Experts Register Registration Request

Click HERE if you’d rather want to fill in and Submit an Experts Register Registration Request online

Note: The layout below may look incorrect - the PDF / Printed version will be fine

Your Personal details

Your Contact Details

Your Preferred Login User Name*

Your Email Address*

Your First Name*

Your Contact number* (eg. +27 82 123 45678)

Your Last Name*

First Time Applicant

Re-admission Applicant

Category/Categories

( ***Circle as applicable*** )

Eg. Students/Associates, Mentors, Experts/Specialists, Consultants, Expert Witnesses, Legal Professionals, Arbitrators, Adjudicators, Mediators

Your Title

Company Name

Years Experience*

Company Reg. No

Indicative fee per hour* ($)

Company Physical Address

Your Physical Address*

Name of Person responsible for Payment

Qualifications

Email Address of Person responsible for Payment

Biography*

(Include KEYWORDS for Searchers to find you)

Vat Reg. No

Business Website Address

Make Use of Email Marketing

I have read and Accept all Terms and Conditions, Rules and Regulations, governing membership of the Experts Register