APPLICATION FOR
ADMISSION WITHIN A SUITABLE INTEREST GROUP

 
Title :
Full Name :
Membership No (if any) :
Postal Address :
Country :
Tel No :
Fax No :
E-mail :
        
Employment particulars (present or past) :
 
Interest / general information (DTMSI will compile a brief profile about you from information on
record and any subsequent information supplied by you) :
 
I wish to be admitted into the following guild(s):
  International Guild of Academicians (IGA)  [fees payable: $50-00USD]
  MBA and Professional Managers Guild, Route 1: DTMSI Member
  MBA and Professional Managers Guild, Route 2: MBA Graduate

          • For Route 2 MBA Graduates (non DTMSI Members)[overseas] the appropriate fees of
            $50-00USD must be included.
          • Local South African non-members are required to include the application fee of R560-00.
  Student Member Guild [No fees applicable to student members]
  International Institute of Engineers Guild (IIE) [admission $20-00USD]
  International Institute of Scientists (IIS) [admission $20-00USD]
 
You are accordingly listed (or propose to be listed) on the membership register in the

Chapter.

PLEASE NOTE: The admission into an appropriate guild is subject to approval by the Council, whose
decision is final.
Payment Method (* South African Applicants only)       |      view DTMSI bank account details
Elec. Transfer   Draft    Cheque    Postal Order   Online (using PayPal)
Direct payment into DTMSI bank account*
Credit Card 
 
For Credit Card Payment Only (complete ALL fields):

PLEASE NOTE: credit card details will be               
encrypted before transmitted over the Internet!
Credit card in the name of :
Credit Card Number :
Credit Card Type :
If Credit Card type is set to "OTHER" please enter :
Expiry Date : (Year)

(Month)
CVV Number
(Last 3 digits on back of card) :
Amount :
DTMSI Bank Account Details (Kindly fax a copy of your deposit slip for our convenience):
Bank First National Bank
Account Name Design, Technology and Management Society International
Account Type Current
Branch Code 20013
Account Number 62066368294
OVERSEAS SWIFT FRINZAJJ
Refer to the bank and the DTMSI account details as above
PLEASE ENSURE THAT YOU UNDERSTAND THE FOLLOWING:

By submitting this application form, I hereby wish to be included in the above offered* / chosen* guild(s), and authorize the DTMSI to publish a brief profile about myself in DTMSI publications usually available from the DTMSI.

BEFORE SUBMITTING, PLEASE PRINT A COPY OF THIS FORM FOR YOUR RECORDS
   

 

 

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