APPLICATION FOR STUDENT MEMBERSHIP

*Compulsory fields.

SECTION 1 - PERSONAL INFORMATION
Please complete in full

*Title: *Last Name:
*First Name: Middle Name:
*Postal Address:
*City:
*Province:
*Postal Code:
*Date of Birth: ID Number:
*Cell: Tel. (w):
*E-Mail: *Verify E-Mail:
SACNASP Reg. No.:
(if applicable)		    

SECTION 2 - POST GRAD EDUCATION (if applicable)

University:
University Qualifications:
Highest Qualifications:
To be considered for the Free Student or Post Grad membership, an applicant must please submit Proof of Registration from the University with this application.
CLICK HERE TO EMAIL US YOUR PROOF OF REGISTRATION

I have emailed my proof of registration

SECTION 3 - STUDENT INFORMATION (Full-time students only)
Applications must be submitted with a University proof of registration.

University: Year of Study:
Field of study: Student number:
Length of course:    
To be able to keep your FREE Student Membership - Students MUST submit proof of registration every year by February to be able to keep Student /Post Grad Membership.
IF NOT STUDENT MEMBERSHIP WILL BE AUTOMATICALLY UPGRADED TO FULL MEMBERSHIP AND BILLED FOR IT

SECTION 4 – ACCOUNT PAYMENT
(Please complete who will be responsible for the payment of the account)

Please select: Individual / Individual
Company Name:
Account Contact Person:
Postal Address:
City:
Province:
Postal Code:
Contact Number:
Email Address:
VAT Number (if applicable):

SECTION 5 - SOCIAL MEDIA
(Please confirm if you have any of the following Social Media platforms by ticking the boxes below)

Facebook:
Facebook Name:
Twitter:
Twitter Address:
LinkedIn:
LinkedIn Name:

I agree to abide by the Association’s Professional Code of Conduct (available from the Secretariat or at https://www.saafost.org.za/about/code-of-conduct/)

Type this number into the box alongside: