Take Action/Register

Joining fee R200 , and R100 per month or discount of R1000 per year"

 

Pay: Academic Transformation Association

Bank: Nedbank

Acc Number: 1172512787

Branch Code: 19700500

First name*

Last name*

SA ID or Passport Number*

Email*

Your Phone*

Your Cell *

Physical Address

Postal Code

Province

Institution of employment

University

Job Title

Gender*

Race*

Citizenship*

HPCSA Registration Number*

Designation*

Additional Comments

---

Submit