Fair Work (Registered Organisations) Regulations 2009
Form 7—Certificate of conscientious objeForm 7—Certificate of conscientious objection to membership of association
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Form 7—Certificate of conscientious objection to membership of association
(subregulation 128(2))
Fair Work (Registered Organisations) Act 2009, subsection 180(1)
CERTIFICATE OF CONSCIENTIOUS OBJECTION TO MEMBERSHIP OF ASSOCIATION
I, , *the/*a General Manager or delegate to the General Manager, under subsection 180(1) of the Fair Work (Registered Organisations) Act 2009, certify that:
(a) on application made by (name of applicant) of (address of applicant), I am satisfied that *his/*her conscientious beliefs do not allow *him/*her to be a member of an association of a kind described in paragraph *18(1)(a)/ *18(1)(b)/ *18(1)(c) of the Act; and
(b) (name of applicant) has paid the prescribed fee.
This certificate, unless sooner revoked, remains in force for a period of from the date of this certificate.
Dated 20 .
..............................................
* General Manager or delegate
to the General Manager
*Omit if inapplicable.