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The Secretary IMPSA Please complete scan and e-mail document and proof of payment to secretary impsa.co. Za APPLICATION FOR IMPSA MEMBERSHIP Surname Full First Names Postal Address City / Town Postal Code Telephone Work Home Fax Cell Gender Date of Birth E-mail Address HIGHEST ACADEMIC QUALIFICATIONS Institution Qualification Date POSITIONS HELD Current on top Employer Position Period From - to UNDERTAKING I agree to abide by the Code of Conduct of the Institute as set out in its Constitution...

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