Membership Application Form

Membership Application

To apply for membership please complete all questions.
PROBATIONARY MEMBERSHIP ENQUIRY CHECK LIST
Name*

First NameLast Name
E-mail
example@example.com
PROBATIONARY MEMBERSHIP ENQUIRY CHECK LIST
PROBATIONARY MEMBERSHIP APPLICATION:
SUBMISSION OF DOCUMENTATION CHECK LIST BY COMPANY APPLYING:
FOR OFFICE PURPOSES:
ACCEPTANCE: SIGNED BY BRANCH CHAIRMAN OF REGION

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AFTER CONFIRMATION OF ACCEPTANCE OF PROBATIONARY MEMBERSHIP:

AN INVOICE WILL BE GENERATED AND SENT TO COMPANY FOR IMMEDIATE PAYMENT OF THE ENTRANCE FEE.
INVOICE NUMBER:
DATED:
PROBATIONARY MEMBERSHIP APPLICATION FORM:
1. COMPANY INFORMATION
REGISTERED NAME OF COMPANY:
TRADING AS:
COMPANY REGISTRATION NUMBER:
COMPANY VAT REGISTRATION NUMBER:
FINANCIAL YEAR-END DATE:
DATE COMPANY FOUNDED:
2. DIRECTORS NAMES:
3. POSTAL ADDRESS:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
4. CONTACT DETAILS
TELEPHONE NUMBER:
MOBILE (CELL) PHONE NUMBER:
E-MAIL ADDRESS:
example@example.com
WEB SITE ADDRESS:
5. TURNOVER:
Current Year (Expected)
Previous Year 1
Previous Year 2
6. STAFF COMPLIMENT
No. of ADMINISTRATIVE STAFF:
No. of ENGINEERING STAFF:
No. of ARTISANS: (sheet metal worker)
No. of ARTISANS: (sheet metal worker)
No. of ARTISANS: (electricians)
No. of ARTISANS: (Cat B) (registered refrigeration practitioners)
No. of INSTALLERS: (Cat A) (registered refrigeration practitioners)
No. of OTHER SEMI SKILLED STAFF INSTALLERS:
No. of APPRENTICES AND TRAINEES:
7. SAQCC Gas Registration Numbers:
8. SIZE OF PREMISES
Office area:
Workshop Aera:
Size of Fleet (Bakkies):
DO YOU HAVE VACUUM PUMPS: NUMBER OF:
DO YOU HAVE A REFRIGERATION RECOVERY UNIT: NUMBER OF:
PROBATIONARY MEMBERSHIP APPLICATION FORM [continued]
9. Documentation to be attached with the application. (Note if these are not attached the application form will not be completed)

Documentation is to be attached.

	Attached Yes / No
Copy of most recent Audited Financial Statements or Auditor letter to confirm turnover.
TAX CLEARANCE CERTIFICATE / PROOF OF VAT REGISTRATION NUMBER / or Written Confirmation that the company is not VAT Registered
Completed SEIFSA Membership Application Form
CONFIRMATION OF COMPANY DETAILS FOR ENTRANCE FEE PRO FORMA INVOICE / TAX INVOICE:
COIDA Registration
MEIBC Registration
Photo of recovery Unit(s)
Photo of Vacuum Pump(s)
Company Profile
Reference Letters of 2 to 5 current Customers.

10. Give details of ventilation, air conditioning and refrigeration design capabilities.
11. Engineering/ Technical qualifications (List)
12. Please give Two (2) references of Consulting Engineers/Architects you have done work for:
13. Please give Two (2) references of Suppliers you have an account with to buy industry equipment from:
14. I / We the undersigned acknowledge that I / We have read the requirements for Probationary Members and am familiar with the aims and objectives of SARACCA and agree to abide the Constitution of the ASSOCIATION and to adhere to all duly constituted decisions and directives of the Association, past, present and future.
SIGNATURE:

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CAPACITY OF SIGNATORY:
DATE OF SIGNATURE*

MonthDayYear
Date
Should be Empty:

Membership Application

PROBATIONARY MEMBERSHIP ENQUIRY CHECK LIST

PROBATIONARY MEMBERSHIP ENQUIRY CHECK LIST

PROBATIONARY MEMBERSHIP APPLICATION:

FOR OFFICE PURPOSES:

AFTER CONFIRMATION OF ACCEPTANCE OF PROBATIONARY MEMBERSHIP:

PROBATIONARY MEMBERSHIP APPLICATION FORM:

1. COMPANY INFORMATION

2. DIRECTORS NAMES:

3. POSTAL ADDRESS:

4. CONTACT DETAILS

5. TURNOVER:

6. STAFF COMPLIMENT

7. SAQCC Gas Registration Numbers:

8. SIZE OF PREMISES

9. Documentation to be attached with the application. (Note if these are not attached the application form will not be completed)

10. Give details of ventilation, air conditioning and refrigeration design capabilities.

11. Engineering/ Technical qualifications (List)

12. Please give Two (2) references of Consulting Engineers/Architects you have done work for:

13. Please give Two (2) references of Suppliers you have an account with to buy industry equipment from: