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DISASTER MANAGEMENT INSTITUTE OF

SOUTHERN AFRICA (DMISA)

P O Box 7130Tel : (011) 822-1634

PRIMROSEFax : (011) 822-3563

1416

E-Mail :

Web Site :

APPLICATION FOR FELLOW MEMBERSHIP:
Registration fee: Once off payment:R 150-00
Membership fee: Payable annually:R 290-00

FELLOW MEMBERSHIP

In terms of Clause 8.5.2 of the Constitution of the Institute, Corporate members who are deemed to have actively and effectively furthered the objects of the Institute and who have completed at least 10 years’ active service in the Disaster Management Profession, may submit a Career Portfolio to be admitted as a Fellow of the Institute.

In terms of Clause 8.5.3 of the Constitution of the Institute, Graduate members who are deemed to have actively and effectively furthered the objects of the Institute and who have completed at least 5 years’ active service in the Disaster Management Profession, may submit a Career Portfolio to be admitted as a Fellow of the Institute.

The awarding of fellowship to a member of the Institute, is the highest membership acknowledgement that can be granted to a member that serves the profession (Honorary Membership can only be bestowed on non-serving members and Life Membership to members who have retired). It therefore stands to reason that any such appraisal should be carefully scrutinised.

Career Portfolio: The career portfolio should not merely (only) be a CV, but specifically address the applicants’ service to Disaster Management on a national and/or international basis, which would have been in addition to what could have been expected of the individual, in his or her employment environment.

Service rendered to the Institute is also a key factor. From the career portfolio it must be clear that the prospective fellow must have had a very good and sound relationship with and within the Institute. Outstanding achievements in terms of the Institute must be apparent.

General acceptability of the Applicant, within the Institute and other role model aspects of a sound character, are qualities that must be reflected in the career portfolio, for consideration.

The career portfolio shall be counter signed by the Chief Executive Officer/City Manager (or similar designate at other levels of government) as well as the Chairperson of the Region.

PART A – TO BE COMPLETED BY APPLICANT – PLEASE PRINT
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8. / Surname: ………………………………………………… Title: ………...………
First names: ………………………………………………………………………..
Present membership category:……………………. Membership No: …………..
Home address: ……………….……………………………………………………
…………………………………………………….. Postal Code: ……………..
Postal Address: ………..…………………………………………………………..
………………………………………………………Postal Code: ……..………..
Phone: (H) …………………………..... Code: ………………..
(W) …………………………… Code: ….……………
Fax ……………………………. Code : ………………
Cell …………………………… E-Mail …………………….
Identity No.: ……………………..………………………
Employer’s Name and Address: …………………………..………………………
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………………………………………………………Postal Code: ……………….
DESIGNATION OF YOUR DISASTER MANAGEMENT POST OR POSITION IN COMMERCE AND INDUSTRY OR NON–GOVERNMENTAL ORGANISATION (NGO)
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DATE OF JOINING DISASTER MANAGEMENT PROFESSION (IF APPLICABLE)
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NOTE!!: / Please attach a Career Portfolio, signed by your Chief Executive Officer / City Manager. (Guidelines attached)
I endorse the provisions of the Constitution of the Disaster Management Institute of Southern Africa and undertake to adhere thereto in all respects as long as I am a member of the Institute. The above information is, to the best of my knowledge, correct.

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SIGNATURE OF APPLICANT MEMBERSHIP NO DATE

RECRUITER:

NAME AND SURNAME: ______Membership No ______

PART C – FOR REGIONAL USE ONLY
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DATE SUBMITTED: ………………………………………
APPLICATION RECOMMENDED NOT RECOMMENDED
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SIGNATURE: REGIONAL CHAIRPERSON DATE
PART D – FOR OFFICE USE ONLY
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DATE SUBMITTED: ………………………………………………
DATE ACCEPTED/REFUSED: ………………………………….
MEMBERSHIP NO.: ……….CERTIFICATE POSTED:………………………...
REMARKS: ……………………………………………………………………….
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