Rheumatologists and Trainees > Membership Application Form

Membership applications are submitted initially to the ARA Secretariat, after which they are forwarded to the relevant State Honorary Secretary for consideration at Branch level. Applications approved at State Branch level will be tabled at annual Federal Council and Annual General Meetings for ratification. Payment is not required at the time of application.

Nominator and seconder must be Full (Ordinary) Members of the ARA. Please note: Associate/Non-medical/Retired Members cannot nominate or second an application.

Surname
Given Name
Title
Postal Address
Telephone
Facsimile
E-mail
Present Employment/Positions
Are You An Advanced Trainee?
FRACP (Rheumatology)
	If 'Yes' year obtained
	If FRACP was awarded in another speciality please indicate below
Type Of Membership Proposed
Proposed By
Seconded By

THE PRIVACY AMENDMENT (PRIVATE SECTOR) ACT 2001

The ARA complies with new national privacy legislation, The Privacy Amendment (Private Sector) Act 2001 effective 21 December 2001. All personal information, as defined by the privacy legislation, supplied to the ARA will be treated in accordance with the National Privacy Principles.

By completing and submitting this application form you give consent to the ARA to supply personal information as necessary to process your application to join the ARA. The information on this application form is necessary in order to process your application and failure to provide the information requested will result in the application not being processed.

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The ARA

Australian Rheumatology Association
145 Macquarie Street
SYDNEY NSW 2000
Tel: 02 9256 5458
Fax: 02 9252 3310/9256 9692
email: robynm@racp.edu.au