ASMOF NSW | Join Us

Applying for membership to ASMOF (NSW) is as simple as filling out this form. Find our current membership rates here. If you have a spouse who is currently a member you can sign up to get a Spouse Discount here. If you are a Medical Officer you can join here .

Title	First Name *	Last Name *
Email Address *	Sex Male Female	Date of Birth *
Home Address *
Suburb *	State *	Postcode *
Country *

Mobile Number *	LHD/Employer *	Hospital/Workplace *
Work Address
Suburb	State	Postcode
Country
Medical Qualifications *	Higher Qualifications	Precise Appointment
Hours of Employment (FTE) *	Principal Classification *	If "Other", please specify [principal classification]
Principal Specialty *	If "Other", please specify [principal specialty]
Sub Specialty	If "Other", please specify [sub-specialty]
Staff Specialist (Rights of Private Practice)	If "Other", please specify [rights of private practice]
* Required Do you have a workplace issue that ASMOF (NSW) should be aware of? * Yes (please attach a short summary with your CV) No
Disclaimer: We encourage non-members to join prior to a workplace issue arising. If you join with a pre-existing issue ASMOF reserves the right to exercise our discretion as to what assistance is provided in relation to that issue, to ensure we distribute Union resources fairly. * I have read and agree to the above disclaimer and agree to abide by the ASMOF Rules
Please attach your CV (250Mb Limit *) Once you submit the form, we will send you an email to request how you want to pay your fees.