Customer Services

Manual Application Forms

Approval of Premises
Title Option Type
2018 Application form - Approval of premisesClick here to view or download the document

Assessors
Title Option Type
2018 Application form - Assessor & ModeratorClick here to view or download the document

Course Applications
Title Option Type
2018 Application form - Approval of Supplementary Training CourseClick here to view or download the document
2018 Application form - Approval as a Provider of a Supplementary Training CourseClick here to view or download the document
2018 Application form - Approval of a Bpharm CourseClick here to view or download the document
2018 Application form - Approval of CPD or Short CourseClick here to view or download the document

Finance
Title Option Type
2018 Application form - GPP & Register order formClick here to view or download the document
SAPC Direct deposit slip - M65 formClick here to view or download the document
SAPC banking detailsClick here to view or download the document

Foreign Graduates
Title Option Type
2018 Study guide Professional Exam Click here to view or download the document
2018 Brochure Foreign Graduate registration_guidelinesClick here to view or download the document
2018 Application form - Evaluation of Credentials obtained outside SA (non SA Citizens)Click here to view or download the document
2018 Application form - Evaluation of Credentials obtained outside SA (SA Citizens)Click here to view or download the document
2018 Application form - Admission to the professional examinationsClick here to view or download the document

Interns
Title Option Type
2018 Application form - Intern RegistrationClick here to view or download the document
2018 application form - RemarkingClick here to view or download the document
2018 Pre-registation Examination FormClick here to view or download the document
2018 Application form - Review of Registration DateClick here to view or download the document
2018 Application form - Cession of contractClick here to view or download the document
2018 Intern Contract – Practical TrainingClick here to view or download the document

Pharmacy Support Personnel
Title Option Type
2018 Application form - Review of Registration DateClick here to view or download the document
2018 Application to extend registration for in-service training (LB & LPB)Click here to view or download the document
2018 Declaration of 2080 HoursClick here to view or download the document
2018 LB & LPB Registration, Revised qualificationClick here to view or download the document
2018 Application form - Qualified Post-Basic RegistrationClick here to view or download the document
2018 Application form- Qualified Basic RegistrationClick here to view or download the document
2018 RPL Learner Basic and Learner Post BasicClick here to view or download the document

Pharmacists
Title Option Type
2018 Application form - Academic Records & DiplomaClick here to view or download the document
2018 Application form - Certificate of Good StandingClick here to view or download the document
2018 Application form - Specialist PharmacistClick here to view or download the document
2018 Application form - Supplementary TrainingClick here to view or download the document
2018 Application form - Duplicate certificate for personsClick here to view or download the document

Pharmacies
Title Option Type
2018 Application form - Primary Health Care ClinicsClick here to view or download the document
2018 Application form - Automated dispensing unitClick here to view or download the document
2018 Application form - Change of name or trading titleClick here to view or download the document
2018 Application for change of address without relocationClick here to view or download the document
2018 Application form - Recording of the Pharmacy after change of address without relocationClick here to view or download the document
2018 Application form - Approval of premises-internal changesClick here to view or download the document
2018 Application form - Another Business or Practice in a PharmacyClick here to view or download the document
2018 Application form - Installation of a Remote Automated Dispensing UnitClick here to view or download the document
2018 Application form - Duplicate certificate for registered facilitiesClick here to view or download the document
2018 Application form - Satellite PharmacyClick here to view or download the document
Resolution LetterClick here to view or download the document
2018 Application form - Access Rights to Group PharmacyClick here to view or download the document
2018 Application form - Web access rights to pharmacy ownersClick here to view or download the document
2018 Application for recording of a PCDT PermitClick here to view or download the document

Providers
Title Option Type
2018 List of Accredited ProvidersClick here to view or download the document
2018 Application form - PA provider and course extension application formClick here to view or download the document
2018 Approval as a provider of BPharm CourseClick here to view or download the document
2018 Application form - Provider of Short CoursesClick here to view or download the document
2018 Provider of a Supplementary Training CourseClick here to view or download the document

Restoration
Title Option Type
2018 Application form - Restoration - Voluntary RemovalClick here to view or download the document
2018 Application Form - Restoration - Involuntary removalClick here to view or download the document

Students
Title Option Type
2018 Application Form - Foreign Exchange StudentClick here to view or download the document
2018 Application form - PT StudentClick here to view or download the document
2018 Application form - PTA Student Click here to view or download the document
2018 Application form - StudentClick here to view or download the document
2018 Application form - Student (Change of University)Click here to view or download the document
2018 Application form - Review of Registration DateClick here to view or download the document

Trainees
Title Option Type
2018 Cession of Contract for TraineeshipClick here to view or download the document
2018 Traineeship Contract Click here to view or download the document

Tutors
Title Option Type
2018 Application form - Tutor RegistrationClick here to view or download the document