AUTHORITY: I hereby explicitly consent to the processing of my personal information by the PSCU for the specific purposes indicated below (Please tick (✔️) purposes for which you consent OR (❌) for which you do not give consent):

1. Marketing and promotions (PSCU and all Business Partners)
2. Discount and special offers (PSCU and all its Business Partners)
3. Research activities (PSCU and all its Business Partners)

I confirm and understand that: (1) I have been informed of the purpose of processing: (2) The processing is voluntary, and I may withdraw consent at any time by contacting the Information Officer of the PSCU: (3) I understand the consequences of not providing consent where required and withdrawal of consent may limit my ability to use certain services: (4) My consent is specific and applies only to the ticked purposes; and (5) My personal information will be processed in accordance with the POPI Act, 4 of 2013, and the PSCU applicable Policies. By taking up membership, 1 agree to the said Policies.

Failure to tick any consent checkbox, or failure to return this form, shall under no circumstances be interpreted as consent. It shall be deemed an explicit refusal (❌) to the processing of personal information for the purposes listed.

SALARY STOP-ORDER: I, the undersigned, hereby apply for membership of the PSCU (Public Service and Commercial Union of South Africa and authorise and request the Accounting Officer of my employer to deduct the applicable PSCU Membership Fee (as approved by the PSCU NEC) from my salary as membership fee, starting from the STOP-ORDER COMMENCEMENT DATE, and thereafter to continue such monthly deductions until my 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 OD NON-PUBLIC SERVANTS) WRITTEN NOTICE TO MY EMPLOYER AND THE PSCU. I understand that membership fees are due to and collectable by the PSCU while I am a member of the PSCU.

BANK DEBIT-ORDER : I, the undersigned, hereby apply for membership of the PSCU (Public Service and Commercial Union of South Africa, requesting and authorising you at the same time to deduct from my account at the above bank the applicable PSCU Membership Fee (as approved by the PSCU NEC), which covers my membership fee to the PSCU, starting from the DEBIT-ORDER COMMENCEMENT DATE and continue deducting said amount monthly on the ...." day of each month thereafter until further my written notice.