Apply Online - Individual - Botswana Information Technology Society

1 Type of Application

Application for New Membership Application for Membership Regrade

I have applied for BITS membership before

2 Personal Information

Title *

Surname *

First Name(s) *

Date of Birth *

ID / Passport Number *

Sex *

Nationality *

Physical Address *

Postal Address

City *

Country *

Phone (Office)

Mobile *

Email Address *

3 CV & Supporting Documents

Total Years of Proven ICT Experience *

Upload CV * Include work experience, academic credentials & references. PDF or Word. Max 10MB.

4 Other Professional Membership

Professional Body Grade Date Awarded Member Number

5 Criminal Record

Have you ever been convicted of any crime or offence (other than traffic violations)? You may exclude items that occurred before your 16th birthday.

No Yes

6 BITS Committees & Interest Groups

Please indicate which committees you have an interest in joining (select all that apply):

Education Committee Finance Committee Membership Committee Publicity & Information Committee Standards, Policy & Advocacy Committee Women Chapter

Other Areas of Interest

7 Declaration & Submission

I do certify that the information provided above is true and correct. I confirm that, if accepted, I will observe the provisions of the Society, its rules and regulations and will conduct myself honourably in the practice of my profession. I will maintain the dignity and welfare of the Society and will observe and abide by its Constitution and Codes of Ethics and Practice.

I confirm that I have read and understood the BITS data protection policy and agree to the processing of my personal information as outlined therein. I further agree to hold BITS harmless from any claims or liabilities arising from the use or disclosure of my data provided in this application, unless caused by gross negligence on their part.

Full Name (as signature) *

Date *

I have read and agree to the above declaration *

Before Submitting — Payment Reminder

Please make payment of your subscription and administration fee to:

FNB • Botswana Information Technology Society • Account: 57360029014

Include your full name as the reference. Email proof of payment to info@bits.org.bw.

Upload Proof of Payment Bank deposit slip, EFT confirmation, etc. Max 5MB.

Individual Membership Application