Individual Member

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Membership Application & Declaration

First Name

Surname

CATEGORY OF INDIVIDUAL MEMBERSHIP APPLIED FOR: (choose ONE)

Professional

Associate

The applicant has a sound foundation, in terms of education, training and experience, on site and in the design office.
Professional registration with ECSA/other statutory councils for at least seven years.
At least five years of work experience specifically related to steelwork.

For any person who does not qualify for Professional Membership, but wants to be associated SAISC

I hereby apply for membership of the Southern African Institute of Steel Construction and declare as follows:*

1. I subscribe to the Mission and Objectives of the Institute.
2. I subscribe to the Code of Ethics of the Institute.
3. I understand and accept that the management of the Institute is empowered to accept or reject my application, or to cancel my membership should I either be judged to be in contravention of the code of ethics or fail to pay our membership subscriptions.
4. The enclosed application form has been accurately completed and no information which might affect my application has been withheld.

I Accept

Information Supporting Individual Membership Application

Title

First Name

Surname

First name by which you prefer to be called*

Identification Number*

Profession*

Contact Information

Employers Information

First Name

Surname

Main Business of Employer

Postal Address*

Postal Code*

Physical Address*

Area Code*

Work Tel No.*

Mobile No.*

Email Address*

Qualifications

List all degrees and diplomas, with institution and date of award

Qualifications

Institution

Year Completed

Number of years of experience in the profession listed above

Professional Registration

Registration Number

Registering Body

List five of the projects you have been involved with during the last 5 years

1st Project

Project

Date Completed

Value (R)

Involvement (Position, Role)

2nd Project

Project

Date Completed

Value (R)

Involvement (Position, Role)

3rd Project

Project

Date Completed

Value (R)

Involvement (Position, Role)

4th Project

Project

Date Completed

Value (R)

Involvement (Position, Role)

5th Project

Project

Date Completed

Value (R)

Involvement (Position, Role)

References

The SAISC is free to phone the following individuals, who know the applicant, to obtain references in terms of character and capability

1st Reference

First Name

Surname

Tel

Position

Company

2nd Reference

First Name

Surname

Tel

Position

Company

3rd Reference

First Name

Surname

Tel

Position

Company

4th Reference

First Name

Surname

Tel

Position

Company

I hereby declare that I am proficient in the profession listed under 1. Information Supporting Individual Membership Application above, within the field of steel structures.*

I Accept

Are you a qualified, independent member of the SAISC?*

Yes

Endorsement by a suitably qualified, independent person who is a member of the SAISC

I hereby declare:*

• I am familiar with the applicant, and am of the opinion that I can express a judgement about his/her proficiency in the area of steel construction.
• In my opinion the applicant is a reputable person, and is satisfactorily proficient to practice his/her profession in the area of steel construction marked under 1. Information Supporting Individual Membership Application.

I Accept

First Name

Surname

Tel*

Cell*

This field should be left blank

Individual Member

Information Supporting Individual Membership Application

Contact Information

Qualifications

List all degrees and diplomas, with institution and date of award

List five of the projects you have been involved with during the last 5 years

References

Endorsement by a suitably qualified, independent person who is a member of the SAISC

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