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   Membership Application
 
 
1. NAME
This Information will be provided to your regional chairperson for follow-up , you will also need to submit a CV and job description
DMISA has six (6) different categories of membership, but only three (3) of these can be applied for to begin with. Choose one of the following to obtain more information on the category of membership that best suits you. After carefully reading through the membership documentation return to this section to submit your application
Corporate member
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Associate member
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Supporting member
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Fees
*
Required Field
Region
[---------Select one----------]
Algoa
Freestate
Kwazulu-Natal
Limpopo
Magaliesberg
Mpumalanga
Northern Cape
Southern Gauteng
Tshwane
Western Cape
*
Membership Type
[-----------------Select one------------------]
Corporate Member
Associate Member
Supporting (Government Structures)
Supporting (Commerce and Industry)
*
Surname
*
Name
*
Initials
*
Title
Mr
Mrs
Dr
Prof
Residential Address
*
Postal Address
*
Telephone Number(h)
code
number
*
Telephone Number(w)
*
Fax Number
*
Cellphone Number
*
Email Address
*
Employer's Name
*
Employer's Address
*
Designation of your Disaster Management post or position
*
Date of joining the Disaster Management profession
*
 
By submitting this form you endorse the provisions of the Constitution of the Disaster Management Institute of Southern Africa and undertake to adhere thereto in all respects as long as you are a member of the Institute. The above information is, to the best of your knowledge, correct.
contact details
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disaster@disaster.co.za
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© DMISA 2007