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Apply for Membership Please make sure all the required fields • are filled in: Title • Initials First names • Surname • Username • Password • Confirm Password • E-mail address • Date of Birth • ID number • Nationality • Address 1 • Address 2 • Address 3 Postal Code •   Branch Cape Town Durban Johannesburg Mossel Bay Nothern Natal Out Of Town Secunda Zambia Sub Branch Australia Botswana Cape Town Durban East Rand Free State Johannesburg Klerksdorp Malaysia Messina Middelburg Naboomspruit Namibia New Zealand Phalaborwa Pietermaritzburg Pretoria Rustenburg Secunda Swaziland United Kingdom USA Vaal Triangle Welkom Witbank Zambia Zimbabwe Qualifications • Years of C+I related experience • Years Employer Designation • Day-time Telephone • Work Fax Cellphone Residential Address E-mail (Alternate) Home Telephone Home Fax   ECSA Registered M & C UK SAIEE Lee (UK) SAIETE ISA other SAIMM Zimbabwe Institute of Engineering Zambia Institute of Engineering   Accounts Contact Accounts Address 1 Accounts Address 2 Accounts Address 3 Accounts Address Postal Code Day Telephone Accounts Fax Accounts E-mail •

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