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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

Contact Details

Cell Number *

Email Address *

Home Telephone

Work Telephone

Physical Address *

Postal Address

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.

Full Name *

ID Number *

Phone / Mobile *

Relationship (Spouse, Son, etc.) *

Address *

Employment Details

Name of Employer *

Branch / Town *

Occupation *

Employee / Clock Number

Date of Employment

MISA Region *

Employer Contact & Address

Employer Work Phone *

Employer Mobile *

Employer Email *

Employer Street Address *

Employer Postal Address

ARTISANS ONLY: Are you qualified? *

Yes No

If you are an employee in the Motor Industry, and you are performing the work of an artisan, you are required to attach proof of your qualification(s): (All documentary proof must be certified.) Completed apprenticeship contract *

Click to upload or drag and drop

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

Upload ID/Passport/Driver's License *

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 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.

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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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