2022 ZIPS Online Membership Application Form

2022 Online Membership Application / Renewal
Please Select user privilege*

General User

Requirements

Please note that all first time applicantshave to upload the following:1. Certified copies of NRC or Passport,Academic and Professional Qualifications, Grade 12 Certificate2. Passport size photo3. Proof of paymentt
Are you renewing or are you a new applicant ?*

RenewingNew Applicant
Indicate the year you want to renew*

Personal Details

(Items marked* are mandetory)
Name*

First NameMiddle NameLast Name
Gender*
Title *
Date of Birth*

DayMonthYear
Date
ID Type*
NRC *
Passport No *
Marital Status
ZIPS Membership No.*
Membership Category *

Personal Contact Details
Home Address*

(Physical Address)

Street Address Line 2

Town Province

Postal / Zip CodeCountry
Personal Email*
Cell Number*

Country Code Number

Are you Employed ?

YesNo

Employment Details

(If not applicable skip to the next page)
Employment Type
Organisation Name
Type of Sector
Job Title
Work Email
(Oganisation Email)
Organisation Telephone/Cell Number

Country Code Number
Address

Physical Address Of the Organisation

Street Address Line 2

TownProvince

Zip CodeCountry

Qualification Details
Highest Academic Qualification *
Highest Professional Qualification *
Supply Chain Related
Other Qualification (s)

Payment Details
Have you paid your 2021 membership?

YesNo

When did you Pay?

DayMonthYear
Date
When are you paying?

DayMonthYear
Date

Upload Your Files
Upload Professional Qualifications *

Browse Files

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Upload ID (NRC/Passport) *

Browse Files

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Upload Academic Qualification (i.e Grade 12 Certificate) *

Browse Files

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Upload Proof of Payment

Browse Files

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