STUDENT MEMBERSHIP FORM
• Students must have valid student ID number INPUT NUMBER
• Must be 18 years old.
• All memberships run from June 1st – June 30th the following year. Memberships cannot be carried over if you join later than June 30th.
• Are you a member of a national association affiliated to SWAA? Please contact us for what benefits you get from SWAA
* Required
Title
*
Your answer
Name
*
Your answer
Other names
*
Your answer
Email
*
Your answer
Student mobile number
*
Your answer
Institution/College/School Name
*
Your answer
Institution/College/School Name Physical Address
*
Your answer
Institution/College/School Name Postal Address
*
Your answer
Institution/College/School Name Phone Number
*
Your answer
Institution/College/School Name Fax Number
Your answer
Owner mobile number
Your answer
Owner email address
*
Your answer
Institution/College/School Name Email Address
*
Your answer
Website
*
Your answer
Social Media Accounts
*
Your answer
Date Opened
*
MM
/
DD
/
YYYY
DECLARATION
All applications are subject to SWAA Council approval. Membership can be terminated should the member bring into disrepute or act in a manner not conducive to SWAA aims and objectives
SWAA Membership Entitlement and Fee Structure
The membership year runs through July 1st – June 30th. All new memberships will be valid through June 30th of each year.
Notes:
* Areas on this document must be filled out with the correct information before sending back to us. If the information given is not correct, your application will not be void and you will have to start the process again.
Once your application is confirmed, you will need to send a confirmation of payment to us. Once payment is confirmed you will be sent a welcome email and issued a member log in code.
For any further questions you may have please contact us on
admin@swaafrica.org
or call +254 746 517 871
Please read and approve the declaration.
*
Read and approved
Required
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