Individual Member Application

Membership stream

QualitySHEQStandardisation Officers

Membership grade applied for


Your Details


First Names (Required)

Surname (Required)


Citizenship (Required)

ID Number (Required)

Job Title (Required)

E-mail address (Required)

My position relates to the practice of:

QualityEnvironmentalSafetyHealthHealth & SafetySHEQConsultant

Company Information:

Company Name (required)

Company Address Line 1 (required)

Company Address Line 2

City (required)

Province (Required)

Country (Required)

Post Code (Required)

Business Telephone (Required)

Mobile Phone

Business Fax

Business E-mail (Required)

Economic Sector (Required)

Type of Business (Required)

Company Registration No.

Vat Number

Other details

Home Address - Street Name (required)

Building / Centre

City (required)



Post Code (required)

Home Telephone

How were you referred to the SASQ? (Required)

FriendColleagueSASQ MeetingSASQ MemberConference / SeminarWebsiteGoogleYahooBingOther Search EngineOther BlogArticle

Is your company a member of SASQ? (Required)YesNoDon't Know

Do you want a letter sent to your organisation recognising your membership to SASQ? (Required)

If yes, please supply details of receiving person and email address

Recipient's Name

Recipients E-mail

Do you want your details to be inserted on the SASQ website? (Required)YesNo

Preferred area to attend SASQ events (Required)

Other venue if selected above

I am an active member in the following fields (Required)

Call CentreCorporate Social Responsibility (ISO 26000)Course ProviderEnergy Management (IS0 51000)Food SafetyHealth CareLaboratoryMilitary & SecurityProject QualityResearchRisk Management (ISO 31000)School QualityService QualitySupply ChainSystems AuditingOther

Other field if selected above

Current Employment / Position (Required)

Employed from (Required)
Name of Organization (Required)
Job Title (Required)
Nature of work (Required)

Briefly motivate why you wish to join SASQ (Required)

Membership of other professional institutions:

Institution 1
Year elected

Institution 2
Year elected

Institution 3
Year elected

Upload the following documents with this application.

Your detailed CV (Required)
A certified ID document (Required)
Supporting letter from employer (Required)
Certified copies of training programs-1
Certified copies of training programs-2
Certified copies of relevant qualifications -1
Certified copies of relevant qualifications -2
Certified copies of relevant qualifications -3
Copy of written projects or reports -1
Copy of written projects or reports -2
Letter of motivation for joining SASQ (Required)

I certify that the information submitted in this application is complete and correct to the best of my knowledge and belief. I understand that, if the information I have submitted is found to be incomplete or inaccurate, my application may be rejected or membership revoked. I am also aware of all the SASQ benefits offered to me as a professional member.

I agree to comply with the SASQ code of ethics. The SASQ Code of Ethics is available at: Read SASQ Code of Ethics

After you click the submit button, SASQ will send you an e-mail with instructions on how to proceed.

Please read the sidebar for help with this form. Please do not upload files larger than 8MB. Sending of your application will fail.