South African Women in Science and Engineering (SA WISE) Membership Application Form
Your membership will be confirmed within 2 months of completing this form and making payment of your membership fees. There are two types of membership:

Full membership: R50 per year
Associate membership: R30 per year*

* Associate membership is only available to undergraduate students

To pay membership fees, please scan our QR code below. To use SnapScan simply search your phone app store for SnapScan-download the free app and link your credit or debit card. Your card details are securely encrypted on your phone. Open the SnapScan app, scan our QR code, enter the amount you want to pay (R50) as well as your name (in the reference field) and confirm the payment with your 4-digit PIN.
Once paid, please follow up by sending an email to sawise@uct.ac.za


Snapscan Code
Date of application *
MM
/
DD
/
YYYY
Name *
Your answer
Title *
Highest Qualification *
Occupation *
Your answer
Field of Interest *
Your answer
Company/ Institution
Your answer
City & Province *
Your answer
Email address *
Your answer
Telephone number *
Your answer
Membership fees
Type of membership *
Please note that associate membership is only available to undergraduate students
Required
Have you paid your membership fees? *
your application will only be processed if you have
Required
How did you find out about us?
Your answer
Please let us know your expectations from SAWISE:
Suggestions for events & guest speakers, suggestions for workshops etc.
Your answer
Submit
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