S A CE
South African Council for Educators Private Bag X127 Centurion 0046 Tel: (012) 663 9517 E-Mail: info@sace.org.za (For Enquiries only)

APPLICATION FORM
INFORMATION FIELDS SECTION
Surname: Maiden name: First name(s): Title:
Y Y M M D D

FOR OFFICIAL USE ONLY!! PAY METHOD STATUS PERS PO CH CA N Complete Incomplete

Date of birth: Identity number: Postal address:

Gender [Male (m) / Female (f)]

Postal code: Residential address:

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Postal code: NB. It is the duty of every registered member to inform Council of any change in information supplied (e.g. Address, status, qualification, etc.) Employee reference (eg. Persal number): Paypoint number: Name of school/institution: Address of school/institution:

Postal code:

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Type of institution (eg. Public school, Independent school, Further Education and Training institution, University, etc.) Province:

QUALIFICATION

INSTITUTION

YEAR OBTAINED

REQV.

Post Level

NB. CERTIFIED COPIES OF CERTIFICATES MUST BE ATTACHED. Language preference (eg. English)

Are you at the time of applying for registration, or were you previously, subject to: NO (i) Any disciplinary proceeding instituted by an employer? YES (ii) Any legal proceedings by a competent authority? YES NO

If yes, supply details:

DECLARATION SECTION

I hereby apply for membership of SACE and authorize you to enter my name in the register with immediate effect. I declare that the information on this application form is true and correct. I declare that I ascribe to the SACE Code of Ethics, and that I will promote the status of the profession as required by the Code of Ethics. Find enclosed a postal order for R200, 00 in favour of SACE, for South African Nationals, and R400, 00 for foreign nationals Signature: Contact number /s (Cell): NOTE: 1. 2. 3. Date: (Work):

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Do not send cash. Put your completed application form, certified copies of professional qualifications and identity document, in an envelope and mail it to the abovementioned address. NB. Do not fax or e-mail any application documents. All foreign qualifications must be evaluated by the relevant Quality Assurance bodies before submission.