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Application for Membership
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Name
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    Personal Details
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    ID Number
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    Date of Birth
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    Gender
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    Home Address
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    Country/Region
    Country/RegionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe
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    ECSA Registration Status and Number
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    Tertiary Education
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    Name of Tertiary Institution
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    Duration
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    Qualifications Attained
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    Student Number (if applicable)
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    Asphalt-Related Training Courses Attended
    Please list the NAME/TYPE of Courses you have attended as well as their DURATION & DATE:
    Asphalt-Related Courses Attended
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    Current Employer Details
    Name of Current Employer
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    Position Held
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    VAT Number of Employer
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    Postal Address of Company
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    Website (URL)
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    Experience in the Asphalt Industry
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    More about me (optional)
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    Membership Application Terms & Conditions

    1. The approval process may take up to two weeks. Once complete, a welcome letter, together with an invoice will be e-mailed to you.
    2. Please note that membership is for individuals, and not companies, and you are personally responsible for ensuring that payment is made.
    3. If your company is paying the membership fee on your behalf, please include the VAT number and request them to use your invoice number or your account code as a reference on the bank statement so that your payment can be credited correctly.
    4. Your membership will only be validated and finalised if payment is made within 30 days from the date of invoice.
    5. Annual membership subscription invoices issued for ensuing years must be paid within 30 days in order to retain your membership status. In the event that payment is not received within 30 days, the membership will automatically be cancelled.
    6. You are entitled to claim one CPD point per year by virtue of your membership, but only when your membership has been approved, and your annual membership subscription fee is paid.

    Thank you for your details. Upon approval of your membership application an invoice with our EFT banking details will be sent to you via email.


    Please allow 2 weeks for your application to be processed. Please direct any queries with regards to your application to Hazel: accounts@socsat.co.za or call +27 021 531 2718.

    How you want to pay?
    Your currently selected plan: , Plan Amount :
    Final Amount you will be invoiced for: + once-off joining fee of R185 if applicable (Members & Associate Members)
    Send Application

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