Membership Application | SASAE - South African Society for Agricultural Extension

Membership Application Form

R280.00 / year and a R30.00 sign-up fee

Title,Initials,Surname

Full Names

Postal address

City, Town

Postal code, Province, Country

Telephone (plus code) Work

Cell

Fax

Date of birth

ID Number

Of which Branch would you like to be a member:

Employed by

POST MATRIC EDUCATIONAL QUALIFICATIONS

Diploma/Certificate

Baccalaureus

Honours

Masters

Doctorate

Add copies of certificates and academic records to the application

SHORTCOURSES-Extension and Agricultural

Please add your certificate and course outline or subjects

WORK EXPERIENCE

Experience in Agricultural Extension

Membership with other associations. If you are a Member of another association, please indicate below.

DECLARATION:

I hereby declare that the information rendered is correct, that I agree to abide by the rules of the Society and that I will, to the best of my ability, promote the aims and objectives of the Society.

POPIA

By completing this application form, I hereby acknowledge and accordingly consent that the South African Society for Agricultural Extension (SASAE) may collect my personal information. I hereby acknowledge and accordingly consent that SASAE may collect, store, use or otherwise process my personal information as the context and circumstances may require and as contemplated in terms of POPIA for the duration of my membership with SASAE.

By completing this application form, I hereby acknowledge that I voluntarily provide SASAE with my personal information and consent to SASAE collecting, disclosing and processing my personal information for SASAE membership.

I hereby acknowledge that any personal information provided to SASAE will be safeguarded and that no third party will have access to my information without my prior consent.

More info on POPIA can be found here