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Annual General Meeting 2026: Branch Return

Details

1. This form should be completed immediately after your Branch AGM;
2. Enter Branch Number below. When completing this form, please only use your NIPSA correspondence address;
3. Parts 1 and 2 must be completed by all Branches with Parts 3, 4 being completed where appropriate;
4. Sign and date (digitally) the declaration on the last page and click submit.

The completed form will be forwarded to the Executive Officer, NIPSA Membership, by clicking submit below the declaration.

The form must be submitted by Thursday 31st December 2026 at 2pm.

Submitted forms are automatically forwarded to This email address is being protected from spambots. You need JavaScript enabled to view it.

 

Annual General Meeting 2026: Branch Return

Closing date: In accordance with Rule 4.10 AGM Returns must be received by 31 December 2026, failure to submit a return will result in your Branch's entitlement to attend NIPSA Conferences being restricted to one delegate.

  1. This form should be completed immediately after your Branch AGM;
  2. Enter Branch Number below. When completing this form, please only use your NIPSA correspondence address;
  3. Parts 1 and 2 must be completed by all Branches with Parts 3, 4 being completed where appropriate;
  4. Where your Branch has elected an officer or representative, please complete all of their details;
  5. The Affiliation to Trades Councils form should be completed by Branches as appropriate;
  6. Sign and date (digitally) the declaration on the last page and return the completed form to the Executive Officer, NIPSA Membership by clicking the button below the declaration.
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Part 1: Election of Branch Officers

Branch secretary

Required field
Enter a telephone number
Select the type of number
Please provide an email address

 

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Branch chairperson

Required field
Enter a telephone number
Select the type of number
Please provide an email address

 

Required field
Required field
Has your Branch elected a Vice Chairperson?(*)
Has your Branch elected a Vice Chairperson?
Please answer Yes or No

Branch vice chairperson

Required field
Enter a telephone number
Select the type of number
Please provide an email address

 

Required field
Required field
Has your Branch elected a Branch Organiser?(*)
Has your Branch elected a Branch Organiser?
Please answer Yes or No

Branch organiser

Enter a name
Enter a telephone number
Select the type of number
Enter a valid email address

 

Enter a membership number
Enter an address
Has your Branch elected an Equality Officer?(*)
Has your Branch elected an Equality Officer?
Please answer Yes or No

Branch equality officer

Enter a name
Enter a telephone number
Select the type of number
Enter a valid email address

 

Enter a membership number
Enter an address
Has your Branch elected a Women's Officer?(*)
Has your Branch elected a Women's Officer?
Please answer Yes or No

Branch women’s officer

Enter a name
Enter a telephone number
Select the type of number
Enter a valid email address

 

Enter a membership number
Enter an address

Part 2: Election of Health and Safety Representatives

Health and safety representative 1

Required field
Enter a telephone number
Select the type of number
Please provide an email address
Required field

 

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Required field
Do you want to add a second Health and Safety Representative?
Do you want to add a second Health and Safety Representative?
Please answer Yes or No

Health and safety representative 2

Enter a name
Enter a telephone number
Select the type of number
Enter a valid email address
Enter the area covered

 

Enter a membership number
Enter an address

Part 3: Election of Branch Union Learning Representatives (ULR)

Has your Branch elected a Union Learning Representative?
Has your Branch elected a Union Learning Representative?
Please answer Yes or No

Union learning representative 1

Enter a name
Enter a telephone number
Select the type of number
Enter a valid email address
Enter the area covered

 

Enter a membership number
Enter an address
Do you want to add a second Union Learning Representative?
Do you want to add a second Union Learning Representative?
Please answer Yes or No

Union learning representative 2

Enter a name
Enter a telephone number
Select the type of number
Enter a valid email address
Enter the area covered

 

Enter a membership number
Enter an address

Part 4: Election of Branch Committee

If a committee member is the mail contact for a location, enter the location in their mail contact field.

Do you want to add a Branch Committee Member?
Do you want to add a Branch Committee Member?
Please answer Yes or No

Committee member 1

Enter a name
Enter a telephone number
Select the type of number

 

Enter a membership number
Enter a valid email address
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Do you want to add another Branch Committee Member?
Do you want to add another Branch Committee Member?
Please answer Yes or No

Committee member 2

Enter a name
Enter a telephone number
Select the type of number
Enter a membership number
Enter a valid email address
Invalid Input
Do you want to add another Branch Committee Member?
Do you want to add another Branch Committee Member?
Please answer Yes or No

Committee member 3

Enter a name
Enter a telephone number
Select the type of number

 

Enter a membership number
Enter a valid email address
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Do you want to add another Branch Committee Member?
Do you want to add another Branch Committee Member?
Please answer Yes or No

Committee member 4

Enter a name
Enter a telephone number
Select the type of number

 

Enter a membership number
Enter a valid email address
Invalid Input
Do you want to add another Branch Committee Member?
Do you want to add another Branch Committee Member?
Please answer Yes or No

Committee member 5

Enter a name
Enter a telephone number
Select the type of number

 

Enter a membership number
Enter a valid email address
Invalid Input
Do you want to add another Branch Committee Member?
Do you want to add another Branch Committee Member?
Please answer Yes or No

Committee member 6

Enter a name
Enter a telephone number
Select the type of number

 

Enter a membership number
Enter a valid email address
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Declaration

This return is submitted following our Branch Annual General Meeting.

I confirm that the persons named were elected to the positions shown in accordance with the rules of the Union.

The Branch will operate in accordance with the NIPSA Data Protection Policy available from the NIPSA website at: https://nipsa.org.uk/privacy-policy

Enter the date of your Annual General Meeting
Do you wish to receive a free NIPSA Diary?(*)
Do you wish to receive a free NIPSA Diary?
Please choose Yes or No
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Enter the date of signing
Tick the box to submit the form