RAAFA NSW Membership Application

Insert details and then click

Please complete as much of the membership Application form as possible. Fields with * are required.

Email Address *

Username *

Branch/Chapter Applying to Join *

Title

First Name *

Surname *

Middle Initials

Preferred Name

Post-Nominal

Telephone

Mobile

Other Telephone

Year of Birth

Address Line 1 *

Address Line 2

Town/City *

State *

Postcode *

(If Offshore) State

(If Offshore) Country

Next of Kin Name

Next of Kin Phone

Next of Kin Email

Next of Kin Address ( Same as Member)

Retired

Currently Serving

Wings by post

Service History or Membership Eligibility *

Service

Service No/PMKeys

Rank

Enlistment date

Discharge date

Validation Code *

Case Insensitive