Are you looking to update your address information with the Health Professions Council of South Africa (HPCSA)? Then you have come to the right place. In this blog post, we will provide step-by-step instructions for filling out and submitting the HPCSA Change Address Form correctly. With this form, it is easy to keep your contact details updated on file with the HPCSA so that they can keep in touch with any important notices or news about regulation changes or new professional opportunities within healthcare and medical services in South Africa. Read on below for a more detailed look at how to fill out and submit the change address form properly!
| Question | Answer |
|---|---|
| Form Name | Hpcsa Change Address Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | hpcsa change, hpcsa login iregister, hpcsa change of address, hpcsa email address |
553 Vermeulen Street
Arcadia, Pretoria
PO Box 205
Pretoria, 0001
Tel: +27 (12) 3389312
Fax: +27 (12) 33389312
Email: records@hpcsa.co.za
FOR CHANGE OF ADDRESS
AND DETAILS ONLY
Website: www.hpcsa.co.za
HPCSA Registration No.………………………………………...
CHANGE OF REGISTERED ADDRESS
It has come to my attention that you have possibly changed your address. In terms of section 18(3) of the Health Professions Act, 1974 (Act No. 56 of 1974), every registered person who changed his or her address shall in writing notify the Registrar of Council within thirty days of such a change.
Upon receipt of the signed, completed notice below, your new address will be recorded in the register.
REGISTRAR
I, (Prof, Dr, Mr, Mrs, Miss) ……………………………………………………………………………………………………
Surname ……………………………………………………………………………………………..…………………………
Maiden Name (if applicable) ……………………………………………………………………….……………………......
(Should you wish to be registered in your married name; a certified copy of your marriage certificate must be submitted.)
First Names …………………………………………………………………………………………..………………………
NEW POSTAL ADDRESS
……………………………………………………………..
……………………………………………………………...
……………………………………………………………..
………………………………. postal code: …………….
PRACTICE / WORK ADDRESS
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…………………………………. postal code: ……………
ID number: …………………………………………………………………………………………………………………….
Code and Telephone Number (H) …………………….………….… (W) ……………………….…………………….….
Cell Tel Number.….………………………………………………… (FAX)…………………………………………………
PREVIOUS REGISTERED ADDRESS ……………………………….……………………………..……………………..
……………………………………………………………………………………………..…………………………………….
…………………….…………………………………………………………………..…….……………..……………………
*Please note this is PURELY for statistical purposes
*Marital Status: |
Divorced |
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Married |
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Single |
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*Race: |
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Nationality: |
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Gender: Male
Disabilities:
Female
Date …………………………. |
__________________________________ |
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SIGNATURE OF REGISTERED PERSON |
Please return a duly completed form by post to: THE REGISTRAR, P O BOX 205, PRETORIA 0001
Protecting the public and guiding the professions
President: Prof MSM Mokgokong, Vice President: Prof T Sodi, Acting Registrar/CEO: Dr TKS Letlape