Form 7—Certificate of conscientious objeForm 7—Certificate of conscientious objection to membership of association

## 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.