cifa.org.zacifa.org.za/.../Enrolment_PrArch-and-CANT_20172018_v1.docx · Web viewA proforma invoice...
Transcript of cifa.org.zacifa.org.za/.../Enrolment_PrArch-and-CANT_20172018_v1.docx · Web viewA proforma invoice...
CIfA/SAIA Application for Membership2017/2018
Page 1 of 4
The subscription fees indicated on this application form is valid from 1 July 2017 to 30 June 2018
CIfA / SAIA APPLICATION FOR MEMBERSHIP
Please tick: New Member Existing Member
DOCUMENTS TO ACCOMPANY THIS APPLICATION
Please tick: Copy of SACAP Certificate Copies of qualifications
Copy of ID document or passport Proof of payment of Enrolment Fee
MEMBERSHIP CATEGORY
Please tick: Professional Architect (A registered professional architect in terms of the Act)
Candidate Architect (A registered candidate architect in terms of the Act)
FEES 2017/2018
Enrolment Fee – Candidate Architect 114.00Annual Fee - Candidate Architect 2,052.00
Enrolment Fee – Professional Architect 228.00Annual Fee - Professional Architect 4,131.00
Enrolment fees are due by all new and reinstating members.
If an applicant joins after the commencement of the financial year, such member shall be liable for only a pro rata portion of the annual subscription based on the remaining period of membership for that year, calculated to the nearest month. A proforma invoice for subscription fees will be issued on receipt of application. Membership will only be confirmed on receipt of payment.
BANKING DETAILS: Standard Bank Thibault Square Branch 020909 Account Number 070 413 428Card facilities available at CIfA Offices.
NOTES / INSTRUCTIONS FOR COMPLETING THIS APPLICATION FORM
Please complete all necessary fields to avoid any delay in processing your application. Should your application not contain all the required information, this must be submitted within 3
weeks of request, failing which, your application will be disqualified. Your name should be entered as you wish it to appear on your membership certificate. Please take care when providing your email address as most correspondence will be sent
electronically. CIfA/SAIA Membership = 1 CPD Credit (Category 3) Contact Soraya or Asa if you need any assistance in completing the form. Tel. 021-4247128 Please send the completed application form together with all relevant documentation to:
Soraya RakiepEmail. [email protected] orFax. 021-424 3620 orPost. PO Box 3952, Cape Town, 8000
71 Hout Street, Cape Town, 8001. PO Box 3952, Cape Town, 8000 T: 021 424 7128 F: 021 424 3620 E: [email protected] W: www.cifa.org.za
CIA/SAIA Application for Membership2017/2018
Page 2 of 4
CIfA / SAIA APPLICATION FOR MEMBERSHIP 2017/2018
Effective from:
Title: Initial/s:
First Name/s: Surname:
Gender: Race:
Date of Birth: Identity Number:
Language: Nationality:
Residential Address:
Postal Address:
Telephone No (w): Telephone No (h):
Fax No: Cell No:
Email address:
Website Address:
Practice Name / Employer:
Practice Name / Employer Address:
Position in Company: Director Principal Shareholder Employee
I wish to receive communication via: SMS Postage E-mail None
Permission granted for Marketing purposes Yes No
SAIA Corporate Membership note:Your membership of a region of SAIA and of SAIA may hold constitutional implications if you are a principal in practice (business entity) with concomitant implications relating to membership fees – please refer to clauses 6.5.3, 9.1 and the definition of a SAIA Practice in the SAIA Constitution of 2015 for more information.
71 Hout Street, Cape Town, 8001. PO Box 3952, Cape Town, 8000 T: 021 424 7128 F: 021 424 3620 E: [email protected] W: www.cifa.org.za
CIfA/SAIA Application for Membership2017/2018
Page 3 of 4
Please note that the following information is required by SAIA
Professional and technical examinations passed: Note: A certified copy of each certificate must be attachedQualifications Educational Institution Date of Final Examination
Professional/Practical training and experience: (Summary of architectural work)Dates Employer Position
Please supply the names of two references in connection with your architectural work, experience and capabilities.Name Address Tel No.
Professional associations (local and foreign): (Indicate architectural institutions of which you are a member)
Architectural Association Date of Admission Membership No.
Have you ever been convicted of an offence involving an element of fraud or had your membership of another professional or voluntary organization suspended or terminated for disciplinary reasons?(Tick applicable answer. If “yes”, please provide further details on a separate sheet) YES NO
DECLARATIONI, the undersigned, hereby apply for admission as a member of the Cape Institute for Architecture and the South African Institute of Architects and certify that to the best of my knowledge all the information contained herein is true and correct. I furthermore confirm that I will abide by the Constitution, By-laws and Code of Ethics of both the Cape Institute for Architecture and the South African Institute of Architects and consider myself bound by these codes of architectural practice.
Signature DatePlease note: Membership will only be confirmed upon receipt of subscription payment
OFFICE USE ONLY
Account No
SACAP Registration No (dd/mm/yyyy)
Date Registered TO BE COMPLETED BY SAIA
TO BE COMPLETED BY REGION Application Received
Application and Documentation Received (dd/mm/yyyy) Letter of notification that qualified (dd/mm/yyyy)
Letter of notification to applicant if qualify/not (dd/mm/yyyy) Subs Received (dd/mm/yyyy)
Application form and letter of confirmation to SAIA (dd/mm/yyyy) SAIA Membership No (dd/mm/yyyy)
Subs Received (dd/mm/yyyy) Date enrolled (dd/mm/yyyy)
CIfA Signature SAIA signature
71 Hout Street, Cape Town, 8001. PO Box 3952, Cape Town, 8000 T: 021 424 7128 F: 021 424 3620 E: [email protected] W: www.cifa.org.za
CIfA/SAIA Application for Membership2017/2018
Page 4 of 4
PRACTICE / EMPLOYER DETAILSAlso to be used to update details
Date:________________________________
Architectural Practices (business of a registered person conducted within the architectural profession as a sole proprietorship, partnership, company, close corporation or the juristic person) are recorded by SACAP in terms of the Code of the Professional Conduct Rules made in terms of section 27(1) of the Act (Refer: Board Notice 28 of 2004).
Practice name
Practice No (if available)
Physical Address
Postal Address
Telephone
Fax
Website
VAT Registration Number
Principals
Surname Initials Professional Associations (local & foreign)Indicate membership of architectural institutions
Employees
Surname Initials Professional Associations (local & foreign)Indicate membership of architectural institutions
Expertise1.2.3.4.
71 Hout Street, Cape Town, 8001. PO Box 3952, Cape Town, 8000 T: 021 424 7128 F: 021 424 3620 E: [email protected] W: www.cifa.org.za