Application for Membership


Please complete the application form below, filling at least those boxes marked with *

Please note:

  • We need your email address to give you a password to use the member features of this website
  • We need your email address if you choose to access GSA newsletters online
  • Your annuity number can be found on the letter you receive from Datacom every year
  • Be sure to include your spouse/partner in your application

Privacy Statement

The GSA adheres to the Privacy Act 2020 and its Privacy Principles. The GSA only collects the data that you provide for the purpose of the ongoing management and administration of your membership of the GSA. By providing your GSF/NPF membership number you authorise the Government Superannuation Fund Authority and the Board of Trustees of the National Provident Fund to deduct the GSA subscription at the rate determined by the GSA from your annuity and, where a separate membership has been established  by the survivor annuity, from any survivor annuity and advise the GSA of any change to your address.



My number is: *
My employer is
Honorific: *
Initials: *
First name: *
Last name: *
Date of birth:
Phone: *
Email: *
Newsletter: Would you like to receive the newsletter by post or email? Select your preferred newsletter option.
First name:
Last name:
Date of birth:
Email Newsletter:
Street: *
Town/City: *
NZ Postcode: *
If not New Zealand
I/we apply to become members of the Government Superannuitants Association.

My annual subscription of $32.50 has been:

(I have quoted for reference my GSF or NPF number)

If you have any questions, please email directly to:

website development by intelliServe