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NEW MEMBER APPLICATION Thank you for your interest in becoming a member of SAIEG. Before completing the form below, please ensure that you have read the membership requirements and downloaded and completed the necessary PDF documents. These documents must be uploaded before submitting your application. Alternatively, you may email your full details and supporting documentation to *protected email*TitleProfDrMrMrsMsMissLast Name Email Address (User Name) First Name Date of Birth Cellphone Number Contact number Address Line 1 Suburb Postal Code Country Address Line 2 City Province SAIEG Membership Level Applying forHonoraryFellowMemberCandidateAffiliateStudentHighest Level of EducationB Tech DegreeBScHonoursMScPhDOtherIf other please specify SACNASP Registration Number SACNASP CategoryProfessional Natural ScientistCertificated Natural ScientistCandidate Natural ScientistSACNASP Registered field of practice Principal Area of WorkEngineering GeologyEnvironmental GeologyHydrogeologyOtherIf other please specify Secondary Area of ExpertiseDam InvestigationsDolomite Stability InvestigationsUnderground InvestigationsFoundation InvestigationsInvestigations for Construction MaterialsGeohydrologyEngineering Geological MappingSlope StabilityWaste ManagementInvestigation of damaged structuresEnvironmental AssessmentOtherIf other please specify Areas of Primary ExpertiseDam InvestigationsDolomite Stability InvestigationsUnderground InvestigationsFoundation InvestigationsInvestigations for Construction MaterialsGeohydrologyEngineering Geological MappingSlope StabilityWaste ManagementInvestigation of damaged structuresEnvironmental AssessmentOtherOther Allowed types: PDF and WordUpload Allowed types: PDF and Word UploadPDF upload 4Upload PDF upload 4 UploadPDF upload 7Upload PDF upload 7 UploadPDF upload 2Upload PDF upload 2 UploadPDF upload 5Upload PDF upload 5 UploadPDF upload 8Upload PDF upload 8 UploadPDF upload 3Upload PDF upload 3 UploadPDF upload 6Upload PDF upload 6 UploadPDF upload 9Upload PDF upload 9 Upload Only fill in if you are not human