Individual Membership Application SME Complete all the required fields marked with *. 1 Personal Information *Email Address * EmailEmail Address can not be left blank.Please enter valid email address.Please enter valid email address.This email is already registered, please choose another one.*PasswordPassword can not be left blank.Please enter valid data.Please enter at least 6 characters.Strength: Very Weak*First Name * NameFirst Name can not be left blank.Please enter valid data.This first name is invalid. Please enter a valid first name.*Surname * SurnameLast Name can not be left blank.Please enter valid data.This last name is invalid. Please enter a valid last name.*Title(Mr, Mrs, Ms)Title(Mr, Mrs, Ms)MrMissMsSirMadamProfDrCaptainGeneralMajorPriestImamOtherPlease select atleast one option.Please enter valid data.*GenderMaleFemalePlease select one.Please enter valid data.*Date of Birth * Your Date of BirthPlease select date.Invalid Date.*Age * Your AgeAge can not be left blank.Invalid Age. Valid 18-99Invalid Age. Valid 18-99*SA ID. Number * Your ID NumberID field can not be left blank.Invalid ID number.Invalid ID number.*RaceRaceBlack AfricanColoredWhiteIndian/AsianPlease select atleast one option.Please enter valid data.*Marital StatusMarital StatusSingleMarriedWidowedSeparatedDivorcedPlease select Marital StatusPlease enter valid data.Telephone TelephoneText field can not be left blank.Please enter valid Telephone.Please enter valid Telephone.*Mobile * Mobile NumberText field can not be left blank.Please enter valid data.Please enter valid data.*Home Address * Physical AddressText field can not be left blank.Please enter valid data.*Member City * Your CityText field can not be left blank.Please enter valid data.*CountryCountryCountry/RegionAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceFrench GuianaFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwePlease select atleast one option.Please enter valid data.*Postal Code * Postal CodeText field can not be left blank.Please enter valid data.Please enter at least 4 characters.Please enter valid data.*Province/StateProvince/StateEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern CapeOtherPlease select atleast one option.Please enter valid data.*Upload Your ID * Drop file here or click to select.Drop file here or click to select.Please upload ID.Invalid file selected.Invalid file selected.*Upload Your CV * Drop file here or click to select.Drop file here or click to select.Please select file.Invalid file selected.Invalid file selected. 2 Education *Highest QualificationHighest QualificationNo formal educationPrimary educationHigh schoolNational DiplomaBachelor's degreeMaster's degreeDoctorate or higherPlease select atleast one option.Please enter valid data.Qualification Name Qualification Name(type N/A if Not Applicable)Text field can not be left blank.Please enter valid data.Institution / School Name University/College or School (N/A if not applicable)Text field can not be left blank.Please enter valid data.Expertise and Interest Tell about yourself , Summarise your expertise and interestBiography can not be left blank.Please enter valid data. 3 SME / Company Details *Company/SME TypeCompany/SME TypePartnershipPrivate (Pty)LtdNPOInformal BusinessClose CorporationTrustCo-operativeSole ProprietorPlease select atleast one option.Please enter valid data.*Nature of your BusinessNature of your BusinessInformation TechnologyCommunications and MediaTransport and automotiveFinance and business servicesRetail and WholesaleTourismLeisure and HospitalityConstruction and home servicesHealth and Personal ServicesMining and MineralsManufacturing and ChemicalsAgricultureConstruction and EngineeringEducationLegalPlease select atleast one option.Please enter valid data.*Company Registered Name * Registration NameText field can not be left blank.Please enter valid data.*Company Registration Number * CIPIC Registration NumberText field can not be left blank.Please enter valid data.*Trading Name * Trading nameText field can not be left blank.Please enter valid data.*City/Town of Operation * Operation location?Text field can not be left blank.Please enter valid data.Company Website Company Website N/A if no websiteText field can not be left blank.Please enter valid data.Please enter valid data.*BEE LevelBEE LevelLevel 1 - 100 points and above - 135% procurementLevel 2 - 85 to 99.99 points - 125% procurementLevel 3 - 75 to 84.99 points - 110% procurementLevel 4 - 65 to 74.99 points - 100% procurement.Level 5 - 55 to 64.99 - 80% procurementLevel 6 - 45 to 54.99 - 60% procurementLevel 7 - 40 to 44.99 - 50% procurementLevel 8 - 30 to 39.99 - 10% procurement Non-compliantPlease select atleast one option.Please enter valid data.*Registered for VAT?YesNoPlease select one option.Please enter valid data.*Youth Owned Enterprise?YesNoPlease select one option.Please enter valid data.*Annual Turnover * Annual TurnoverText field can not be left blank.Please enter valid data.Please enter valid data.*Business TypeBusiness TypeService providerSupplierProfessional servicesTechnology enabled SMEPlease select atleast one option.Please enter valid data.*Years in Business * Number of years in businessText field can not be left blank.Please enter valid data.Please enter valid data.*Number of Staff * Number of StaffText field can not be left blank.Please enter valid data.Please enter valid data.*Business Needs?Business Needs?Funding opportunitiesEntrepreneurial Development opportunitiesNetworking opportunitiesBusiness exposurePlease select atleast one option.Please enter valid data.*Stage of business developmentStage of business developmentPre-revenuePost-revenuePre-seed stageSeed-stageGrowth stagePlease select atleast one option.Please enter valid data.*Branching Joining ProvinceBranching Joining ProvinceEastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestPlease select atleast one option.Please enter valid data.Branch RegionBranch RegionBloemfontein.BojanalaBranch RigionCape town.Century cityDr. Kenneth KaundaDurbanEast LondonEkhurhuleniJohannesburgKathuKgatelopeleKimberlyKurumanKwa MashuMidlandsMidrandMokopaneNelson MandelaNelspruit(Mbombela)North coastPhalaborwaPolokwaneQueenstownQwaqwaSandtonSecundaSowetoSteve TshweteThohoyandouTshwaneUmtataVaalWelkomWitbank.OtherPlease select atleast one option.Please enter valid data.*Description of Services/Products * Describe your business description services or goodsThis Field can not be left blank.Please enter valid data.*Reason for JoiningReason for JoiningLeadership and Management developmentBMF leadership searchEmployment OpportunityNetworking opportunities through branches meetings, forums, and eventBMF SMME DeskBMF annual achievement awards|BMF Events ( Breakfasts, dinners, Conversations, SummitsAccess to Research OutputOpportunity to be a mentorOpportunity to be mentoredOpportunity to serve in BMF desks and committeesTo be shaped by the ethos and values of the BMFPlease select atleast one option.Please enter valid data.*Upload Registration Certificate * Drop company certificate or selectDrop company certificate or selectPlease select file.Invalid file selected.Invalid file selected.Upload SME Profile (optional) Drop file here or click to select.Drop file here or click to select.Please select file.Invalid file selected.Invalid file selected.*Terms, Privacy & MOII have read and agree to the BMF Code of Conduct terms of the Membership Agreement, T&Cs and the Privacy PolicyPlease accept terms before you can proceed.Please enter valid data. 4 Social Media Links(Optional) FacebookFacebookTwitterTwitterLinkedInLinkedInSubmit ApplicationAlready have an account? 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