The South African Chemical Institute

Promoting chemistry, chemists, the chemical industry and chemical education in South Africa

Type of membership required:
Member

Associate Member

Student Member
      Honours/BTech*

Student Member
      MSc/PhD/Mtech/Dtech*

 Secondary School  
       Chemistry Teacher*  

SAASTE Member*  

Patron                    R 8 500-00    
Company                R 4 000-00    
Member                  R 535-00    
Associate                R 265-00               
Retired members   R 135-00
                            
Honours/BTech students, Secondary School Chemistry Teachers and SAASTE members are free of charge- *Free membership
 
Msc/Phd/MTech/DTech students pay R90
 
Sections of the South African Chemical Institute: Please indicate, by ticking the appropriate
blocks, to which Sections you are going to support. Please note that you may join 3 Sections at
no additional cost.  Should you wish to join additional Sections, a charge of R50/additional
Section will be levied.

         Analytical Chemistry
         Mass Spectrometry
         Molecular Modelling
         Industrial Chemisty 
         Chromatography 
         Physical Chemistry
         Organic Chemistry
         Electrochemistry
         Chemical Education
         Inorganic Chemistry
         Environmental Chemistry
         Green Chemistry
         Thermal Analysis

Your title:    Prof  Dr  Mr  Mrs  Ms

First Names:                              

Surname:                                   

Postal Address:                         

Postal Code:                              

Business Address (If different): 

Postal Code:                              

Contact Tel. No:                         

Cell No:                                      

Fax No:                                      

Enter the date of birth :              -- dd/mm/yy

Sex Male Female

E-mail address:                          

Member Applicants Only

Professional Qualifications:
Highest Degree and/or Diploma: 

Degree/diploma:                         

Awarded by:                               

Date -- dd/mm/yy

Degree/diploma:                         

Awarded by                                

Date -- dd/mm/yy

Present Appointment held          

Date of Appointment: -- dd/mm/yy

Employer                                     

Experience in the practice or application of chemistry (in employment over the last 3 years)

Appointment held (indicate status)

Employing body (give name)          

Period of employment (give details)


REFEREES (this applies to Member grade only) give names and addresses of referees in compliance with the regulations governing admission: one of whom must be a Member of
the Institute.

Referee 1
Name:                 

Postal address:   

Postal code:        

Referee 2
Name:                 

Postal address:   

Postal code:        

Referee 3
Name:                 

Postal address:   

Postal code:        

Student Applicants only

Name of Supervisor:                             

E-mail address of Supervisor:               

Name of University/Technikon/College: 

This form must be accompanied by:

1.       Certified copies of all degree/diploma certificates specified in support of this application;

Submitting this form to the Secretary of the South African Chemical Institute either over the Internet or by post or facsimile indicates that I declare that while I am a member of The South African Chemical Institute, I will observe the regulations of the Institute and that I will conduct myself in a manner that befits the profession and to the utmost of my power maintain the dignity and welfare of the Institute.

Please note that on-line applications for membership cannot be consvalueered until the necessary supporting documents (copies of certificates, names of referees, etc.) have been received by the SACI secretariat.

Please email or post supporting documentation to SACI.

SACI
PO Box 407
Wits
2050