMW Union, it also confirms employee s intent to set up automatic payment directly to the Welfare Fund account. The majority of the union members may never make future contact with the union; it is MOST important that this form must have correct information. Print Clearly & Send Promptly. Action: Send a copy to the NZMW Union office in Auckland Keep a copy for your records (Shed Officials) Send original form to the employer for payment of Union Fee. Form Check List. Please follow the serial numbers with each blank on the form 1. Your First Name, Middle Name, Last Name (Family Name) 2. Your Full Address; House Number, Street Name, Suburb, City and Post Code 3. Your Phones; Mobile, Home and address 4. Your Employer, Meat Company & Meat Plant 5. Insert your Name ( I hereby ) 6. Your Signatures 7. Dated when Signed

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