Register | Public Service Union of Belize

Public Service Union of Belize Membership Application & Paysheet Deduction Authorization

Appication to be a member of the Public Service Union is hereby made:

Section 1: Personal Information

Name(Required)

First Middle Initials Surname

Date of Birth(Required)

Age

Marital Status

Gender

Male

Female

Number of Dependents

Nationality

Belizean

Other

Social Security No.

Section 2: Address Details

Address

Street Address City/Town/Village District

Home Phone

Mobile Phone

Section 3: Employment Details

Employer/Department

Position

PSU Branch

Office Phone #

Office Fax

Union Dues for Employment Status

Union Dues breakdown visible below form

Accountant General(Required)

I hereby authorize monthly deduction from my salary. The sum of $15.00/$20.00 representing union dues subscription, the sum so deducted, should be remitted to the Public Service Union of Belize, Hilltop, P.O. Box 458, Belmopan City.

New Member

Yes

Dues Increase

Yes

CAPTCHA

Union Dues Breakdown

$15.00	$20.00
$1 Death Fund	$2 Death Fund
$2 Education Fund	$2 Education Fund
$1 Strike Fund	$2 Strike Fund
$1 Housing Fund	$2 Housing Fund
	$2 Admin Support