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Student Zone > Application for Student Membership

In order to apply for student membership please fill in the form below:
Should you have any further queries please do not hesitate to contact our Membership Co-ordinator at 082 900-3481/012 345 1319 or e-mail bellas@ipfa.co.za
Download Membership Form

1. Personal Information
Surname	First names
Initials	Title
Date of Birth	Gender Female Male
RSA Identity number	Applicants postal address Postal Code
Home Phone Code Number	Applicants postal address Postal Code
Cell Phone	Email
Nationality

2. Qualification details (if applicable)

Institution	Student number
Current Studies	Year of study
Previous qualifications obtained (Qualification, Year and Institution)

3. Citizenship details
Are you a South African citizen? Yes No	If no, are you a permanent resident? Yes No
If not South African resident, please state nationality	Passport no. (if not RSA citizen)

5. Work History (if applicable)

Employer	Job Title
Work Phone Code Number	Work Fax Code Number
Employer's Postal Address Postal Code
Head of Department - Name	Head of Department - Work Number
Head of Department - Fax	Head of Department - Cell
Supervisor - Name	Supervisor - Work Number
Supervisor - Fax	Supervisor - Cell
Last Employer	Position
Period from (DD/MM/YYYY)	To (DD/MM/YYYY)
Nature of your work
Add more employment history details

Find the file to upload:
(Only Word Document or PDF, Powerpoint or zipped files allowed. No bigger than 2 Mb.)

6. Criminal Offences

Have you ever been convicted of theft, fraud, forgery or issuing a forged document?
Yes No

Are you an unrehabilitated insolvent?
Yes No

Have you at any time been removed from an office of trust on account of misconduct or any other reason?
Yes No

Username and password to access Student Zone Area
Username	Password

7. Declaration by applicant:

I hereby declare that the above information given is complete, true and correct in every detail.

I understand that as a student member of IPFA, I am bound to adhere to the Code of Conduct which will be sent to me. In the event of admission as a student member, I undertake to observe the provisions of the Constitution and the bye-laws and rules framed thereunder.

I understand that, in the event of admission as a student member, I am only a student member of IPFA for the duration of my qualification.

Consent given by guardian if applicant under the age of 21 years