SAIDSA New Member Application

Details of the specific requirement for each category, together with the general criteria for membership are contained in the Constitution and Bylaw A of the Association.

The Executive Committee of the Association will assign the initial category of membership applicable from the details supplied on this form. Applicants are required to familiarise themselves with the Constitution and Bylaws of the Association.

Please complete all sections of this application. Where the required information is not applicable indicate with “N/A”. Some questions may be asked for statistical purposes.

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Registered Name of Business *

Trading as

Company Registration Number *

Private Security Industry Regulatory Authority Registration No. (PSIRA) *

Postal Address *

Postal Code *

Street Address (from which business activities are conducted) *

Telephone Number *

Fax Number

Cell Number *

Email *

Email

Confirm Email

Website

VAT Registration Number

Date of Commencement of Business *

Medical Insurance Number

Person Appointed to represent your company at SAIDSA *

Alternative

Have any Owners, members or directors been convicted of a criminal offence (Traffic Offences not applicable) *

• YES
• NO

If YES, please give details including each offence, Date and Place of Conviction and Sentence:

Have any owners. members or directors been declared insolvent or have applied for voluntary liquidation during the previous 5 years *

• YES
• NO

If YES, please give details:

Name and Branch of Bankers *

Account Number *

Branch Code *

Bank Telephone Number

PLEASE CHECK THE FOLLOWING BOXES FOR EACH DISCIPLINE YOU ARE APPLYING FOR: *

• ENTRANCE FEE (Payable with all Applications) – R4,380.00
• Installer of Alarm Systems (Inspection Fee) – R1,840.00
• Installer of CCTV Systems (Inspection Fee) – R1,840.00
• Installer of Electric Fence Systems (Inspection Fee) – R1,840.00
• Alarm Monitoring Centre (Inspection Fee) – R1,840.00
• CCTV Off-Site Monitoring Centre (Inspection Fee) – R1,840.00
• Reaction Service (Inspection Fee) – R1,840.00
• Asset Tracking (Inspection Fee) – R1,840.00
• Asset Recovery (Inspection Fee) – R1,840.00
• Travelling will be calculated at R7.00 per Km – R7.00

Please Supply your First Trade reference: *

MANUFACTURER OR SUPPLIER

Please Supply your Second Trade reference:

MANUFACTURER OR SUPPLIER

I /We certify that to the best of my knowledge the information given above is correct and that I / We will accept the decision of the Executive Committee of the Association in accordance with the Constitution in respect of the classification of membership accorded to my / our company *

• I ACCEPT THE ABOVE

In making this application I / We agree, should my / our application be accepted, to abide by the Constitution and Rules of the Association, adopted from time to time.

Application Completed On: *

Submit