Please Click Below To Download The Registration Form

UCTPead Registration Button

Please Click Below To Download The Credit Card Authorization Form

UCTPead Registration Button


All fields marked with (*) are required.

Please specify your title
First Name(*)
Please fill in your First Name
Last name/Family name(*)
Please fill in your Last Name
Tel no
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Cell / Mobile no(*)
Please fill in your cell number
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Your Email(*)
Please fill in your email
HPCSA/Student Number
Please HPCSA number
Work Address
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Special dietary requirements:
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(Tuesday 13 Feb 2018) Not included in full congress fee
Counselling in Office Practice Workshop
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Workshop Concessionary Rate (Dieticians, Nurses and State Doctors)
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FULL CONGRESS 14 - 16 February 2018

Registration Type
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Full Congress (Excluding Pre Congress Workshops)
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Day Registration

Wednesday (14 February 2018)
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Thursday (15 February 2018)
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Friday (16 February 2018)
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Trade (Each stand qualifies for 2 free registrations)
Please note that companies who do not exhibit, may unfortunately not partake)
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(Free Registration - Not Included In Workshops)

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Staff Number
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Student Number
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Due For Registration Fees
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Due For Congress Workshops
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Full Total
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Payment Type(*)
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-Please use your surname as a reference number when submitting the payment.
-Please note that all bank charges are to be borne by the delegate.

Name of Account: UCT PAED 2018
Bank: ABSA
Account No: 9298867340
Branch code: 632005
Swift code: ABSAZAJJ

Thank you for choosing the Credit Card payment method

Once you have completed the registration and clicked on the submit button your amount that you have chosen will be displayed as well as a field where you can enter the amount that you would like to pay.

Complete the field with your chosen amount and then click on "Pay Now" button. Once you have clicked on the button you will be redirected to Payfast for secure online credit card transactions.

Cancellation of Registration:
Notice of Cancellation must be given in writing. An administration fee of ZAR 500.00 will be charged to all cancelled registrations received prior to 31 January 2018.
Any cancellations received after this date will result in a 100% cancellation fee.

Spam(*) Spam
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