Register
1 New Account Application
Step 1 of 2Supporting Documents
Please attach certified copies of the following documents to this application.ALL APPLICANTS
VAT registration certificateRegistration certificate with the South African/Foreign Medical and Dental Council / Pharmacy Council
COMPANIES
Certificate of incorporation (CM1) / Registration certificate (CoR 14.3)Certificate to commence business (CM46) (if applicable)
List of directors (CM29) / Register of directors
ID Copies of directors
TRUSTS
Resolution of the board of trustees consenting to this application and authorising the signatory/ies to sign on trust's behalfTrust deed and any amendments thereof
Latest Letters of Authority issued by the Master of the High Court
ID Copies of Trustees
PARTNERSHIPS & INDIVIDUALS
Written consent of spouse if married in community of propertyCopy of identity document of each partner/individual
Account Application Form
Download and complete the account application form. Submit as part of your account registration. Download our Credit Account Application Form hereCash Account Application Form
Download and complete the cash account application form. Submit as part of your account registration. Download our Cash Account Application Form hereRequest for Correction
Request for correction or deletion of personal information. Download our Request for Correction Form hereUpload completed application forms and related documents
Account
2 Account Information
Step 2 of 2Account
Postal Address
Practice Information
My Account
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