Individual Form

INDIVIDUAL FORM

Membership is open to all individuals that believe and subscribe to PAICTA values, support youth development in the African continent. We give you access to our support programmes ecosystem, members only community networks, our digital platforms & preferential rates in our events (Virtual or Physical) in the African Continent.

Anual Membership fee: R350

Complete all the required fields marked with *

First Name *

Preferred Name

Last Name *

Email Address *

Mobile *

Gender *FemaleMale

Title *

Race *

Date of Birth *

Age *

Street Address *

City *

State/Province *

ZIP / Postal Code *

Country

ID.Number / Passport Number *

Name of the Organisation

Member type *

Occupation *

Upload CV *

Drag and Drop (or) Choose Files

The acceptable file types are doc, docx, and pdf only.

Upload ID *

No file chosen

The acceptable file types are jpg/jpeg/jpe, png, doc, docx, and pdf.

Self-assessment *

Reasons for joining PAICTA *Employment opportunityNetworkingAccess to researchOpportunity to be mentored/CoachedOpportunity to serve PAICTA commiteesPlease choose your reason

Please name your area of expertise *

Registered with other professional bodies *YesNo

PROFESSIONAL DECLARATION TO BE SIGNED BY APPLICANT *

Yes, I agree with the terms and conditions.