Join the PSA

Join the PSA today by :

Completing and signing the membership application form, which is found below. The form is in Portable Document Format (PDF). Print it out, complete in full, sign and return it to:

The General Manager : PSA
PO Box : 40404
Location : Arcadia 0007

Fax : 012 303 6659

or scan and email to your nearest PSA Provincial Office.

Public Service Pensioners

The PSA is the only trade union that serves the interests of Public Service pensioners. Membership of this Group Branch is governed in terms of Section 14 of the PSA Statute.

Download the application form and submit fully-completed and signed application forms to:

The General Manager : PSA
PO Box : 40404
Location : Arcadia 0007

Personal information:

In terms of the POPI Act, 4 of 2013, the PSA will only use the information provided on this application form for the intended purpose related to membership management. The PSA Privacy Policy is available on the PSA website (www.psa.co.za). By taking up membership, I agree to the said Policy.

Fields marked with * are required.

Employer/Department*

Title*

Persal / Salary number*

Surname*

Initials*

First names*

Gender

Correspondence Line 1*

Correspondence Line 2

Correspondence Line 3

Postal code

Province where Employed*

Job title

Date of birth

Identity number*

Tax Number [A Tax number is required for paying Honorarium]

Preferred Method of Contact*

Cellphone number

Telephone number

Fax number

Email address

Method of payment

Method of payment*

Date of membership*

Members banking details:

Bank name

Branch code

Account Number

Account Type

Account Holder

I consent to PSA marketing products, services and special offers to me. PSA may share my personal information, within the PSA and the businesses that provide special advantages to PSA members, for marketing purposes. The PSA may also contact me for research purposes.

Recruiter (PSA staff member):

Were you recruited by a PSA Staff Member?

Recruiter Name (PSA Staff Member)

STOP-ORDER COMMENCEMENT DATE:

I, the undersigned, hereby apply for membership of the PSA (Public Servants Association of South Africa) and authorise and request the Accounting Officer of my employer to deduct the applicable PSA Membership Fee( as approced by the PSA Board of Directors) from my salary starting from STOP-ORDER COMMENCEMENT DATE and thereafter until further written notice. I UNDERSTAND THAT IN TERMS OF SECTION 13(3) OF THE LABOUR RELATIONS ACT, 1995 THIS STOP-ORDER MAY ONLY BE REVOKED BY THE GIVING OF THREE MONTHS'(ONE MONTH IN THE CASE OF NON-PUBLIC SERVANTS) WRITTEN NOTICE TO MY EMPLOYER AND THE PSA.
I understand that membership fees are due and collectable by the PSA while I am a member of the PSA.

DEBIT-ORDER COMMENCEMENT DATE:

I, the undersigned, hereby apply for membership of the PSA (Public Servants Association of South Africa) requesting and authorising you at the same time to deduct from my account at the above bank the applicable PSA Membership Fee( as approced by the PSA Board of Directors), which covers my membership fee to the PSA, starting from the DEBIT-ORDER COMMENCEMENT DATE and continue deducting said amount monthly on the ...th day of each month thereafter until further written notice.

Recruiter (Not PSA staff member):

Recruiter Membership Number

Recruiter Tax Number

Recruiter Identity Number

Recruiter Cellphone

Recruiter Initials And Surname

Recruiter Postal Address

Recruiter Postal Code

Recruiter Email

Recruiter Bank Name

Recruiter Branch Code

Recruiter Account Number

Recruiter Account Type

Recruiter Account Holder

PLEASE NOTE THAT NO HONORARIUM CAN BE PAID WITHOUT A VALID TAX NUMBER, THE HONORARIUM WILL BE PAID DIRECTLY INTO THE RECRUITER’S BANK ACCOUNT

NOTE: THE PSA WILL ASSIST MEMBERS (REPRESENTATION, FINANCIALLY, OTHERWISE) ON CONDITION THAT THE CAUSE OF ACTION FOR WHICH ASSISTANCE IS SOUGHT AROSE AFTER THE PSA'S ACCEPTANCE OF APPLICATION FOR MEMBERSHIP

By submitting this electronic application form, I confirm that I apply for PSA membership electronically and that my signature on the application form will not be required.

If assistance is required with the completion of the form, contact any PSA Provincial Office.

DOCUMENT NAME	DOCUMENT DATE	Tags	ACTION
PSA student application form april 2022	April 2022
PSA membership application form april 2022	April 2022
PSA pensioner application form april 2022	April 2022

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