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NAMIBIA NATIONAL TEACHERS UNION NANTU Membership Application Form NANTU Head Office P. O. Box 61009 Katutura Windhoek NAMIBIA Tel 264 61 262 247 / 215 434 Fax 264 61 261 926 Mungunda Street 8506 Katutura Outcome For Office Use Only Accepted Rejected Reason s Surname. I agree to inform NANTU officially of my cancellation of Membership by providing a letter and my latest payslip attached. NANTU will not be held responsible to repay any deductions made after cancellation if not informed. Applicants Signature Witness Signature Date Thank You For Your Time To Complete This Form.. Name s. Title. Mark with a cross x Mr. Ms. Dr. Prof* Teacher Occupation* HOD Principal Education Officer Inspector Lecturer Doctor Professor Other Pay Point No* Employee Code. ID Number. School / Institution* Postal Address. Work Residential Address. Telephone No* Home Mobile No* Erongo Hardap Kavango East NANTU Region* Karas Kunene Khomas Ohangwena Omaheke Omusati Oshana Oshikoto Otjozondjupa Zambezi Full Associate NANTU Branch. Membership Type. PLEASE TURN OVER Welcome To The Union Of Professionals Membership Fee per month is N 100-00 until such time the National Congress NC or National Teachers Council NTC in consultation with Regional Structures will be amending it considering economic factors. Name s. Title. Mark with a cross x Mr. Ms. Dr. Prof* Teacher Occupation* HOD Principal Education Officer Inspector Lecturer Doctor Professor Other Pay Point No* Employee Code. ID Number. School / Institution* Postal Address. Work Residential Address. Telephone No* Home Mobile No* Erongo Hardap Kavango East NANTU Region* Karas Kunene Khomas Ohangwena Omaheke Omusati Oshana Oshikoto Otjozondjupa Zambezi Full Associate NANTU Branch. ID Number. School / Institution* Postal Address. Work Residential Address. Telephone No* Home Mobile No* Erongo Hardap Kavango East NANTU Region* Karas Kunene Khomas Ohangwena Omaheke Omusati Oshana Oshikoto Otjozondjupa Zambezi Full Associate NANTU Branch. Membership Type. PLEASE TURN OVER Welcome To The Union Of Professionals Membership Fee per month is N 100-00 until such time the National Congress NC or National Teachers Council NTC in consultation with Regional Structures will be amending it considering economic factors. Name s. Title. Mark with a cross x Mr. Ms. Dr. Prof* Teacher Occupation* HOD Principal Education Officer Inspector Lecturer Doctor Professor Other Pay Point No* Employee Code. ID Number. School / Institution* Postal Address. Work Residential Address. Telephone No* Home Mobile No* Erongo Hardap Kavango East NANTU Region* Karas Kunene Khomas Ohangwena Omaheke Omusati Oshana Oshikoto Otjozondjupa Zambezi Full Associate NANTU Branch. Membership Type. PLEASE TURN OVER Welcome To The Union Of Professionals Membership Fee per month is N 100-00 until such time the National Congress NC or National Teachers Council NTC in consultation with Regional Structures will be amending it considering economic factors.

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