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POST EMPLOYMENT RETIREMENT SYSTEM ENROLLMENT/MEDICAL INFORMATION PART A ENROLLMENT INFORMATION Please print. All information is to be filled in by the applicant Name Social Security # Home Address

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How to fill out new member enrollment form

01

Start by entering your personal information such as your full name, address, contact number, and email address.

02

Provide your date of birth and social security number.

03

Indicate if you have any medical conditions or allergies that need to be considered.

04

Fill in your emergency contact details, including their name, relationship to you, and contact number.

05

Choose your membership plan and specify any additional services or benefits you would like to opt for.

06

Review the terms and conditions, privacy policy, and any other relevant agreements before agreeing and signing the form.

07

Double-check all the information you have provided and make sure it is accurate.

08

Submit the completed form to the designated person or department.

Who needs new member enrollment form?

01

Anyone who wants to become a member of an organization, club, gym, healthcare facility, or any other institution that requires enrollment.

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What is new member enrollment form?

The new member enrollment form is a document used to collect information from individuals who are joining a certain organization or group.

Who is required to file new member enrollment form?

Any individual who is joining the organization or group is required to fill out and submit the new member enrollment form.

How to fill out new member enrollment form?

The new member enrollment form can typically be filled out either online or on paper, and will require the individual to provide personal information such as their name, contact information, and any relevant membership details.

What is the purpose of new member enrollment form?

The purpose of the new member enrollment form is to gather necessary information from new members in order to officially join the organization or group.

What information must be reported on new member enrollment form?

Information that may be required on the new member enrollment form includes personal details, contact information, membership preferences, and any other relevant information.

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