Company/Practise Application Company/Practise Application Practices / Company MembershipMembership fee: Once off payment for all new members excluding students R 200.00 Subscription fee: Company/practices - renewal annually R 5 000.00 per annum Note: To register a practice, all PDI directors must first register as individual members No payment must be made before the approval (this applies only on new members * First Name * Surname * Email Address * PasswordStrength: Very WeakCompany Information * Name of Practice / Organisation* Select Type(Pty) LtdLtd.CCPartnershipOther * Select Type * Reg. No.* Select DisciplineArchitectureProject ManagementCivil, Structural and Hydro-logical EngineeringMetallurgical & Mining EngineeringMechanical EngineeringElectrical EngineeringIndustrial EngineeringChemical EngineeringUrban DesignTown & Regional PlanningQuantity SurveyingBuild Science and Construction ManagementGeology & Geo-Technical EngineeringProperty & Development Economics * Select DisciplineAddress * Street Address Postal address (if not the same)* Select a ProvinceEastern CapeFree StateGautengKwazulu NatalLimpopoMpumalangaNorth WestNorthern CapeWestern Cape * Select a Province * City/Town * Postal code Tel No. * Cell NoDirectors * Name of Director 1 * Nationality of Director 1 * Shares Split (%) for Director 1* Previously Disadvantaged Individual ?NoYes * ID/Passport No. Director 1If this director already has an active Membership please Login to update. Add onother director? No Yes Name of Director 2 Nationality of Director 2 Shares Split (%) for Director 2Previously Disadvantaged Individual ?NoYes ID/Passport No. Director 2If this director already has an active Membership please Login to update. Add onother director? No Yes Name of Director 3 Nationality of Director 3 Shares Split (%) for Director 3 Previously Disadvantaged Individual ?NoYes ID/Passport No. Director 3If this director already has an active Membership please Login to update. Add onother director? No Yes Name of Director 4 Nationality of Director 4 Shares Split (%) for Director 4Previously Disadvantaged Individual ?NoYes ID/Passport No. Director 4If this director already has an active Membership please Login to upgrade. Add onother director? No Yes Name of Director 5 Nationality of Director 5 Shares Split (%) for Director 5Previously Disadvantaged Individual?NoYes ID/Passport No. Director 5 Add onother director? No Yes Name of Director 6 Nationality of Director 6 Shares Split (%) for Director 6Previously Disadvantaged Individual?NoYes ID/Passport No. Director 6 Add onother director? No Yes Name of Director 7 Nationality of Director 7 Shares Split (%) for Director 7Previously Disadvantaged Individual?NoYes ID/Passport No. Director 7 Add onother director? No Yes Name of Director 8 Nationality of Director 8 Shares Split (%) for Director 8Previously Disadvantaged Individual?NoYes ID/Passport No. Director 8 Add onother director? No Yes Name of Director 9 Nationality of Director 9 Shares Split (%) for Director 9Previously Disadvantaged Individual?NoYes ID/Passport No. Director 9 Add onother director? No Yes Name of Director 10 Nationality of Director 10 Shares Split (%) for Director 10 Previously Disadvantaged Individual?NoYes ID/Passport No. Director 10 Add onother director? No Yes Name of Director 11 Nationality of Director 11 Shares Split (%) for Director 11Previously Disadvantaged Individual?NoYes ID/Passport No. Director 11* Supporting Documents one file Follow this Link(ilovepdf.com) Merge your all documentsDone(Use Cropper to set image and use mouse scroller for zoom image.)Done(Use Cropper to set image and use mouse scroller for zoom image.)Drop file here or click to select.The following documents must accompany this application, copy of Identity Document or Passport, Proof of qualification (academic records), copy of council certificate and copy of registration certificate of respective discipline. #Company Member No* Confirm above & accept SABTACO Privacy Terms SABTACO will send you updates EmailsConfirm above, accept Terms & Policy Practice / Company MemberR5,000.00Select Your Payment GatewayBank TransferFor direct deposit/transfer, please use the following SABTACO Bank Details: NAME OF ACCOUNT HOLDER : SABTACO BANK : Nedbank BRANCH : Braamfontein ACCOUNT NUMBER : 1950 373 681 ACCOUNT TYPE : Cheque BRANCH NUMBER : 195005 E-mail: sabtaco1@iafrica.com Fax: 086 672 6735How you want to pay?Auto Debit PaymentManual PaymentPayment SummaryYour currently selected plan : , Plan Amount : Final Payable Amount: Submit
