The South African Chemical Institute

Promoting chemistry, chemists, the chemical industry
    and chemical education in South Africa

 

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Application for SACI Membership and Professional Chemist (PrChemSA) Registration

Please note all foreign membership applicants need to submit a SAQA certificate in order to apply for SACI membership.

South African Qualifications Authority (SAQA): customercare@saqa.co.za

Section A:  All applicants must please complete this section.

Type of membership required:
Member

Associate Member

Student Member - Honours/BTech*

Student Member - MSc/PhD/MTech/DTech

Post-Doctoral Member

Student Member - Undergraduate Chemistry Student*

 Secondary School - Chemistry Teacher*  

SAASTE Member*  

Patron member R13 700.00
Company member  R6 850.00 
Member  R740.00
Associate member R370.00
Retired member  R190.00
MSc/PhD/MTech/DTech student R130.00
Post-Doctoral member   R170.00

Undergraduate Chemistry student *Free membership
Honours/BTech student  *Free membership
Secondary School Chemistry Teacher *Free membership
SAASTE member *Free membership

Do you wish to register as a Professional Chemist (PrChemSA)
Cost: R250 joining fee and R120 annual fee.
Note in order to be accepted as a Professional Chemist one must apply and be accepted as a SACI member and maintain your SACI membership.
Please provide SACI membership number if already a member:

 
Divisions of the South African Chemical Institute: Please indicate, by ticking the appropriate
blocks, which Divisions you wish to join. Please note that you may join 3 Divisions at
no additional cost.  Should you wish to join additional Divisions, a charge of R50 per additional
Division will be levied.














Your title:    Prof  Dr  Mr  Mrs  Ms

First Names:  
Surname:
Postal Address:  
Postal Code:
Business Address (if different): 
Postal Code:
Contact Tel. No: 
Cell No: 
Fax No:     
Enter your date of birth : -- dd/mm/yy
ID/Passport Number:   
Gender:
Race:
Nationality:
E-mail address: 

If you are a student or Post-Doctoral Fellow, please complete Section C.  All other applicants must complete Section B.

SECTION B: For Member and Professional Chemist Registration
Applicants Only

Note if you did not obtain your qualification in South Africa, you need to submit your SAQA evaluation certificate.

Professional Qualifications:

Highest Degree/Diploma:
Awarded by:  
Date: -- dd/mm/yy
   
Degree/Diploma:  
Awarded by:
Date:   -- dd/mm/yy
   
Degree/Diploma:
Awarded by:
Date:  -- dd/mm/yy
   
Present Appointment held:
Date of Appointment: -- dd/mm/yy
Employer: 

Experience in the practice or application of chemistry (describe your employment over the last 3 years). Please attach a detailed CV.



REFEREES: Give the names and addresses of referees in compliance with the regulations governing admission: one of whom must be a Member of
the Institute.  

Referee 1  
Name:
Postal address:
Postal code: 
Tel: 
Email:  
Referee 2  
Name:
Postal address:
Postal code:  
Tel:   
Email:
Referee 3  
Name:  
Postal address: 
Postal code: 
Tel: 
Email: 

SECTION C:  For Student & Post-Doctoral Applicants Only

Name of Supervisor: 
E-mail address of Supervisor:  
Name of University/University of Technology:
Professional Qualifications of Student  
Highest Degree and/or Diploma: 
Awarded by: 
Date: -- dd/mm/yy

SECTION D:  Attach CERTIFIED copies of the following documents

Attach a copy of your ID/Passport     500Kb max file size
 500Kb max file size
 500Kb max file size
 500Kb max file size
 500Kb max file size
 500Kb max file size
   500Kb max file size

Comments:

I declare that while I am a member of The South African Chemical Institute, I will observe the regulations of the Institute and that I will conduct myself in a manner that befits the profession and to the utmost of my power maintain the dignity and welfare of the Institute.

    I am a Human (Click the red square)