SALDREP Membership Application

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Thanks for your interest in becoming a member of SALDREP! Please complete this document ONLY once, using your preferred email address, where we can contact you. You should receive an email confirming receipt of your submission (check your SPAM folder and mark emails from SALDREP and Google Forms as Safe, if necessary). We will be in touch soon!

Email *

Duplication Check (choose only one) *

This is the first time I am submitting my membership form (either the online form or the downloadable / physical membership form).

I have already submitted my (downloaded / physical) membership form previously

Partial / Full Membership Check (Choose only one) *

I seek Full Membership as a Practicing LDRP: (Choose this option if as a practicing LDRP, you are a freelance worker who work on a PART-TIME basis for the CCMA / a Bargaining Council / a Statutory Council / Private Agency)

I seek Partial Membership as a Practicing LDRP: (choose this option if as an LDRP, you are employed FULL-TIME by the CCMA / a Bargaining Council / a Statutory Council / Private Agency)

I seek Partial Membership as I am a candidate Commissioner / LDRP in training (Proof may be required)

I seek Partial Membership as I am an Academic/student of labour dispute resolution practice (Proof may be required)

Surname *

Full Names *

Title *

ID Number *

Cell Phone Number: *

Please use +27 instead of 0, i.e. write +27 723602616 instead of 0723602616

Alternative Phone Number (if applicable)

Fax Number (if applicable)

Billing / Invoice Address *

Please type the address in a single line, separating each part with a semi-colon, i.e. Unit 15; Willow Crest Complex; 29 Portofino Place; The Willows; 0184

VAT Number (If applicable)

Province *

Based on where I render my services as an LDREP, I belong under the following SALDREP Regional Forum *

Total Period as an LDRP (whether CCMA/ BC / Private Agency) *

CCMA Office Where I am Based (If CCMA Commissioner - Specify if Not CCMA) *

Current Level as CCMA Commissioner (If only BC / Private Agency, please Check Other and Provide Details) *

Senior Commissioner

Level A

Level B

Other:

Required

Bargaining / Statutory Councils Where I Currently Work *

BCCEI

ELRC

GPSSBC

GrainBC

HCSBC

MEIBC (CDR)

MIBCO (DRC)

NBCCI

NBCEI

NBCRFLI

NBCS

NBCWPS

PHSDSBC

SALGBC

SARPBAC

SCPNPI

SSSBC

TBC

Other:

Required

Private Dispute Resolution Agencies You currently Perform work for: *

None / Not Applicable

Tokiso

IR Change

Other:

Required

Confirmation of Truthfulness *

I confirm that the above is true and correct as at the time of completion.

Required

By clicking "I agree", I agree to abide by the rules and constitution of Saldrep as amended from time to time. *

I agree

Required

Comments (Optional)

A copy of your responses will be emailed to the address you provided.

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