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Professional information

Staff number*

Last Name*

First Name*

Date of birth*

Sex*

Nationality*

Other nationality*

Institution*

Office address - European Commission Brussels*

Office address - Eurocontrol*

Office address - Council of the EU (GSC)*

Office address - Agencies Brussels (AGEN)*

DG/Service*

Acronym of the agency*

Office address - Agencies out of Brussels (AGEN)*

Street/Avenue City Postal code Country

Office address - European External Action Service*

Office address*

City Country

European School (workplace)*

Recruitment date*

DG/Service*

Recruitment date*

Professional phone (ex: 7280, 55822…)**

Professional Email*

Mother tongue*

2nd language*

Statutory position*

I am*

Statutory position*

Duration of the contract*

Contract end date

Open-ended contract.

Contract end date*

Group*

Please indicate your monthly gross salary and we will send you by e-mail the amount of your quarterly membership fee

Gross monthly salary*

Grade Official*

Grade Contract agents*

Group of function*

Working regime*

Percentage from 0 to 100%*

Your membership fee

Please indicate your monthly gross salary and we will send you by e-mail the amount of your quarterly membership fee

Membership fee Local Agent

You are a local agent, the amount of your contribution is only 1X

Price:

ALL INSTITUTIONS

Here is a provisional estimate of the amount of your quarterly membership fee.
After validation by our services,
you will receive a confirmation by email of the actual amount.

Price:

EUROCONTROL

Here is a provisional estimate of the amount of your quarterly membership fee.
After validation by our services,
you will receive a confirmation by email of the actual amount.

Price:

ALL INSTITUTIONS pensionnees

Here is a provisional estimate of the amount of your quarterly membership fee.
After validation by our services,
you will receive a confirmation by email of the actual amount.

Price:

EUROCONTROL pensionnees

Here is a provisional estimate of the amount of your quarterly membership fee.
After validation by our services,
you will receive a confirmation by email of the actual amount.

Price:

I choose to pay my quarterly membership fee via:

Direct debit (highly recommended)

Bank transfer

Standing order

UNION SYNDICALE - SERVICE PUBLIC EUROPEEN - BRUXELLES AVENUE DES GAULOIS, 36 – B-1040 BRUXELLES - TEL. 02/733.98.00 - FAX. 02/733.05.33

SEPA EUROPEAN DIRECT DEBIT MANDATE - Core scheme

For a recurring and/or one-off payment

By signing this mandate form, you authorise (A) Union Syndicale to instruct your bank to debit your account, and (B) your bank to debit your account in accordance with Union Syndicale’s instructions. You have the right to request a refund from your bank according to the conditions specified in your agreement with it. All refund requests must be submitted within 8 weeks of the date on which your account was debited.

Debtor

Last name*

First Name*

Adress :*

Street + number Box City Postal code Country

Account Number (IBAN) :*

BIC Code:*

Date :*

Signature of the account holder :*

Private information

Adress*

Street City Postal code Country

Mobile phone

Private fixed telephone

Private email*

By clicking on the "send" button, I validate my registration and authorize Usf to use my data as part of my registration and for internal use only. See our privacy policy.

Join
Union Syndicale

Professional information

Your membership fee

SEPA EUROPEAN DIRECT DEBIT MANDATE - Core scheme

Debtor

Private information

About us

Publications

Services

Actions

Become a member

Join Union Syndicale

Professional information

Your membership fee

SEPA EUROPEAN DIRECT DEBIT MANDATE - Core scheme

Debtor

Private information

About us

Publications

Services

Actions

Become a member

Join
Union Syndicale