Home membership form
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membership application

Membership Form

membership form

1. Personal Information

Last Name
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First Name
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Date of Birth
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Name of Spouse/Partner
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Street
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City
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Postal Code
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Country
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Email
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Phone
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Pension Type
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Mobile Phone
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2. ESA History

2a. Former Staff

ESA Duty Station(s)
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Last Grade/Step
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Staff Number
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Date of Joining ESA
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Date of Retirement
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2b. Survivors (dependants of former staff)

Name of Former Staff
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His/Her Staff Number
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3. Social Security (Health Insurance)

Social Security Type
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4. ARES Membership Contributions


The initial year’s membership is free of charge.
At the end of the first year I can decide whether to remain a member thereafter, simply by confirming to ARES in writing (letter or e-mail) that I wish to continue.

ESA Pensioner: By confirming continuation of my ARES membership, I agree that my membership dues, amounting to 0.08% of my pension (excluding any allowance), be deducted monthly from my pension by ESA. This authorisation may be terminated at three months’ written notice.

Ex-Provident Fund Member: By confirming continuation of my ARES membership, I agree to pay my contributions at the rate of 0.08% of 70% of the current BMP for my last grade and step. Contributions are due annually at the beginning of the calendar year. My membership will commence once the first contribution has been received in the ARES bank account below. This authorisation may be terminated at three months’ written notice.

ARES, BBBank,
Herren Strasse 2-10
D-76133 Karlsruhe, Germany.
BIC-Code: GENODE61BBB;
IBAN-Code: DE17 6609 0800 0006 0795 04

By submitting/signing this form, I agree to the terms and conditions of payment as described above.

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