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Secure your future in the retail motor industry with unparalleled legal, financial and educational support.

Download Ordinary Form (PDF) Download Affiliate Form (PDF)

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Personal Details

Title *

Initials *

First Names *

Surname *

Preferred Name

ID Number *

DOB & Gender auto-filled from ID

Date of Birth *

Gender

Determined from ID number

Race (For EE Purposes)

Membership Option *

Select your preferred MISA membership option (Gold Member, Silver Member, or Bronze Member).

Marital Status

Home Language

No. of Dependants

Main Member Details

Member's ID Number *

Member's First Names *

Member's Surname *

Spouse / Partner Details

Title *

Initials *

First Names *

Surname *

Preferred Name

ID Number *

Date of Birth *

Gender *

Race (For EE Purposes)

Marital Status

Home Language

Contact Details

Cell Number *

Email Address *

Home Telephone

Work Telephone

Physical Address *

Postal Address

Spouse / Partner Contact Details

Cell Number *

Email Address *

Home Telephone

Work Telephone

Physical Address * Same as Member's Address

Postal Address

Employment Details

Name of Employer *

Branch / Town *

Occupation *

Employee / Clock Number

Date of Employment

MISA Region *

Are you a Shop Steward? *

Yes No

Do you want to apply for the Spouse/Partner benefit? *

Yes No

💡 Once submitted, please also fill out the Spouse/Partner Application Form using the tab at the top.

Upload ID/Passport/Driver's License *

Click to upload or drag and drop

Accepted: JPG, PNG, PDF (Max 5MB)

Spouse / Partner Employment & Uploads

Name of Employer

Occupation

Upload Spouse/Partner ID/Passport/Driver's License *

Click to upload or drag and drop

Accepted: JPG, PNG, PDF (Max 5MB)

Upload Marriage Certificate / Cohabitation Agreement / Affidavit *

Click to upload or drag and drop

Accepted: JPG, PNG, PDF (Max 5MB)

Signature *

Draw signature here

If using a phone, turn it sideways to sign more easily.

Declaration & Consent

I, the undersigned, hereby apply for membership to the Motor Industry Staff Association (MISA). I authorise my employer to deduct my union subscriptions from my salary and remit them to MISA in accordance with the provisions of the Labour Relations Act, 1995. I agree to abide by the MISA Constitution.

I, the undersigned, hereby apply to register as a Spouse/Partner member under the main MISA member. I declare that the details provided are true and correct, and I agree to abide by the MISA Constitution.

I, the undersigned, hereby apply for Affiliate membership to the Motor Industry Staff Association (MISA). I agree to abide by the MISA Constitution and to pay the required membership fees directly as an affiliate member.

Submission Failed

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📞 011 476 3920

📧 [email protected]

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Application Submitted!

Thank you for applying to join MISA. Your Membership application has been received.

A member of our team will be in touch shortly. Please allow 2–5 business days for processing.

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