EGG ORGANISATION - SAPA

SOUTHERN AFRICAN POULTRY ASSOCIATION
APPLICATION FOR MEMBERSHIP OF SAPA / RENEWAL OF MEMBERSHIP OF SAPA
Chief Executive Officer
Southern African Poultry Association
PO Box 1202
HONEYDEW
2040
Tel: 011 795 9920
Fax: 011 795 2590
sapaadmin@sapoultry.co.za
EGG ORGANISATION
SUBSCRIPTION FOR EGG ORGANISATIONS OF THE SAPA WILL BE R400.00, INCLUDING VAT PER
MEMBER FOR THE CALENDAR YEAR 2012
I, the undersigned:
i) hereby apply for membership of the SAPA / renewal of membership of SAPA as part of the
organisation as indicated above for 2012;
ii) agree to abide by the Constitution and Code of Practice of the Southern African Poultry Association
and that of the SAPA Organisation as indicated above, as amended;
iii) undertake to submit individual data to SAPA office for establishing a suitable statistical system for
the further aims of SAPA;
iv) understand that SAPA will treat all information provided as highly confidential.
Please note:
• Subscription and votes will be determined according to decisions taken and approved at the Annual
General Meeting and will be adjusted annually.
• For the Egg Organisation: Membership is limited to persons/legal entities who
individually/collectively with others keeps, control or manages 500 or more commercial egg layers
or controls or manages the primary marketing of the egg production emanating from 500 or more
commercial egg layers.
WE HAVE THE FOLLOWING INFORMATION ON OUR D-BASE: KINDLY AMEND WITH THE MOST RECENT
INFORMATION AND RETURN BACK TO OUR OFFICE.
1. CONTACT DETAILS:
TRADING NAME
Company:
Membership to be vested in name of:
Position in company:
Date of birth (dd/mm):
1 | P age

Language preference (A/E):
Postal address:
Code:
Physical address:
Code:
Province:
Country:
Telephone number:
Fax number
Cell number:
e-mail address:
Municipality:
District:
2. SAPA STATISTICS
DISTRIBUTION OF STATS
Please supply the contact information of additional staff members in your group who should receive the
SAPA Statistical Reports:
Area
Name
e-mail address Code Tel No Fax No
FEED:
Do you mix your own (indicate with an X) YES NO
If 'YES', please indicate quantity per month in ton
2 | P age

EMPLOYMENT:
Number of employees: (Including outsourced staff)
Number of contract producers:
PLEASE attach a list of your contract producers with their contact details
Kindly complete the section that refers to the organisation that you are applying for:
3. EGG PRODUCERS:
PRODUCER OF LAYER REPLACEMENT PULLETS
Housed per annum: (October 2010 to
September 2011) in number of birds
EGG PRODUCER
Laying flock:
Total dozens of eggs (nett) marketed during
October 2010 - September 2011
Number of egg layers (over 18 weeks of age)
dozens
Egg Production System: %
Cages
Free Range
4. DISEASE MAN AGEMENT
As you are aware, SAPA is monitoring Notifiable Avian Influenza surveillance information to assist the
Department of Agriculture, Forestry and Fisheries in determining the location of poultry production units.
Please assist SAPA in its efforts and supply your company’s contact person re this matter.
Name
Position
Address
Tel Nr
Fax Nr
e-mail address
3 | P age

For the purpose of knowing where chicken flocks are situated in case of a disease outbreak, would
you kindly indicate in which municipal areas or broader districts your farms are situated: (complete
list below)
Farm Name Province Municipal District
No of Birds as
per census on
31 October
5. TRAINING MAN AGEMENT
Name
Position
Address
Tel Nr
Fax Nr
In an effort to assist the industry with new and ongoing Training and Development initiatives, supply
your company’s contact person’s details re this matter
e-mail address
4 | P age

6. POULTRY BULLETIN (COMPLIMENTARY CIRCULATION)
Address of other staff members in your group who would like to receive the Poultry Bulletin free of charge
1. Name
Position
Address
Tel No
Date of birth
2. Name
Position
Address
Tel No
Date of birth
3. Name
Position
Address
Tel No
Date of birth
Signature of
Applicant:
Date:
5 | P age