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SIU Membership Application



    Please use capital letters and ensure that you provide all the required information. You must check the information before submitting it.

    Incorrect completion of this form may lead to your membership application being delayed.


    Title (required)

    First Name (required)

    Middle Name(s)

    Surname (required)

    Select your gender (required)

    Date of Birth, DD/MM/YYYY format only. (required)

    Occupation (required)

    Employer (required)

    Contact Number - Mobile (required)

    Contact Number - Home

    e-mail (required)

    Please Type your e-mail again (required)

    Address Line1 (required)

    Address Line2

    Town/City (required)

    Please select your County (required)

    Please select your Country (required)

    Postcode - Please provide this in correct format i.e. E8 5UB, NN10 1AB (required)

    Please select the membership you are applying for (required)

    Please select the payment method for your membership (required)

    Are you the payment account holder? (required)

    Has the account holder fully authorised you to make and set up the payments? (required)

    Where did you hear about us?

    Have you held SIU membership in the past?
    Yes, I held SIU membership in the past.No, I am a new member.

    Do you have an existing workplace issue?
    No, I don't have an existing workplace issue.Yes, I have a workplace issue.

    If you have been referred by an existing member, please enter his/her full name.

    Your feedback for SIU

    Would you like introduce SIU to your work colleagues? If yes, please enter the number of introduction cards you would like to receive:

    Would you like SIU WORKPLACE POSTER? If yes, please enter the number of posters you would like to receive:

    1) When you submit this form, you will receive a confirmation email from us. Sometimes, depending on your email provider, our email may get caught by spam filters. If you cannot see our email in the inbox, check the spam/junk mail. Please ensure to add domain as a safe sender, so you can receive our email without any problem in the future.

    2) Press ''Send my application'' button only once and allow up to 30 seconds for confirmation of acceptance of your application to appear on your screen. You will also receive an automated email as a receipt for your application.

    3) ''Submit my application'' button shall only be activated if you accept the Disclaimers and Terms & Conditions by ticking the individual boxes below:

    I certify that, all information provided in my application is true and correct to the best of my knowledge.

    I understand and accept that I will be charged on a recurring basis as per my selected membership subscription until I cancel in writing.

    I understand and accept that SIU member benefits are discretionary and that the SIU has right to amend, remove or add new benefits, and I will only be eligible for member benefits under my selected membership category subject to SIU's approval on each request.

    I understand and accept that I am responsible for SIU membership subscription fees and in an event of missed subscription fee beyond 7 days or cancellation, I shall be subjected to a new qualifying period for SIU benefits upon setting up new membership.

    I understand and accept that any existing issues or issues that may arise in the future which are originated from a period when I did not have valid SIU membership shall not be covered under SIU's discretionary benefit scheme.

    I understand that my personalised membership card will be delivered to my address within 28 days and in the interim I can access to SIU member benefits as normal. I have viewed SIU Member Benefits Access Guide.

    I understand that for non-urgent enquires I should call Freephone 0800 059 9941 or e-mail at, or call 07960 219439 for urgent assistance, or 07623 984335 for emergency assistance and leave a brief description to the operator.

    I have read and accepted SIU Terms & Conditions and Privacy Policy and Member Conduct.

    I consent Security Industry Union Ltd. (the data processor) to process my personal data in line with the General Data Protection Regulations.

    I have verified this content before electronically signing below.

    SIGNATURE: Sign by your name (required).