MEMBERSHIP APPLICATION

SAIAT MEMBERSHIP APPLICATION FORM

(Valid as from 01 December 2017)
Please note that you will need the following to upload:

1. ID Document

2. SACAP Registration Certificate or Qualification Documents

3. Proof of Payment of application fee (R230.00). Please note that you will be invoiced for the pro-rata membership fee once your application is approved. If you have requested that your membership Certificate be couried to you, this invoice will also include an additional amount (R230.00) to cover the cost. (http://www.saiat.org.za/assets/fees-2018.pdf)
Type of Application: *
If re-application, please provide previous Membership number:
Are you registered with SACAP? *
How are you Employed? *
1. PERSONAL INFORMATION

PLEASE TYPE IN CAPITAL LETTERS
1.1 Surname: *
1.2 Full names: *
1.3 Title: *
1.4 Gender: *
1.5 Etnic Group: *
(For statistical purposes)
1.6 Identity / Passport Number: *
1.7 Upload a copy of your ID Document: *
1.8 Date of Birth *
1.9 Are you Disabled? *
(For statistical purposes)
1.10 P I Insurance Scheme to be included in membership?
NOTE: SAIAT Members enjoy the benefit of R 2 000 000.00 cover per claim through the SAIAT PI Benefit Scheme, retro-active from 01 July 2005.
2. CONTACT DETAILS

PLEASE TYPE IN CAPITAL LETTERS

2.1 Residential Address: *

Street Address
Street Address Line 2
City	Province
Postal Code	Country

2.2 Postal Address: *

Postal Address
Postal Address Line 2
City	Province
Postal Code	Country

2.3 Email Address: *
2.4 Work Telephone Number: *

- Area Code Phone Number
2.5 Home Telephone Number: *

- Area Code Phone Number
2.6 Mobile Telephone Number: *

- Area Code Phone Number
2.7 Fax Number:

- Area Code Phone Number
3. DETAILS: SELF-EMPLOYED

PLEASE TYPE IN CAPITAL LETTERS
3.1 Name of Practice:
3.2 Type of Practice:
3.3 VAT Reg. Number:
(If registered for VAT)
3.4 Year established / Joined:
3.5 Province in which located:
3. DETAILS: EMPLOYED

PLEASE TYPE IN CAPITAL LETTERS
3.1 Name of Practice:
3.2 Type of Practice:
3.3 Year employed:
3.4 Number of years employed:
3.5 Province in which located:
4. SACAP REGISTRATION

PLEASE TYPE IN CAPITAL LETTERS
4.1 SACAP Registration Category:
4.2 SACAP Registration Number:
(As on SACAP Regsitration Certificate)
4.3 Upload a copy of your SACAP Registration Certificate:
4. QUALIFICATIONS

PLEASE TYPE IN CAPITAL LETTERS
4.1 Please provide reason why you are not registered with SACAP:
4.2 Highest Qualification Obtained:
4.3 Year Obtained:
4.3 Educational Institution:
4.4 Upload a copy of your Qualification Documents:
5. DECLARATION BY APPLICANT:
*

The information supplied on this application form is true and correct I undertake to uphold the SAIAT Constitution and Regulations I undertake to advance the objectives of SAIAT and uphold its dignity I agree to return my Membership certificate should I cease to be a Member I accept that the Application Fee is non-returnable I acknowledge that the pro-rata membership fee will be payable on notification of a successful application and that my membership only will become active after such payment I acknowledge that my membership will be suspended and later terminated on non-payment of any fees as per the Constitution and Regulations of SAIAT
6. ADDITIONAL DECLARATION FOR LOCAL AUTHORITY MEMBERSHIP APPLICATIONS:
I undertake to inform SAIAT if there is a change in my employee status I declare that I do not engage in any architectural work apart from that as required by my employer I accept and understand that the moment I do any private work, I no longer qualify for Local Authority Employee membership and that I will be liable for full payment of membership fees as per the other categories of membership.
GENERAL
On acceptance of your application, do you require your Membership Certificate to be

forwarded by post (no charge) courier to you at an additional charge of R230.00
SAIAT BANKING DETAILS:
Bank: First National Bank
Branch: Bedford Gardens
Branch Code: 252 155
Account Name: SAIAT
Account Number: 62001361419
Please use as reference: NEW [surname]
Upload a copy of Proof of Payment of R230.00 for this application here: *
Date *

- Day - Month Year
Should be Empty:

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SAIAT MEMBERSHIP APPLICATION FORM

1. PERSONAL INFORMATION

2. CONTACT DETAILS

3. DETAILS: SELF-EMPLOYED

3. DETAILS: EMPLOYED

4. SACAP REGISTRATION

4. QUALIFICATIONS

5. DECLARATION BY APPLICANT:

6. ADDITIONAL DECLARATION FOR LOCAL AUTHORITY MEMBERSHIP APPLICATIONS:

GENERAL