SOUTHERN AFRICA
Fax No 086 632 5418
Please do not "refer to CV" - kindly complete all details on this form as requested. Should you wish to send a CV to verify your qualifications and/or experience you are welcome to do so, but this form must still be completed in full.
Application for
Membership
Regrading
I wish to be considered for membership as a
Please Select
General Business Advisor
Specialist Business Advisor
Note: If you wish to be considered for both Business Advisor Types, please fill out the form for each type.
If "Specialist" please state which (refer to examples below)
Industry
*
Speciality or
Business Skill
**
Speciality
*
Industries e.g. Construction, Tourism & Hospitality, Agriculture, Mining, Transport etc
**
Business Skills e.g. Finance, HR, Legal, Marketing & Advertising, Business Turn-around
Note: If selecting "Specialist" please also see the section on Specialist Skills and required proof below.
Surname:
First Name(s):
Gender:
Please Select
Male
Female
ID No.
Postal Address:
Region:
Please select
Eastern Cape
Freestate
Gauteng
Kwa-Zulu Natal
Limpopo
Mpumalanga
Northern Cape
Northwest
Western Cape
Tel No.
Cell No.
E-mail Address:
TERTIARY QUALIFICATIONS (LIST)
(NB INCOMPLETE QUALIFICATIONS NOT TO BE LISTED)
Degree/Diploma
University/College
Year awarded
No. of years of Study
Other Qualification
Institution
Year awarded
No. of years of Study
Member of a professional institute? (Name)
Since (year)
Membership Number?
BUSINESS EXPERIENCE
We need details of your career to date, please tell us about your experience in business, either as an employee (E), a manager (M), or an owner (O).
Please note: - we do not accord recognition for more than one business experience per year so where two businesses / jobs were held recognition will only be given in respect of the most significant one.
Business related experience as an employee (E), manager (M), owner (O).
Name of
business
Position
From
(Year)
To
(Year)
TOTAL YEARS
E, M or O
BUSINESS ADVISORY EXPERIENCE
We need details of your experience as a business advisor, in terms of the number of years, number of sessions with each client, specific businesses you have mentored as well as the type of mentorship service provided (e.g. financial, general, marketing, HR etc.)
Business advisory experience
Name of
business
Type of
mentorship
From
(Month,Year)
To
(Month,Year)
TOTAL YEARS
No. of sessions
Name of Contact
Contactable Telephone Number
SPECIALIST SKILLS/EXPERIENCE
In order to be recognised as a specialist advisor a member must supply proof of at least one or more of the following:
1. A recognised SAQA level 6 or equivalent qualification from an accredited tertiary institution in the field of claimed expertise AND be a member of an accredited professional body that is related to that field of expertise, e.g. SAIPA
OR
2. Have practised the field of specialisation for more than 4 years AND have advised at least 6 clients for whom a successful specialist business advising intervention (e.g. turn-around's) was performed AND be a member of an accredited professional body that is related to that field of expertise, e.g. SAIPA
Nature of Specialist Skill
Name of Client
Contactable Tel Number
Note: Application fee R425 payable with application for membership - first year's annual subscription R840 payable before membership will be confirmed
Regrading Fee - R325
(Regrading can not be considered prior to membership being confirmed).
IBA Bank Account details:
ABSA, Menlyn Square Account Number 405 192 4394 - fax/e-mail proof of payment of registration fee with application form
It is a condition of membership of the IBA that the IBA Code of Conduct is signed by all applicants prior to membership being confirmed.
ACKNOWLEDGEMENT OF ACCEPTANCE OF THE IBASA CODE OF CONDUCT
PLEASE E-MAIL A COPY OF YOUR BRIEF CV TO
ceo@ibasa.org.za
Click here to view the Code of Conduct
I hereby agree to abide by this code of conduct.
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