ATAS APPLICATION

Privacy Notice (POPIA Compliance)
By completing this form, you consent to the collection, processing, and storage of your personal information in accordance with the Protection of Personal Information Act (POPIA). Your information will be used solely for the purposes of application for ATAS membership. Only the team associated with the ATAS award will be able to view your information. We will not share your personal information with any third parties unless required by law. For more details on how we protect your information, please refer to the SCOUTS SA POPI policy.

Name of applicant*

First NameLast Name

Residential address*

Residential address

Street Address Line 2

CityState / Province

Postal Code

Phone Number*

+27 82 357 6443

E-mail*

Confirmation Email

Date of birth*

Gender*

Wedding anniversary date*

Date or Not applicable

Occupation*

Organisation/Company*

Interests/Hobbies*

Membership of SCOUTS SA*

I am currently a member of SCOUTS SA with a Scouts Digital profileI am not currently a member of SCOUTS SA

Year you joined Scouting/Guiding*

Current appointment(s)

Leave blank if you are not actively involved in Scouting/Guiding currently.

Region of current appointment*

District *

If not currently a member, please state how you are involved in promoting and encouraging the progressive training of members to achieve Springbok/Founders/BP/President Awards.*

Details of your award*

	Name of award	Date of award	Certificate number (if available)
Details of award

Upload your award certificate here.*

Upload your business card here. (If you are a SCOUTS SA member, you may use the SCOUTS SA template below if you don't have a business card) *

SCOUTS SA business card template

Upload your ID photo here. *