Institute ofWaste Management

of Southern Africa

Individual Applicationfor Membership

IWMSA Office Use Only
Date Received / CV/ Student Card / Branch
Date fwd Branch / Signed COE / Member Class
Invoiced / Payment Received / Date Approved
Processed Date / Approved By / Approval Signature
Date Certificate emailed: / Membership No: / 1

*Please note - only complete the Individual application form if it is in your personal capacity that you wish to become a member of the Institute of Waste Management of Southern Africa (IWMSA). A separate application form is available for Patron, Organisation, School and Municipal Memberships. Please contact the Head office should you require any assistance.

The Institute of Waste Management of Southern Africa (IWMSA) is a multi-disciplinary non-profit association that is committed to supporting professional waste management practices. By becoming a member you choose to align yourself to the Code and Ethics of the IWMSA. There are many benefits associated to being a member of the IWMSA; however we can only be successful through the contributions made by our members. We look forward to your support as a member of the IWMSA.

Once you have completed the application form (PREFERABLY TYPE or WRITE CLEARLY), please email or fax together with the signed Code of Ethics, CV and proof of payment

to or 011-675-3465

Section A. Individual Membership:

Surname:

First names:

Title (Mr/Mrs/Miss/Ms/Dr/Prof/The Hon):BlackColoured

Information required for

IndianWhitestatistical purposes

RSA ID No or Passport No:

(passport number if not a RSA resident)

Please indicate all Languages spoken

Address:PostalPhysical (if different)

Work Tel: Cell:

Home Tel: Fax:

E-mail:

Why would you like to become a member of the IWMSA?

Membership class applied for: (mark onlyone block) Annual Membership fees(validJuly 2014 – June 2016)

Mark
only one / Membership class / Criteria for membership / Annual Fee incl VAT
Member /
  • Any person who has been actively involved in waste management
    for more than twelve months
and
  • is possession of a recognised qualification.
/ R 500.00
Associate Member /
  • Any person not eligible for member category above, but who is interested in or connected with some aspect of waste management.
/ R 400.00
Student /
  • Any student, actively engaged in a course studying to qualify in subjects approved by Council
/ R 220.00

Highest qualification obtained:

Institution / Qualification / Date
dd/mm/yyyy
Secondary/High School
College
Tertiary education
Other (please specify)

Work experience: (from current to previous)

Employer / Position / Expertise / Date from
dd/mm/yyyy / Date to
dd/mm/yyyy

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Please indicate how you heard about us?

IWMSA website IWMSA event Media

Section B. Applicants Declaration:

I undertake to abide by the Constitution and Rules of the Institute, pay the annual subscriptions and promote the aims and objectives of the Institute.I understand that being a member of the IWMSA is a long-term commitment.I acknowledge that if I do not notify the IWMSA of my withdrawal from the IWMSA membership prior to the start of a financial year, that Iwill be accountable for the membership fees due for the year.

If you do notwish to receive theIWMSA newsletter or other electronic information from the IWMSA, please tick here

Please note that we will never share your contact information with third parties.

I accept the above terms and conditions and hereby apply for membership (tick the box).

Signature Date

Section C. Supporting Document Checklist:

Once you have completed the application form, please email or fax this form together with the following to /011-675 3465

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Attach a copy of the following: **without these your application can not be submitted for approval / Tick
Proof of payment
Signed Code of Ethics - no electronic signatures accepted
Curriculum Vitae
Identity Document
Student membership - attach a copy ofyour valid student card

Banking Details: Standard Bank, Clearwater; Branch Code: 001206; Account No: 200 129 910

Please use your Surname as the reference when making payment.

Institute of Waste Management

of Southern Africa

Code of Ethics

This Code of Ethics, shall be binding upon all members of the Institute of Waste Management of Southern Africa (Institute) and any breach thereof shall be dealt with by an ad hoc disciplinary committee constituted from time to time by the Council of the Institute.

All members shall:

  1. Uphold the reputation of the Institute and not bring the Institute into disrepute.
  1. Abide by the Constitution, Policies and By-laws of the Institute.
  1. Comply with all relevant legislation pertaining to waste management and the environment.
  1. Conduct themselves in an honourable and ethical manner and shall, so far as possible, always have full regard to the interests of the public and the environment. Furthermore, their conduct shall at all times be conducive to maintaining the good reputation of the waste management industry.
  1. Maintain their knowledge and skills at levels consistent with development in technology, legislation and management.
  1. Apply due skill, care and diligence in conducting their business and / or rendering services and only accept or undertake work for which they possess, or can acquire and manage with responsibility, the necessary professional competence and organisation.

7.Obtain any contract, service or sale only through legally acceptable business practices.

8.Not intentionally injure the professional reputation of another member.

9.Advertise their services in an honest manner, which is not derogatory to the dignity or standing of the industry.

10. Only issue statements on behalf of the Institute, if specifically authorised by the official Institute spokesperson.

11. While occupying a position of Office in the Institute, shall not use their position to promote their own business interests.

This serves to confirm that we have read and understand the above and agree to abide by the Code of Ethics as set out by the Institute of Waste Management of Southern Africa.

Signed this / day of / 20
Name / (Please print clearly)
ID No:
Signature

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