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CPD Accreditation Form
 
  * Fields are mandatory
  * This section is mandatory
     
  Last name:
  First name:
  SAPIK registration number:
  E-mail address:
  Date of application:
     
  Please complete the fields below:
     
  Type of learning activity (workshop, congress, degree, publication, article etc):
  Organisation/institution/pers on presenting the learning activity/journal/article:
  Place and Venue (if applicable):
  Title of learning activity:
  Date, time and duration of learning activity:
  Is the learning activity a HPCSA/other professional board accredited activity?:
  If you said yes on the above question, indicate the CEU/CPD points allocated by the professional board and attach proof:
  Registration fee (if applicable):
     
   
 

After the activity is completed the Application form must be completed. Take note: publications in magazines, TV conversations etc. first need to be approved by SAPIK and therefore application form must be completed beforehand.

The application must be accompanied with the relevant proof (certificate, proof of publication, attendance etc).

   
  Please Upload The Required Documents:
 
   
 
 
   
 
 
   
  Name & Surname:
 
   
  Date:
 
   
 


 
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