POPIA statement *
Protection of Personal Information Act (POPIA) As of the 1st of July 2020, the new Protection of Personal Information Act (POPIA) came into full effect. The legislation is designed to protect how all natural and juristic persons use, store and process data. The SAMRC as a responsible statutory science council complies with POPIA. Information pertaining to the SAMRC’s compliance is set out in its POPIA Privacy Notice, the details of which are available on the SAMRC’s official website. The information is further available from the SAMRC’s Deputy Information Officers. The SAMRC receives personal information through prospective users registering on the Research and Innovation Management System (RIMS). The personal information requested on the registration form is necessary for the SAMRC to fully understand its RIMS users who may intend applying for funding or may be registering to fulfill other specialized roles in the organization that require RIMS access. This information is shared with external funders and/or stakeholders where applicable, as well as the SAMRC management for the purpose of successfully completing authorized business processes. The SAMRC processes this personal information strictly in accordance with POPIA. Specifically, the SAMRC undertakes to process the personal information gathered via the RIMS registration process on the basis that (a) it is provided voluntarily and (b) the information will be processed only as far may be necessary and within the limitation and ambit of the original purpose for such registration. PLEASE SELECT THE TICKBOX BELOW TO INDICATE YOUR AGREEMENT WITH THE FOLLOWING STATEMENT: By registering on RIMS I consent to my personal information being processed within the constraints described above.

If you are in possession of a PhD, DPhil, MD, MBChB, BChD or equivalent degree, please consider participating in the SAMRC peer review process. *
SAMRC strives towards quality peer/panel reviews. Accordingly, the SAMRC aims to create a database of Researchers who are willing to serve as Reviewers/Panel Members. The SAMRC may use RIMS as a source of potential candidates to invite to participate in its review processes relevant to their field of expertise. Should you be interested/not interested in being invited to participate in future review processes, please indicate accordingly by your response to the following statement: By ticking 'Yes' below, I hereby consent to my personal information being used for the purposes of being invited to participate in an SAMRC review process, in line with the POPIA statement above:

Yes

No

Area(s) of Expertise
If you answered 'Yes' to the consent question above, please provide an indication of your focus research area(s)

Highest Qualification(s)
If you answered 'Yes' to the consent question above, please list your highest qualification(s) or training, e.g. PhD, DPhil, MD, MBChB, BChD etc.

Title * Select salutation Mrs Mr Associate Professor Doctor Miss Ms Professor

First Name(s) *

Family Name *

Initials *

First Name(s) *
Please re-enter first name

Last Name *
Please re-enter family name

Email *
Provision of a valid email address is mandatory

Are you a South African citizen or permanent resident of South Africa?

Yes

No

Institution of the registrant
FOR NON-SAMRC STAFF MEMBERS: This is MANDATORY information. (If you are a REVIEWER or PANEL MEMBER who will be acting in your personal capacity, please select 'Review' as your institution.) As a NON-SAMRC STAFF MEMBER, if you do not provide your institution name, your registration will be rejected. If you are unable to select your institution name, please notify rims.support@mrc.ac.za. FOR SAMRC STAFF MEMBERS: This value is NOT REQUIRED.  *

Comprehensive information about the institution of the registrant i.e. Name, Address, Faculty and/or Department, etc. *

Reason for registration *
Please provide an indication of why you require access to the RIMS system. If you wish to apply for a grant, it is MANDATORY that you provide the name of the grant and the closing date for applications.

Employee Number
FOR SAMRC STAFF MEMBERS ONLY

SAMRC User Name
FOR SAMRC STAFF MEMBERS ONLY: Please provide your login name that you use to log in to the SAMRC network

Gender
If you intend applying for a SAMRC grant, or are a current SAMRC grant holder, please provide this information

Male

Female

Date of Birth
If you intend applying for a SAMRC grant, or are a current SAMRC grant holder, please provide this information

Population Group
If you intend applying for a SAMRC grant, or are a current SAMRC grant holder, please provide this information Select Population Group African Coloured Indian White Other Unknown

SA ID Number or Permanent Resident Number
If you intend applying for a SAMRC grant, or are a current SAMRC grant holder: This is a required value if you selected 'Yes' above

If not a South African citizen or permanent resident, please provide passport number or your unique identification number in your country of origin
If you intend applying for a SAMRC grant, or are a current SAMRC grant holder: This is a required value for non-South African applicants

Country (Nationality)
If you intend applying for a SAMRC grant, or are a current SAMRC grant holder, this is MANDATORY information. PLEASE CHECK THAT A VALUE APPEARS IN THIS TEXT BOX BEFORE SAVING THIS FORM.