MISA Membership Application

    A – PERSONAL DETAILS:


    B – EMPLOYER DETAILS:





    ARTISANS ONLY


    ApprenticeOperative engine assembler in an engineering establishmentExempted journeyman in vehicle body building establishmentEmployee doing aspects of journeyman’s work under exemptionOther

    • Completed apprenticeship contract
    • Trade test diploma
    • Certificates of service confirming the practical experience gained whilst performing work in a designated trade


    YesNo


    Please mail your documentation to wp@ms.org.za

    Please mail your documentation to ep@ms.org.za

    Please mail your documentation to fs@ms.org.za

    Please mail your documentation to natal@ms.org.za

    Please mail your documentation to northern@ms.org.za


    Completed apprenticeship contractTrade test diplomaCertificates of service confirming the practical experience gained whilst performing work in a designated trade


    C – NOMINATION OF BENEFICIARY: (for the payment of Death Benefits):

    The person whom the benefits, in terms of the Rules of MISA BENEFIT and FUNERAL FUND, shall be paid in the event of my death.





    DECLARATION

    I, the undersigned,

    • hereby further authorise and instruct my employer to deduct, and pay over, on a monthly basis the union subscriptions payable by me to MISA or its designated agent.
    • solemnly declare that the above particulars are true and correct, and I agree to abide by the Organisation’s Constitution and faithfully observe all rules and regulations which are in force, or may be brought into force, from time to time.
    • consent in terms of Act 4 of 2013 (Protection of Personal Information Act): I hereby authorise MISA or its designated agent, to process my personal information (as per my membership application form) as well as to provide the necessary information of my MISA membership to MIBCO and my employer in so far as it is necessary to protect and/or execute my interests and/or those of MISA.

    PLEASE NOTE: It is your responsibility to notify MISA if and when any of your information changes regarding your membership. This includes your personal,
    company and beneficiary details. Please also ensure that MISA union fees are being deducted from your payslip monthly.