Registration Form ‹ Pretoria Institute for Architecture – Promote. Support. Enable

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Business Affiliate

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Company Name

Website

VAT Registration Number

Physical Address

Postal Address

Company Profile

Contact Persons

	Name	Contact Number	Date of Birth
1

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SACAP Number

e.g. 21049

PIA Number

e.g. HA1111

SAIA Number

e.g. 8193

SA ID Number

e.g. 9205925122080

Initials

Contact Work

e.g. 082 920 3158

Contact Cell

e.g. 082 920 3158

Contact Fax

e.g. 011 203 4359

Gender

Language

Race

Qualification

Country of Residence

Country of Citizenship

Employer Information

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Student Information

Employer Link

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Member of Voluntary Association

Registration Type

Residential Address

e.g. Burnett Street

Residential Suburb

e.g. Hatfield

Residential City

e.g. Pretoria

Residential Postal Code

e.g. 1860

Postal Address

e.g. 14 Burnett Street

Postal Suburb

e.g. Hatfield

Postal City / Town

e.g. Hatfield

Postal Code

e.g. 1860

Date of Birth

Member Specialities

Date of Birth Import

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