South African Chemical Institute - promoting chemistry, chemists, the chemical industry and chemical education in South Africa

Apply For Membership

Application for Admission as Member or Transfer to Member or Associate Member

Type of request:       Admission Transfer

Type of membership required:
                              Member
                              Associate Member
                              Student Member
                                   - Honours/BTech*
                              Student Member
                                   - MSc/PhD/Mtech/Dtech*

                               SAASTE Member*
                              Secondary School
                                    Chemistry Teacher*
                              Company Member
                              Patron Member

*Free membership

Membership fees:

Patron                    R 7 500-00
Company              R 3 500-00
Member                 R 500-00
Associate               R 250-00
Retired members   R 125-00
Honours/BTech students, Secondary School Chemistry Teachers and SAASTE members are free of charge
Msc/Phd/MTech/DTech students pay R85

Divisions of the South African Chemical Institute: Please indicate, by ticking the appropriate blocks, to which Divisions you are going to support. Please note that you may join 3 Divisions at no additional cost. Should you wish to join additional Divisions, a charge of R50/additional Division will be levied.

Analytical Chemistry Chromatography Chemical Education Electrochemistry Environmental Chemistry Inorganic Chemistry Industrial Chemistry Mass Spectrometry Molecular Spectroscopy Molecular Modelling Organic Chemistry Physical Chemistry

Your title: Prof Dr Mr Mrs Ms

First Names:
(First names of applicant or Company contact person)

Surname
(Surname of applicant or Company contact person)

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

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;
2 A remittance comprising of first year's subscription.
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 considered 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.chem@wits.ac.za

SACI PO Box 407 Wits 2050

Chemistry - Our key to the future!