FULL NAME (Mr./Mrs./Miss/Dr.)
INSTITUTION
ADDRESS
PARISH
TRN
TEACHER’S No. /EMPLOYMENT No.
HOME ADDRESS
MOBILE#
EMAIL
QUALIFICATION
SCALE
MINISTRY OF EDUCATIONBURSAREARLY CHILDHOOD COMMISSIONHEART Trust/NTA
Please cause the amount equivalent to one percent (1%) of my gross salary or such sums as may be approved by conference from time to time to be deducted monthly for payment to the Jamaica Teachers ’Association in respect of Membership Fee. This authority will remain in force unless cancelled by the joint signatures of myself and the Secretary General of the Jamaica Teachers’ Association.
Signature of Applicant
Date
Recruiter: Institution: Contact #:
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