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Full Name(*)
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Number & Street(*)
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Suburb Postcode(*)
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E-mail(*)
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Work Telephone(*)
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Work Fax
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Home Telephone
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Mobile Phone(*)
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Date of Birth(*)
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Job Title(*)
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Current Employer(*)
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Qualification
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Other
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Other qualification please specify
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Membership Status(*)
We need to know your employment status - please select as applicable
Please refer to membership fees for weekly deduction amounts.
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Method of Payment(*)
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If paying annually we will contact you to arrange payment.
If paying by deductions please notify your payroll office.
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Nominated by
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Name of member who assisted you
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I apply for membership of The Development and Environmental Professionals' Association.
I agree to be bound by the Rules of the Association and any alterations or amendments that may be made thereto in accordance with the Rules of the Association. I note the provisions of Rule 6 - Resignation, of the Rules of the Association requiring any resignation in writing.
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Declaration(*)
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Security check (*)
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