Membership Checkout Membership Information You have selected the Category C membership level. THREE Accreditations The price for membership is R 7,471.25 now. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Username Password Show Password Confirm Password Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here More Information Organisation Details Registered Name Trading Name Registration No VAT No SDL No Physical address of your Head office Postal address of your Head office Landline Mobile No Website Organisation Details - Sites If there are sites of delivery in other provinces, specify how many sites and in which Province(s)? Gauteng Eastern Cape Freestate Kwazulunatal Limpopo Mpumalanga Northern Cape Northwest Western Cape Name of CEO/Director CEO/Director email Name of Principal/ Manager Principal/ Manager’s email Name of Admin/ Accounts person Admin/ Accounts email Affiliated operating brands Accreditation Details DHET Registration No DHET Current? Yes No DHET Applied? Yes No CHE Registration No CHE Current? Yes No CHE Applied? Yes No QCTO Registration No QCTO Current? Yes No QCTO Applied? Yes No FET/ Umalusi Registration No FET/ Umalusi Current? Yes No FET/ Umalusi Applied? Yes No Primary SETA Name Primary SETA Accreditation No List any other SETA accreditations (SETA name and accreditation number) Name - Other Other professional body reg no Supporting Documents In support of your application, please attach copies of the following mandatory documents(PDF Only). Membership will not be awarded if these documents are not submitted. Company registration document DHET registration letter Quality Council registration letter (CHE/ QCTO or SETA/ Umalusi) APPETD reserves the right to accept or decline membership applications. Declaration The organisation as above hereby agrees to and undertakes the following: To operate in a quality-driven, ethical, transparent, legal and fair manner always. To not misrepresent or fraudulently promote the member organisation, its legal standing, its qualification(s), its accreditation(s) and/or registration(s). To represent and uphold the integrity of APPETD and its members, maintaining high levels of ethics and personal conduct always. Behaviour contrary to this principle will result in APPETD membership being revoked. To pay in full any and all membership fees due to APPETD within 30 days of issue of pro-forma invoice. To forfeit any and all membership fees paid to APPETD should membership be terminated for whatsoever reason by either party. Please indicate where you heard about APPETD Renewing membership Member referral APPETD Workshop/ event Direct marketing by APPETD Website/ Social media QCTO/ CHE/ SETA referral Other Submitting this registration I confirm I am the designated authority of the organisation and declare all information as true and accurate. Full Name Position Date JanFebMarAprMayJunJulAugSepOctNovDec PayFast Checkout description text. Please note that if changing a subscription it may take a minute or two to reflect. Please also login to your PayFast account to ensure the old subscription is cancelled. NOTE: if changing a subscription it may take a minute or two to reflect. Please also login to your PayFast account to ensure the old subscription is cancelled. Processing...