Societies Affiliation / Re-Affiliation Form

You will need to have prepared electronic copies of the following to complete this form

and

2. Office Bearers
President
First Last
Phone
Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Vice-President
First Last
Phone
Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Secretary
First Last
Phone
Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Treasurer
First Last

Treasurer is 1st delegate, unless otherwise indicated.
Phone
Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Societies Council 1st Delegate
First Last

Complete only if Treasurer is not 1st delegate
Phone
Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Societies Council, Alternative Delegate
First Last
Phone
Email
Address
Street Address City State / Province / Region ZIP / Postal Code Country

3. Bank Accounts
First Account*
Name of Bank*
*
BSB Account Number Account type
4. Society Audit History
(re-affiliations only)
Did you pass last year's Audit?
- Yes
- No
5. Treasurers Statement
I, the Treasurer of this society, acknowledge that pursuant to Societies Council Policy, the Societies Council Executive has a right to close this Society's account in keeping with Societies Council policy.
Name
First Last
6. Membership Information
Please attach to this form a current, up-to-date membership list for your society. Note: We recommend that you charge a minimum of $5 for Full members and an additional $5 for Associate members.
File
Drop files here or

Accepted file types: pdf, jpg, xls.
Current year UTAS Student subscription fee
Current year Associate Member subscription fee
Number of UTAS Student Members
Previous Year This Year (expected)
Number of Associate Members
Previous Year This Year (expected)

7. Other Information
Incorporation: Is your society incorporated*
- Yes
- No
Date of incorporation (if applicable)
Date Format: DD slash MM slash YYYY
Affiliations: Please list your society's affiliations with other societies, student bodies, organisations, associations, etc
Annual General Meeting: In what month is your AGM normally held?
Please upload a copy of the last AGM minutes for your society.
Drop files here or

Accepted file types: pdf, doc, jpg.
Society Constitution: Upload your constitution*
- Yes
- No
*NEW SOCIETIES - All societies that apply for new affiliation must ensure a copy of their constitution is lodged with the Sports & Societies office. All reaffiliating societies who have not changed their constitution do not need to resubmit their constitution.
Society Constitution
Drop files here or

Accepted file types: pdf, doc, jpg.
NEW SOCIETIES - All societies that apply for new affiliation must ensure a copy of their constitution is lodged with the Sports & Societies office. CONTINUING SOCIETIES - You are only required to resubmit your constitution if you have passed amendments in the last 12 months.

First declaration
We have read the above completed form and declaring that, to the best of our knowledge, the information supplied within is true and accurate, hereby apply the above named society be affiliated with the Tasmania University Union Inc. Societies Council for the academic year 2014
President*
First Last
Vice President*
First Last
Secretary*
First Last
Treasurer*
First Last
Council Delegate
First Last
Alternative Delegate
First Last
Second declaration
We authorise the Tasmania University Union Inc. (TUU) to disclose the enclosed telephone and email addresses to other TUU departments / UTAS departments / clubs / societies / students / general public.
President
First Last
Vice-President
First Last
Name
First Last
Secretary
First Last
Treasurer
First Last
Council Delegate
First Last
Alternate Delegate
First Last

BSB	Account Number	Account type

1. Basic Information