Home
Member Information
News
- - Back
  - Press and Media Information
Events
Contact PNA
- - Back
  - Submit a Support Ticket

PSYCHIATRIC NURSES ASSOCIATION of Ireland

Join The PNA

Please complete the online form below...

PNA Registration Form

First Name(*)

Invalid Input

Surname(*)

Invalid Input

Gender

FemaleMaleRather Not Say Invalid Input

Address(*)

Invalid Input

Email Address(*)

Invalid Input

Mobile Number(*)

Invalid Input

Date of Birth(*)

/ / Invalid Input

Student Membership (MUST SELECT)(*)

YESNO

Invalid Input

Previous or Current Union (If you are currently or have in the past twelve (12) months been a Member of another Union, please state which Union)

Invalid Input

Do you wish to stop your current union fees and join the PNA?

YESNONOT APPLICABLE Invalid Input

Grade(*)

Invalid Input

Qualifications

RPNRGNOther Invalid Input

Current Practice Address(*)

Invalid Input

Local Branch

Invalid Input

Are you a member of another Union’s Salary Protection Scheme?

YESNO Invalid Input

Payroll Officer (HSE Location)(*)

Invalid Input

Deduction Preference (SALARY DEDUCTION MUST EQUATE WITH YOUR SALARY PAYMENT PERIOD)(*)

Fortnightly €11Calendar Month €23.86Yearly €15 Associate Membership (Retired Nurses Only)

Invalid Input

NMBI Pin Number(*)

Invalid Input

Payroll Reference Number(*)

Invalid Input

HSE Authorisation(*)

YESNO

Invalid Input

By ticking the "Yes" box you are authorising PNA Head Office to forward your details to the relevant HSE Salary Department on your behalf. If no, please let us know why in Other Info below.

Tick YES for PNA Plus discounts worth €710
Please note: Discounts are provided by Cornmarket who will contact you about PNA Plus. (*)

YESNO

Invalid Input

Other Information

Invalid Input

Your Consent

The PNA Data Privacy Notice is available online here and by request from any member of staff or throughout the volunteer network. It is essential that you familiarise yourself with this policy as it details all aspects of how your data will be used by the PNA

(*)

Yes - By ticking this box I am consenting to PNA forwarding my personal data, as per this form, to the relevant HSE Area, Employing Authority for processing union subscription, PNA Branch/Officer Board for general clearance purposes and any representation purposes which may arise and Cornmarket in the case of PNA Plus.No - By ticking this box I DO NOT consent to PNA forwarding my personal data, as per this form, to the relevant HSE Area, Employing Authority for processing union subscription, PNA Branch/Officer Board for general clearance purposes and any representation purposes which may arise and Cornmarket in the case of PNA Plus.

Invalid Input

Please select your consent or decline consent for each element. If no consent is given, we cannot complete your online application, please contact us at Head Office.

Security (This is NOT case sensitive)(*)

Refresh Invalid Input

Upcoming events

There are no up-coming events

MEMBER INFORMATION

COVID 19 Information
About the PNA
Extra Member Benefits
Pay & Pensions
Professional Development
RCSI / PNA CPD
Join the PNA
Update Your PNA Info
PNA Student Registration
Student Nursing

PNA SUPPORT & INFO

The PNA Office Team & Officer Board
045 852300
Send us an email
Latest News
Press & Media
Rights & Entitlements
Submit a Support Ticket

Site by NetStretch Internet Services