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Confidential Associate Declaration

Please fill in this declaration as accurately as you can while keeping the information confidential...

Declaration

Representative
Company


According to the Protection of Personal Information Act (“POPIA”; Act 4 of 2013), Agri-Intel requires consent to publish information regarding product registrations. By checking this box, you acknowledge that, should your company hold local registrations under Act No. 36 of 1947 containing an L or M registration number:

  • You are aware that submitting ALL details of your local registrations to Agri-Intel is a condition of CropLife South Africa membership;
  • Basic information pertaining to all your registrations, as per your registration certificate (i.e. tradename, registration number, active ingredient, registration holder name) will be made public as per Section 39 of the “Regulations relating to agricultural remedy” of August 2023;
  • Further, by submitting all your details as stipulated in number 1 above, you are providing consent to having your commercial label, SDS and product information published on the Agri-Intel website. Where information (other than that stipulated under point 2) may not be published on the website, this should be clearly communicated to the Agri-Intel team. In the absence of a clear objection to uploading the information onto the website, your consent is tacitly accepted.

OR


  • I understand and accept that said participation attracts a levy of R 2,640.00 per staff member in South Africa ONLY in order to fund the CPD Programme.
  • I accept that the CPD levy amount will be included on the membership fee invoice issued by CropLife SA.
  • Until such time as the CPD levy has been paid, my company will not be allowed to participate in the CropLife SA CPD Programme.
No. of Participants

Name
Email Address

Name
Surname