MID Members Application – Organisations | Muizenberg Improvement District

MID Member Application - Organisations

Please enable JavaScript in your browser to complete this form.

Step 1 of 2

General Note on Information

Under the Companies Act, the Members’ Register must contain the following information in respect of each member: (a) name; (b) business, residential or postal address; (c) email address (unless person has declined to provide an email address); and (d) an identifying number unique to that person (e.g. a RSA ID number).

However, the Muizenberg Improvement District NPC will keep your unique identity number and email address provided confidential when any member or outside third party requests access to the Members’ Register under the Companies Act, unless you give your written consent.

Name of Company/ Close Corporation/ Trust/ Sectional Title Body Corporate/ Partnership/ Other Body (circle whichever is applicable):

Registration no. (if any):

Website / URL (if any):

Details of Juristic Person / Other Body

Representatives Name

First

Last

Layout

Mobile

Layout (copy)

ID Number

Designation / Role with Organisation

Layout (copy) (copy)

Representative Residential Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Representative Postal Address (if needed)

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

NOTE: Where the body’s physical address differs from its postal address, only its postal address will be recorded in the Members’ Register.

Representatives Preferred Method of Communications

Email
Residential Address
Postal Address

Details of Property

The aforesaid body is the registered owner/ co-owner of the following property located within the Muizenberg Improvement District NPC.

I confirm

Physical Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Erf Number

Warranty by Representative

By submitting this form, I confirm that am the authorised signatory of the abovementioned juristic person/ body (by resolution or letter of authorisation, a copy of which is attached hereto), and warrant that I have the necessary authority to apply for membership of the Muizenberg Improvement District NPC.

Signature

General Note on Information

Details of Juristic Person / Other Body

Details of Property

Warranty by Representative

GROWING A THRIVING COMMUNITY

Extending the MID Boundaries

The MID Office Address

Get in Touch

Designed and Developed by