Please select you province (Required)
Western CapeEastern CapeFree State/Northern CapeKwaZulu-NatalNorthern/Highveld
Please select you Benefit (Required)
Gold Membership - R37 per weekSilver Membership - R32 per weekBronze Membership - R18.50 per week
Marital Status: (required)
Date of Birth (required)
Please upload copy of your ID (file limit 2mb, file type: pdf,jpg,png)
Maiden Surname (if applicable)
Identity No. (required)
Have you previously been registered as a member of MISA
Your present Occupation (What is your Job Title at present)
Are you qualified?
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.)
Do you have the necessary documentation?
Please mail your documentation to email@example.com
Please mail your documentation to firstname.lastname@example.org
Please mail your documentation to email@example.com
Please mail your documentation to firstname.lastname@example.org
Please mail your documentation to email@example.com
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.
I, the undersigned,
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.