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Application for Associate Membership
Not only those who wish to become arbitrators, but also those who encounter the processes of arbitration and wish to learn more about this procedure, will benefit from becoming a member of the Association.

Please complete in full in block letters
Surname:
First Names:
Postal Address:
Postal Code
Tel: (B)
Tel: (H)
Fax:
Cell:
Email:
Date of Birth:

Tertiary Educational Qualifications:
(Please state educational establishment and date when qualified):


*Kindly supply a certified copy of the certificate of highest qualification obtained by you.



Profession, Business or Trade:


Name & Address of Employer:

Membership of Professional, Business or Trade Associations:
   
  I attach two character references to this application. I consent to the AoA checking these references for accuracy.
   
  Reference 1
 
  Reference 2
 
   
I confirm that I do not have a criminal record nor have I been convicted of a crime.

I enclose the required enrolment fee of R680 (inclusive of 14% VAT) and undertake to pay the prescribed subscription within thirty days of receipt of notification that this application has been accepted.

Note: The subscription fee for 2012 is R650 per annum (inclusive of 14% VAT).
 
 
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