Form B: Affiliated Sectoral Body

Application for affiliation by a community-based organisation with a substantial presence in the Moot region.

Before you start: the chairperson, the secretary (or equivalent office bearers) and the nominated delegate each need to sign on screen. Fields marked * are required.

Please correct the following before submitting:

Part A: Organisation details

The community-based organisation applying for affiliation.

Full name of the organisation *

Abbreviation

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

Use 2 to 8 letters only.

Registration or NPO number

If registered

Type of organisation *

Legal form *

Suburb(s) or area where the organisation is active *

Contact person *

Position in the organisation *

Contact email *

Enter a valid email address.

Contact mobile *

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

Part B: Admission criteria

Clause 7.2 of the Constitution. The organisation confirms that it:

has a recognised legal or constitutional form (such as a voluntary association, NPO, NPC, PBO, school or place of worship); and

has a substantial presence or activity within the Moot area.

Part C: Nominated delegate

The one person who attends and speaks on behalf of the organisation at General Meetings.

Full name of delegate *

Delegate email *

Enter a valid email address.

Delegate mobile *

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

Address of delegate

Part D: Delegate's declaration

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

I am a member in good standing of the organisation named in Part A; 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member of a Municipal Council; or formally nominated candidate for any of those offices whose candidature has not been withdrawn or finally contested.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 E: Non-political undertaking

Clause 7 of the Constitution.

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

Part F: Certification by office bearers

We, the chairperson and secretary (or equivalent office bearers), certify that the information in this form is correct and that the delegate named in Part C has been duly nominated by the organisation.

Chairperson or equivalent: full name *

Signature of chairperson or equivalent *

Please sign in the box above.

Secretary or equivalent: full name *

Signature of secretary or equivalent *

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.