VIETNAM VETERANS ASSOCIATION OF AUSTRALIA
NEW SOUTH WALES BRANCH INC

This application must be accompanied by the payment of the $20.00 subscription to
BSB 062-591, Bank Account 10074281 with your initials and family name in the remarks.

When completed this form will be forwarded to the State Secretary who will match your details to the subscription payment and forward to the appropriate Sub-Branch Secretary who will then contact you.

The Sub-Branch Secretary should require you to provide evidence of service or status.

Membership Info


Veteran Name




Residential Address



[ If Partner or Child, enter your details as Next of Kin and the Veteran's Name and Service information in the spaces provided ]

Postal Address (if different)


Phone & eMail



NOK Name


NOK Address (if different)


Service Information

Enlistment



War Service 1




War Service 2




Optional Information