Personal Details:

Name:
Gender:	Please Select Male Female
Date of Birth:	1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / January February March April May June July August September October November December / 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000
Course:
Sponsor:
Address (Home):
Address (Term):
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Email:

Details of Next Kin (in case of emergency):

Name:
Relationship:
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Address:
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To complete registration, please pay the annual membership fee either directly to the SMSA secretary or though online banking (ACCOUNT NO: 41386794 SORT CODE: 404131). When making payment through online banking please put the title ' Registration - YourName ' .

 

Membership fees are as follows: