SESA Reporting Tool :: Membership Application

Prefix

First Name

Preferred Name

Last Name

Email Address

Phone Number (optional)

Address Line 1

Address Line 2

Suburb

State

Postcode

Country

Gender

Date of Birth

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NSW SES Membership Number

Member Type

NSW SES Unit(s)

For State Headquarters, please select the relevant directorate - you can see all directorates via entering State Headquarters.

Year Joined NSW SES

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Thank You for Applying!