Apply Online - Corporate - Botswana Information Technology Society

1 Grade of Membership

Corporate Member Institutional Affiliate

Previous Grade (if reapplying)

Previous Membership Number

Enterprise size (for Corporate Member):

Small Enterprise Medium Enterprise Large Enterprise Institution

2 Corporate Information

Name of Organisation * (as registered with the Registrar of Companies/Societies)

Company Registration Number

Date Established

Physical Address *

Postal Address

City *

Country *

Corporate Phone *

Email Address *

Website

3 Contact Person(s)

Primary Contact

Full Name *

Position / Title *

Email *

Secondary Contact (optional)

Full Name

Position / Title

5 Human Resource Record

Name of MD / President / CEO / Chairperson Total Employees ICT Technicians ICT Personnel

6 Criminal Record

Has your corporation ever been indicted, summoned into court as a defendant, convicted, fined, or had a senior executive imprisoned for violation of any law?

No Yes

7 Consent & Declaration

I, on behalf of my organisation, hereby apply for membership of the Botswana Information Technology Society, and if elected, my organisation will endeavour to maintain the dignity and welfare of the Society, and of its members; and will abide by the Constitution of the Society.

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

Authorised Signatory Name *

Position / Title *

Date *

I confirm the above declaration on behalf of my organisation *

Payment Information

Corporate Member: BWP 1,000 annual fee + BWP 250 administration fee (new applications)

FNB • Botswana Information Technology Society • Account: 57360029014

Use your organisation name as the payment reference. Email proof of payment to secretary@bits.org.bw.

Upload Company Registration Documents

Upload Proof of Payment

Corporate Membership Application

1 Grade of Membership

2 Corporate Information

3 Contact Person(s)

4 Type of Organisation

5 Human Resource Record

6 Criminal Record

7 Consent & Declaration

Payment Information

Corporate Fees

Required Documents

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