I promise to abide by the Constitution and By-Laws of the PHILIPPINE SEAFARERS UNION-ALU-TUCP-ITF and all rules and regulations which may be promulgated.
I hereby authorize my employer/agent to deduct from my salary/wage and to pay to the PHILIPPINE SEAFARERS UNION-ALU-TUCP-ITF upon its notice such amount as entrance fee, monthly dues and other special assessments as may be established by the UNION and become due to it from me during the effectivity of my active membership with the PHILIPPINE SEAFARERS UNION-ALU-TUCP-ITF.
(Unemancipated, 21 years old and below and not to exceed four)
Important: If you have no more legitimate parents and have no legitimate spouse and legitimate children, indicate the name of your designated beneficiary in the blank provided below:
Upon sending this form, I affirm that the information I entered are true.