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CIfA/SAIA Application for Membership2017/2018

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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

http://www.cifa.org.za/

mailto:[email protected]


CIA/SAIA Application for Membership2017/2018

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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.





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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





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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

Email

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.




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