WAPA Membership Application Form

• 1 Current: Membership Type
• 2 Member mailing list subscriptions
• 3 Company Details
• 4 Complete

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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