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Independent Membership Application Form

NB: All new membership applications will incur a non-refundable application fee, which is payable before the application is processed. See Annual Fees for details.

All reporting regarding membership is at aggregate level. All details and information submitted is strictly confidential.

ABOUT YOU

Please submit your current CV to membership@samra.co.za, including the details and email addresses of at least two contactable references, and copies of your qualification certificate(s).

Please note that this question is included because we have to report on this, at aggregate level, to government agencies in South Africa

WHAT YOU DO

The role that you fulfil most of the time at work.
If you are on user/client/buyer side, this question applies to the work you have done internally, as well as commissioned externally. Categories are based on the ESOMAR global classification system.
 
 
Categories are based on the ESOMAR global classification system.
 
Categories are based on the ESOMAR global classification system.
 
Categories are based on the ESOMAR global classification system.
 
Categories are based on the ESOMAR global classification system.

YOUR CONTACT DETAILS

For example: PO Box 1713, Randburg, 2125, South Africa
For example: 264 Oak Avenue, Randburg, 2125, South Africa
TERMS AND CONDITIONS
(Please indicate agreement by ticking the relevant boxes)