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WAPA Membership Application Form
1
Current
Membership
2
Company Details
3
Contacts
4
Subscriptions
5
Agreement
6
Complete
Membership
Member type
Membership type
Full Member (Network Operator)
Vendor (Hardware and equipment)
Vendor (Services to WISPS and Resellers of WISP services)
Associate Member (e.g. NPO, research or government entity, trade association, etc.)
Are you registered as a supplier with ICASA?
Yes
No
Is all the equipment you provide type approved and labelled?
Yes
No
Type of Associate Member
NPO
Government Body
Industry Association
Educational Institution
Research Organisation
Other
Please provide us with more information on which Type of Associate Member
Licensing Status
?
Licence Holder (already licensed)
No Licence (application submitted to ICASA)
No Licence (licence required)
Licence Exempt
No Licence Exemption (Exemption Required)
N/A
ECS No.
?
Please attach copy of ECS licence (all pages)
Upload
Upload requirements
Unlimited number of files can be uploaded to this field.
2 MB limit.
Allowed types:
jpeg, jpg, png, bmp, tiff, pdf
.
ECNS No.
?
Please attach copy of ECNS licence (all pages)
Upload
Upload requirements
Unlimited number of files can be uploaded to this field.
2 MB limit.
Allowed types:
jpeg, jpg, png, bmp, tiff, pdf
.
Please attach confirmation letter from ICASA (all pages)
Upload
Upload requirements
Unlimited number of files can be uploaded to this field.
2 MB limit.
Allowed types:
jpeg, jpg, png, bmp, tiff, pdf
.
Certificate No.
Please attach exemption certificate (all pages)
Upload
Upload requirements
Unlimited number of files can be uploaded to this field.
2 MB limit.
Allowed types:
jpeg, jpg, png, bmp, tiff, pdf
.
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