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E-mail address
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Safety Officer
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Doctor
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Full Name
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South African ID / Passport Number
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Company / Organisation
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Contact Number
Type of Registration
Doctor / Nurse
If you are applying as a Nurse or Doctor you need to supply your valid HPCSA or SANC number otherwise your application will be denied.
SANC No,
HPCSA No.
For HR / Safety Officer Registration
Organisation Size
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- Select a value -
0 - 50 Employees
50 - 100 Employees
100 - 200 Employees
200 - 300 Employees
300 - 500 Employees
500 - 1000 Employees
1000 - 2500 Employees
2500 - 5000 Employees
5000+ Employees
Occupation / Position in Company
Medical Representative
- None -
Sister Judy's Worker's Wellness
My Test Organisation
Occuprime Inc.
Please indicate which medical professional your organisation works with, this is an important part of your registration so if you do not see the necessary name in this list please let us know.
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