SALDREP Membership Application
Thanks for your interest in becoming a member of SALDREP! Please complete this document ONLY once, using your preferred email address, where we can contact you. You should receive an email confirming receipt of your submission (check your SPAM folder and mark emails from SALDREP and Google Forms as Safe, if necessary). We will be in touch soon!
Email address *
Duplication Check (choose only one) *
Partial / Full Membership Check (Choose only one) *
Surname *
Full Names *
Title *
ID Number *
Cell Phone Number: *
Please use +27 instead of 0, i.e. write +27 723602616 instead of 0723602616
Alternative Phone Number (if applicable)
Fax Number (if applicable)
Billing / Invoice Address *
Please type the address in a single line, separating each part with a semi-colon, i.e. Unit 15; Willow Crest Complex; 29 Portofino Place; The Willows; 0184
VAT Number (If applicable)
Province *
Based on where I render my services as an LDREP, I belong under the following SALDREP Regional Forum *
Total Period as an LDRP (whether CCMA/ BC / Private Agency) *
CCMA Office Where I am Based (If CCMA Commissioner - Specify if Not CCMA) *
Current Level as CCMA Commissioner (If only BC / Private Agency, please Check Other and Provide Details) *
Required
Bargaining / Statutory Councils Where I Currently Work *
Required
Private Dispute Resolution Agencies You currently Perform work for: *
Required
Confirmation of Truthfulness *
Required
By clicking "I agree", I agree to abide by the rules and constitution of Saldrep as amended from time to time. *
Required
Comments (Optional)
A copy of your responses will be emailed to the address you provided.
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