Please fill out the website Application Form below, and 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal details in BLOCK CAPITALS. Start with your surname and select your title (Mr, Mrs, Miss, Ms, Mx, or Other).
3. Enter your date of birth and forenames. Then provide your home address and postcode.
4. Indicate your grade/band, job title/occupation, employer, and department. Fill in your work address and its postcode.
5. Select the applicable options regarding your employment status (Full Time, Part Time, Job Share) and previous membership with NIPSA.
6. Sign and date the declaration confirming the accuracy of your information. If opting for direct deduction from salary, complete that section as well.
7. Finally, return the completed form via email or post as instructed at the bottom of the form.

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