Public and Commercial Services Union

Please fill in as much of the form below as possible and write clearly as small errors in such things as email addresses can invalidate the process.

In particular, please provide details of your equality and learning reps for the group directory.

Branch representative’s notification form

To: MOD group, PCS HQ, 160 Falcon Road, London SW11 2LN

• From (Branch Name):
• Branch Code: 014
• Post:
• Title
• Membership No/Nat Ins No
• First Name:
• Surname:
• Address (not home unless essential):
• Postcode:
• BT Tel No:
• MOD Exchange Name & Code:
• MOD Ext:
• Internal Email:
• External Email: