Phone APPLICATION FOR MEMBERSHIP Please enter as much details as possible. REGISTERED NAME OF BUSINESS * TRADING NAME OF BUSINESS REPRESENTATIVE OF BUSINESS ALTERNATIVE BUSINESS STREET ADDRESS POSTAL ADDRESS BUSINESS TELEPHONE NUMBER * E-MAIL ADDRESS * NATURE OF BUSINESS (see list) INCEPTION DATE OF BUSINESS FULL NAMES & HOME ADDRESSES OF OWNERS / PARTNERS / DIRECTORS WAS THE APPLICANT, OR IN THE CASE OF A COMPANY, ANY OF IT'S DIRECTORS EVER INSOLVENT? NO YES IF YES, GIVE BRIEF DETAILS PLEASE SUPPLY THE FOLLOWING INFORMATION REGARDING THE AMOUNT OF EMPLOYEES IN YOUR SERVICES APPRENTICES LABOURERS OTHER IS YOUR BUSINESS REGISTERED ACCORDING TO THE FOLLOWING ACTS? If yes, please provide us with the registration numbers Bargaining Council Agreement for the Building industry S.A.R.S. - Revenue Registration Number Unemployment Insurance Act (UIF) Value Added Tax (VAT) Skills Development Levy (SDL) Workmen Compensation Act (WCA) The Federated Employers Assurance Company Ltd National Home Builders Registration Council (NHBRC) Construction Industry Development Board (CIDB) PLEASE PROVIDE A BRIEF BACKGROUND OF ALL WORKS SUCCESSFULLY COMPLETED BY YOUR COMPANY Please complete PROJECT 1 PROJECT 2 PROJECT 3 PROJECT 4 ENTRY FEE YEARLY SUBSCRIPTION FEE TOTAL R100 R100 R200 PLEASE DEPOSIT YOUR FEE IN THE FOLLOWING ACCOUNT WITH YOUR BUSINESS NAME AS REFERENCE ACC. NAME: MEESTER BOUERS ASSOSIASIE GROTER BOLAND BANK: FIRST NATIONAL BANK | ACCOUNT NUMBER: 5433 000 6741 | BRANCH CODE: 200407 TO BE COMPLETED BY ALL APPLICANTS CONTRACTORS & FABRICATORS Please indicate all your business interests BUSINESS INTERESTS Asphalting Aircondition & Ventilation Alterations & Additions Aluminium Fabricators Aluminium Windows, Folding Doors Asbestos Rainwater Goods Awnings & Carports Balustrades Board Manufacturers Builder and Contractors Builders Merchants Carpentry & Partitions Civil Engineering Contractors Curtain Walling Clay Products Manufacturers Dry Wall Contractors Electrical Contractors Fencing Contractors Fiber Glass Products Manufacturers Fire Protection Flooring Contractors Glaziers Home Builders Insulation Contractors Industrialized Buildings Kitchens Labour Only Sub-contractors Lifts & Escalators Lightning Protection Marble, Granite & Stone Masonry Metal Windows & Doors Paint Manufacturers Paving Piling Contractors Plant Hire & Earthworks Plumber * Sanitary Engineers Prestressed Concrete Products Project Managers Reinforcing Steel Contractors Roofing Contractors Roof Cleaning Sanitaryware Merchants Safety Consultants Security Doors, Gates & Systems Shop, Office & Bank Fitting Solar Heating Solar Screening & Louvers Special Wall Finishes Steel Doors, Roller Shutters Manufacturers Structural Engineers Swimming Pools Tiling & Mosaics Timber Roof Trusses Training Establishments Wardrobe Manufacturers & Fitters Waterproofing Contractors Wooden Door Manufacturers Wrought Iron Work Other (If Other please specify below) IF YOU SELECTED OTHER PLEASE SPECIFY TO BE COMPLETED BY ALL APPLICANTS DECLARATION I, THE UNDERSIGNED AS OR ON BEHALF OF THE APPLICANT, APPLY HEREWITH FOR MEMBERSHIP OF THE MBA NORTH BOLAND, AND DECLARE: 1) That I am assigned to sign this form; 2) That the information supplied is true and correct; 3) That the constitution and regulations of the Association and its branches, including the MBSA-Regulations, will be honoured and respected; 4) If any complaints were received regarding work done by the applicant, the worksite will be placed at the disposal of any authorised person or persons for inspection and full co-operation will be given to finish the work satisfactorily. 5) In the case of cancellation or termination of membership of the Association, all membership certificates will be returned to the registered office of the Association within seven (7) days of termination. I ACCEPT THE TERMS AND CONDITIONS NO YES EKVORM VIR LIDMAATSKAP_compressed (2)
