Saice President’s List

SAICE President's List - Annual Renewal Form

A minimum annual renewal non-refundable fee of R1000.00 (excl VAT) shall apply for the 1st category of membership and then an additional R250.00 (excl VAT) for the 2nd category and R250.00 (excl VAT) for the 3rd category.

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PERSONAL INFORMATION

Name

Name Last

Street Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Postal Adress same as Street Adress

Postal Address same as Street Address

Postal Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Tel no: (work)

Tel no: (cell)

E-mail address

Current occupation

Area/s of expertise and experience

Describe ADR Experience of the last year

List the standard forms of Construction Contract under which you consider yourself as competent to function as an ADR Practitioner.

CONTINUOUS DEVELOPMENT

Has there been any change to your academic qualifications, registration or membership of institutions in the last year.

Yes

If yes, please provide details and the relevant documentation where applicable

Upload relevant documentation

Max. file size: 256 MB.

The SAICE ADR Committee encourages persons on the President’s List to continue to improve their knowledge and understanding of Alternative Dispute Resolution process, the procedures, Conditions of Contract, the law and legal precedence. Please provide details of any continuing improvement initiatives you have undertaken or been part of in the last year dealing with Amicable Settlement, Adjudication, Arbitration, Conditions of Contract, Law/legislation and other.

Upload relevant documentation where applicable

Max. file size: 256 MB.

CONSENT

I request that I be considered for nominations by the SAICE President

Yes

Date

Signature