medical registration portal

CAPE TOWN PART 2

PLEASE CONFIRM YOUR ID AND EMAIL (ensure it is the same as on the previous screen)
BANKING DETAILS
DECLARATIONS
.
Declaration Details (Employment)
*

Please complete the relevant information

Declaration Details (Other)

Declaration Details (Criminal)
*

Please complete the relevant information

EMERGENCY CONTACTS
REFERENCES
*

Please provide contact details of 3 referees. Please include

  • Company Name,
  • Contact Person Name with Position and Contact Number,
  • Your Position at this Company,
  • Start and End Date of your employment at this Company,
  • Your Reason for Leaving

CV/RESUME AND SUPPORTING DOCUMENTS
AP BRANCH USED FOR REGISTRATIONS
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