Form A: Affiliated Resident Association

Application for affiliation by a resident or ratepayers' association in the Moot region.

Before you start: the chairperson, the secretary and the nominated delegate each need to sign on screen. Complete the form when all three are together, or pass the device between them. Fields marked * are required.

Please correct the following before submitting:

Part A: Association details

The resident or ratepayers' association applying for affiliation.

Full name of the association *

Abbreviation

Letters only (2 to 8). Used for your membership number, e.g. RA-KRPA.

Use 2 to 8 letters only.

Registration or NPO number

If registered

Suburb(s) or area represented *

Contact person *

Position in the association *

Contact email *

Enter a valid email address.

Contact mobile *

Enter a 10-digit mobile number, e.g. 0821234567.

Part B: Paid-up membership

Determines the association's voting weight at General Meetings (clause 9.1).

Number of paid-up members (natural persons) as at today *

Enter a whole number.

Fewer than 20: 1 vote | 20 to 100: 2 votes | 101 to 300: 3 votes | 301 or more: 4 votes

Part C: Admission criteria

Clause 7.1 of the Constitution. The association confirms that it:

has a written constitution that is not inconsistent with the TRACC Constitution;

has a defined geographic area that does not overlap substantially with that of an existing affiliated resident association; and

is in active operation, with a properly constituted executive, a body of members and a record of meetings.

Part D: Nominated delegate

The one person who attends, speaks and votes on behalf of the association at General Meetings. The delegate must reside in the area the association represents.

Full name of delegate *

Street number *

Numbers only.

Street name *

Suburb *

Delegate email *

Enter a valid email address.

Delegate mobile *

Enter a 10-digit mobile number, e.g. 0821234567.

Part E: Delegate's declaration

Clause 8 of the Constitution. I, the delegate named in Part D, declare that:

I am a member in good standing of the association named in Part A;

I reside within the area that the association represents; and

I do not currently hold, and have not within the preceding 12 months held, any of the following offices: office bearer of a registered political party or any of its structures at any level; member of Parliament or of a Provincial Legislature; member of a Municipal Council; or formally nominated candidate for any of those offices whose candidature has not been withdrawn or finally contested. (Membership of a ward committee, community policing forum, school governing body or similar structure, or ordinary membership of a political party without office, does not disqualify.)

Signature of delegate *

Please sign in the box above.

Part F: Non-political undertaking

Clause 7 of the Constitution.

The association undertakes to uphold the non-political character of TRACC, and will not conduct or permit any political party activity in the name of TRACC or in any activity conducted jointly with it.

Part G: Certification by office bearers

We certify that the information in this form is correct, that the number in Part B reflects the members whose subscriptions are paid up as at today, and that the delegate named in Part D has been duly nominated by the association.

Chairperson: full name *

Signature of chairperson *

Please sign in the box above.

Secretary: full name *

Signature of secretary *

Please sign in the box above.

Consent

I consent to TRACC collecting and processing the personal information in this form for membership administration, in accordance with the Protection of Personal Information Act, 2013.