[PDF] MEMBERSHIP RENEWAL / APPLICATION




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[PDF] MEMBERSHIP RENEWAL / APPLICATION

South African Geophysical Association Complete in BLOCK LETTERS Applicants who are members of recognised geophysical societies or associations need

[PDF] MEMBERSHIP RENEWAL / APPLICATION 120182_7SAGA_Membership_Appilcation_Renewal_Form.pdf

South African Geophysical Association

Complete in BLOCK LETTERS

1

MEMBERSHIP RENEWAL / APPLICATION

Application Type ƑNew Application ƑRenewal

Title

(Prof/Dr/Mr/Mrs/Ms)

Surname

First Name(s)

Company or

Organisation

Position

Mailing Address

Telephone

Mobile

Email

Employment

Classification

(please mark the category that best identifies your employment) University or College Academic Non-profit Military Government Business or Industry Self-Employed Retired Other, please specify

Job Function

(indicate appropriate box) Research Exploration Development Management Teaching Design/Engineer Consulting Student Other, please specify

Affiliation

(indicate appropriate box, see next page if new applicant)

Member

Associate Member

Affiliate Member

Corporate Member

Student

Education

(indicate level of highest degree earned, or closest equivalent)

Doctorate

Masters

Honours

Bachelors

Diploma

Other (please specify) Institution (& year) at which highest degree was earned

Complete in BLOCK LETTERS

2

Article III of the Constitution

1. Any person interested in geophysics shall be eligible to apply for membership.

2. Application for membership shall be submitted in writing and shall be signed by two

sponsors who are Active Members of the Association.

3. Applicants who are members of recognised geophysical societies or associations need

not be sponsored provided proof of membership of such societies or association is submitted on application.

4. Applications for membership shall be subject to approval by the Committee.

5. Provisions 2 and 4 of this Article shall not apply to those members who joined at the

formation of the Association prior to the adoption of the Constitution.

6. Grades of membership may be introduced if considered in the interest of the

Association and the profession as a whole.

7. The Annual Dues of members of the Association, as prescribed by the Bye-Laws, shall

be payable in advance on 1st January of each year.

Bye-Law II paragraph 2

2. Grades of Membership shall be:

a) "Active Members" b) "Associate Members" c) "Affiliate Members" d) "Student Members" a. Members shall be graduates of a recognised university and active in the field of geophysics. Members of the Association elected prior to December 31, 1980 and who are not in default shall continue to enjoy this status not withstanding academic qualification. b. Associate Members shall be persons holding a recognised technical diploma and active in the field of geophysics. c. Affiliate Members shall be persons interested in geophysics. d. Student Members shall be any person undergoing full-time education and interested in geophysics. Only "Active Members" shall enjoy full voting right in the affairs and/or the conduct of business of the Association. Sponsors (Refer to Article III 2 & 3 of the Constitution) If you do not have a sponsor, please submit your CV with professional references or, if you are a student, please submit proof of registration, plus details of your course. 1. 2.

Subscription Rates

Active Member R 400.00

Associate Member R 400.00

Affiliate Member R 400.00

Student Member R 50.00

Outstanding Dues

Grand Total

Complete in BLOCK LETTERS

3

Method of Payment

Please fax/email deposit slip for bank deposit or internet transfer Cash Cheque Bank deposit Internet transfer Outstanding dues: All members who are in arrears with their dues are required to please pay now. It should be noted that according to By-Law IX (3) of our Constitution, you will be expelled from the Association without further notice if you are in arrears for more than 2 years. Name: __________________________________________ Date: _____________________

Admin: Carmen Bergman-Ally

Email: admin@sagaonline.co.za

Phone: +27 (0)82 301 0419

Postal Address: PostNet Suite # 417,

Private Bag X19,

Gardenview 2047,

South Africa


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