Online CPD application form
 
  * Fields are mandatory
  * This section is mandatory
     
  Last name:
  First name:
  SAPIK registration number:
  E-mail address:
  Date of application:
     
   
 

The application must be accompanied with the activity and the relevant information (pamphlet, advert etc) of what the learning activity will consist of. If the learning activity is not SAPIK accredited, the application will be assessed by the SAPIK accreditation team in order to determine if it is SAPIK accredited. Learning activities accredited by the HPCSA and other national or international boards such as SACE, SAISI, SAOU etc.are also SAPIK accredited learning activities if it falls within the scope of practice of Kinderkinetics.

   
  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:
 
   
 
 
   
 
 
   
  Signature:
 
   
  Date:
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