Membership Application Form

NOTES ON COMPLETING THIS FORM

1. BPeSA accepts organisational membership applications only: individuals will not be considered for membership.
2. The following organisations are eligible for BPeSA membership:
• Domestic and overseas client users of captive and/or outsourced services, whose dedicated service provision capacity exceeds 100 seats.
• Nationally active service providers.
• Industry associations.
• Non-profit developmental public private sector partnerships/initiatives.
3. BPeSA’s policy is to offer group membership to an applicant organisation, where the applicant organisation is a holding entity registered in
South Africa holding a controlling ownership interest of at least 50% in each organisation covered by the group membership.
4. BPeSA membership operates on a national basis and therefore only one membership application form is required for each applicant
organisation to cover all RSA national operational sites.
5. This form should be completed as carefully and completely as possible, using BLOCK LETTERS.
6. Please provide the most up-to-date information available to you as at the date of application.
7. Member and other documentation is available on BPeSA’s website (address below).
8. BPeSA reserves the right to request further information, including references, from applicant organisations, prior to any decision on
acceptance of their application.
9. If you have any queries relating to this form, please contact Hlubi or Mabel using the following details

BPeSA
 
Ground Floor, Paddock View
Hunt's End, 36 Wierda Road
West, Wierda Valley, Sandton
 
 
Tel: +27 11 783 3177
Fax: +27 11 783 5347
 
Email : info@bpesa.org.za

 

Please note mandatory fields are indicated in RED
I. ORGANIZATION DETAILS
   
Name of organisation
Trading name (if different)
Chief Executive Officer
   
Type of organisation
(please tick as applicable in the box provided)
Other please specify
   
Country of company registration
   
Company registration number
VAT registration code
   
Physical address (head office)
Postal address (head office)
   
Telephone no.
Fax no.
Website address
Contact Email
Parent organisation/group
   
   
II. ACTIVITIES
Primary activity
Please indicate, by ticking as applicable in one or more of the boxes provided, the primary nature of activities undertaken by the applicant organisation and provide additional information as requested.
   
Client user of captive and/or outsourced services
   
Location  
* Offshore (i.e. applicant organisation based outside RSA)
* Domestic (i.e. applicant organisation based in RSA)
   
Nature of services used  
* Captive services provided from RSA
- Dedicated service provision capacity (i.e. number of seats in RSA)
   
* Outsourced services provided from RSA
- Dedicated service provision capacity (i.e. number of seats in RSA)
   
Nationally active service provider
   
Nature of activities  
* Outsourced services provider
- National service provision capacity (i.e. number of seats in RSA)
   
* Consultancy
* Office equipment and furniture
* Property and premises management
* Research
* Staffing
* Technology
* Training
* Other (please provide details below)
 
   
Client base  
* Predominantly offshore client base (i.e. clients based outside RSA)
* Predominantly domestic client base (i.e. clients based in RSA)
* Balanced mix of offshore and domestic clients
   
Status  
* Established service provider (i.e. more than 200 seats/employees or in existence for more than two years)
* Emerging service provider (i.e. less than 200 seats/employees and in existence for less than two years)
   
Industry association
- Number of members
   
Non-profit developmental public private sector partnership/initiative
   
Operational information [this section applies to captives and providers of outsourced services only]
   
Date of commencement of operations in RSA
Total number of employees in RSA
Total number of operational sites in RSA
   
Physical location of operational sites in RSA (please tick as appropriate)
Eastern Cape Free State Gauteng
KwaZulu-Natal Limpopo Mpumalanga
North West Northern Cape Western Cape
   
Standard days of operation
Standard hours of operation per day
   
Primary industry focus
Please indicate, by ticking as applicable in one or more of the boxes provided, the applicant organisation’s primary industry focus.
   
Automotive
Banking
Broadcasting
Electronics
Entertainment
Healthcare
Hospitality
Information Technology
Insurance
Manufacturing
Public services: Municipal Agency
Public services: Municipal Government
Public services: National Agency
Public services: National Government
Public services: Provincial Agency
Public services: Provincial Government
Retail
Telecommunications
Travel
Transport
   
Other (please provide details below)  
 
   
Primary service delivery focus [this section applies to client users and providers of outsourced services only]
Please indicate, by ticking as applicable in one or more of the boxes provided, the nature of services provided on a captive or outsourced basis by the
applicant organisation, or, if the applicant organisation is a client user of outsourced services, the nature of services outsourced.
   
Account processing and reconciliation
Asset management
Auditing
Billing
Claim processing
Correspondence
Credit card processes
Credit management
Customer services and support
Data entry
Data storage
Debt collection
Deposits and lending processes
Document management
Employee information management
Hardware and networking
Healthcare functions
Healthcare service delivery
Insurance policy administration
Mortgage processes
Network monitoring, maintenance and/or management
Payroll and benefits administration
Order processing, tracking and/or shipment
Product engineering, design and/or development
Rate making (actuarial services; rate plan development; underwriting guidelines)
Recruiting administration
Reinsurance administration
Research services
Sales: Inbound
Software engineering, design and/or development
Transaction processing
Transcription of reports
Treasury and financial management
Website engineering, design and/or development
   
Other (please provide details below)  
 
   
III. INDUSTRY ASSOCIATION MEMBERSHIP
Please indicate, by ticking as applicable in one or more of the boxes provided, those industry associations of which the applicant organisation is currently a member.
CallingtheCape
ContactinGauteng
KZNonSOURCE
   
Other (please provide details below)  
 
 
   
IV. ANNUAL SUBSCRIPTION FEE

BPeSA membership subscription fees are currently fixed at ZAR 25,000 per annum, per member organisation, in addition to which, an additional membership levy is payable by reference to different member categories, as defined below. BPeSA reserves the right to vary membership subscription fees for individual applicants.

Please indicate, by ticking as applicable the box provided, which category your organisation falls into.
Category A Subscription fee: ZAR 25,000 (fee) + ZAR 75,000 (levy) = ZAR 100,000 per annum
• Client user of captive and/or outsourced services: dedicated service provision capacity over 400 seats
• Nationally active established service provider
• Group (please provide details below of group organisations covered by this application)
   
Category B Subscription fee: ZAR 25,000 (fee) + ZAR 25,000 (levy) = ZAR 50,000 per annum
• Client user of captive and/or outsourced services: dedicated service provision capacity between 200 and 400 seats
   
Category C Subscription fee: ZAR 25,000 (fee) per annum
• Client user of captive and/or outsourced services: dedicated service provision capacity between 100 and 200 seats
• Nationally active emerging service provider
   
Other Subscription fee by arrangement
• Industry association
• Non-profit developmental public private sector partnership/initiative
   
V. CONTACT DETAILS
Please provide contact details for two individuals within the applicant organisation who are empowered to act for and on its behalf as its authorised
representative in any matter relating to BPeSA.
 
 
Primary contact
Alternative contact
Surname
First name
Designation/title
Office telephone no.
Cellphone no.
Fax no.
E-mail address
Postal address
     
Submit Application