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Membership-Application-Form-BRANCH
Application for Membership
I, the undersigned hereby apply for membership of SAPTU
Title:
*
Surname:
*
First Names:
*
Name of Branch:
*
North West University
University of Johannesburg
Sefako Makgatho University
Stellenbosch University
Council of Geoscience
Ditsong Museums of SA
HESA
Legal Aid SA
NHLS
Productivity SA
Agriculture
Individual Members
Telephone:
*
Mobile Number:
*
Fax:
*
Business Unit Name:
*
Birth Date:
*
Identity Number:
*
E-Mail:
*
Postal Address:
*
STOP ORDER
Checkboxes
*
As may be determined by the Constitution of SAPTU from time to time I hereby authorize HR (Salaries) to deduct membership fees from my salary each month for payment to SAPTU. This authorization can only be cancelled by written notice of one calendar month.
Date
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