Monthly Dues Checkoff Authorization Form
As per the agreement between Kindai Educational Corporation and the General Union, I consent to the employer deducting my General Union union dues from my salary every monthly payday.
Full Name
Date of Birth
Please select your university faculty, college, or school. If you work in more than one faculty, college, or school, please select the one you consider to be primary.
University: —Please choose an option—Faculty of InformaticsFaculty of LawFaculty of EconomicsFaculty of Business AdministrationFaculty of Science and EngineeringFaculty of ArchitectureFaculty of PharmacyFaculty of Literature, Arts and Cultural StudiesFaculty of Applied SociologyFaculty of International StudiesFaculty of AgricultureFaculty of MedicineFaculty of Biology-Oriented Science and TechnologyFaculty of EngineeringFaculty of Humanity-Oriented Science and EngineeringDepartment of Teacher Education
Graduate School: —Please choose an option—Transdisciplinary Graduate School of Social Innovation and EntrepreneurshipGraduate School of LawGraduate School of CommerceGraduate School of EconomicsGraduate School of Science and EngineeringGraduate School of PharmacyGraduate School of Interdisciplinary Human StudiesGraduate School of AgricultureGraduate School of Medical SciencesGraduate School of Biology-Oriented Science and TechnologyGraduate School of Systems EngineeringGraduate School of Humanity-Oriented Science and Engineering
College: —Please choose an option—Junior College DivisionKindai University Kyushu Junior CollegeKindai University Technical CollegeKindai University Junior College School of Nursing
School: —Please choose an option—Kindai University Junior and Senior High SchoolKindai University Shingu Junior and Senior High SchoolKindai University Toyooka Junior and Senior High SchoolKindai University Fukuoka High SchoolKindai University Fukuyama Junior and Senior High SchoolKindai University Wakayama Junior and Senior High SchoolKindai University Higashi-Hiroshima Junior and Senior High SchoolKindai University Elementary SchoolKindai University KindergartenKindai University Kyushu Kindergarten
If your university faculty, college, or school is not listed above, please write it here. If you are not sure what your primary faculty, college, or school is, please write "UNKNOWN" in the field, and we will contact you directly.
Employee Number
By selecting the checkbox and providing your name below, you are consenting and agreeing to the terms of the dues checkoff.
I consent
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