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Admission Form
Collection Agreement for Subscriptions
Union number 019
Obligatory information

The employer shall withhold membership subscriptions from the employee's gross wages subject to tax, as separately notified in writing by the union or the union branch. The withholding arrangement shall be notified as a single percentage or fixed sum for each calendar year that may not be changed during the said year. The employer shall not be liable for any error arising in notification by the employee, the union or the union branch.

After the employer has signed this agreement it shall remain in force for an indefinite period beginning from the next full subscription collection period. It shall continue in force while the employer remains a member of the employers' federation, until an agreement is made between the employee and employer organisations to discontinue collection of

Personal information

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Identity number:
Family name:
First name:
Usual name:
Street address:
Postal code:
Postal district:
Mobil phone (in the form +35840000):
E-mail:
Language for postal material:
Nationality:
Mother tongue:
Membership

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Date of entry into local branch, union and unemployment fund
Earliest this date or the start date of employment, if in the future.
Local branch: (PAM fills this in if necessary)
Membership in previous trade union/unemployment fund:
Previous trade union/unemployment fund:
Employment
When you join the union, you should be earning wages from your work. You cannot join PAM if you are exempted from membership fees, see instructions.

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Occupation title (not your degree):
Official name of company:
Enterprise identity code:
Name of employer:
Street address:
Postal code:
Postal districct
Start date of employment:
I own or my family members living in the same household own partly or in total the company I work for.

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Share of ownership: %
Start date of studies:
End date of studies:
Collection of subscription fees

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Membership was recommended by
Membership number/birth date of recruiter and name:
Authorisation
By filling in this form, you authorise the union to collect the union and fund subscription fees, during your membership, from the unemployment allowance or any other taxable benefits paid to you by the unemployment fund.
Sending the form
Date 21.10.2017
Print your own copy of the form before sending.
A copy of this form is also sent to the given e-mail address.