Surname:*
First names:*
(yyyy/mm/dd)
enter without spaces
enter without spaces
enter without spaces
SAVC Registration number:*
Postal city:
Postal code:
Tel:
Fax:
Cell:
Email:*
Preferred name:
Date of birth:*
Postal address:
Maiden name:*
APPLICATION FOR MEMBERSHIP OF THE SAAVT
Type of membership required: (mark applicable block with an X)
Senior (R150)
Qualified Vet Tech & other persons registered with Council as Vet Tech
Student (R75)
Students completing National Diploma in Veterinary Technology
Re-registration (R450)
Re-registration due to suspension of membership
Fields marked with an * is compulsory and no application will be accepted if these fields are not completed.
Once your appplication is accepted you will be issued with an invoice for the applicable membership fee
Title:*
Employer:
Field of work:
Highest qualification: