Customer Services

Manual Application Forms

Approval of Premises
Title Option Type

Assessors
Title Option Type
2016 Application form - Assessor & ModeratorClick here to view or download the document

Course Applications
Title Option Type
2016 Approval of a BPharm courseClick here to view or download the document
2016 Approval of Supplementary Training CourseClick here to view or download the document
2016 Approval of CPD or Short CourseClick here to view or download the document

Finance
Title Option Type
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
2016 Brochure Foreign Graduate registration guidelinesClick here to view or download the document
2016 Application form - Admission to the professional examinationsClick here to view or download the document
2016 Study guide Professional Exam Click here to view or download the document
2016 Application form - Evaluation of Credentials obtained outside SA (SA Citizens)Click here to view or download the document
2016 Application form - Evaluation of Credentials obtained outside SA (non SA Citizens)Click here to view or download the document

Interns
Title Option Type
2016 Interns - 400 hours declarationClick here to view or download the document
2016 Interns 400 hours progress reports (Sectoral)Click here to view or download the document
2016 Interns 400 hours progress reports (PPD)Click here to view or download the document
2016 Intern Contract - Practical TrainingClick here to view or download the document
2016 Application form - Remarking of ExamClick here to view or download the document
2016 Application form - Cession of contractClick here to view or download the document

Pharmacy Support Personnel
Title Option Type
2016 Declaration of 2080 HoursClick here to view or download the document
2016 LB & LPB Registration_Revised qualificationClick here to view or download the document
2016 Post Basic RegistrationClick here to view or download the document
2016 Qualified Basic RegistrationClick here to view or download the document
2016 RPL Learner Basic and Learner Post BasicClick here to view or download the document
2016 Application form - Pharmacy TechnicianClick here to view or download the document
2016 Application form - Change of TutorClick here to view or download the document
2016 Application form - Recognition for Prior Learning (LB & LPB)Click here to view or download the document
2016 Application form - PA LB and LPB_Change of FacilityClick here to view or download the document
2016 Application form - PA LB and LPB_Change of ProviderClick here to view or download the document

Pharmacists
Title Option Type
2016 Application form - Academic Record & DiplomaClick here to view or download the document
2016 Application form - Certificate of Good StandingClick here to view or download the document
2016 Application form - Re-issuing of a membership cardClick here to view or download the document
2016 Application form - Supplementary TrainingClick here to view or download the document
2016 Application form - Voluntary removal of a personClick here to view or download the document
2016 Application form - Specialist PharmacistClick here to view or download the document
2016 Application form - Duplicate certificate for registered personsClick here to view or download the document

Pharmacies
Title Option Type
2016 Application form - Change of Address without relocationClick here to view or download the document
2016 Application for approval of change of name of the ownerClick here to view or download the document
2016 Application form - Change of name or trading titleClick here to view or download the document
2016 Application for recording of a PCDT PermitClick here to view or download the document
2016 Application form - Web access rights to pharmacy ownersClick here to view or download the document
2016 Application form - Satellite PharmacyClick here to view or download the document
2016 Application form - Approval of premises-internal changesClick here to view or download the document
2016 Application form - Another Business or Practice in a PharmacyClick here to view or download the document
2016 Application form - Primary Health Care ClinicsClick here to view or download the document
2016 Application form - Re-recording of Pharmacy after change of name or trading titleClick here to view or download the document
2016 Application form - Duplicate certificate for registered facilitiesClick here to view or download the document
2016 Application form - Automated dispensing unitClick here to view or download the document

Providers
Title Option Type
2016 Approval as a provider of BPharm CourseClick here to view or download the document
2016 Provider of a Supplementary Training CourseClick here to view or download the document
PA provider and course extension application formClick here to view or download the document
2016 Application form - Provider of Short CoursesClick here to view or download the document
2015 Approved ProvidersClick here to view or download the document

Restoration
Title Option Type
2016 Application form - Restoration - Voluntary RemovalClick here to view or download the document
2016 Application form - Restoration - Non Payment of FeesClick here to view or download the document

Students
Title Option Type
2016 Application form - StudentClick here to view or download the document
2016 Application form - Student (Change of University)Click here to view or download the document
2016 Application Form - Foreign Exchange StudentClick here to view or download the document

Trainees
Title Option Type
2016 Contract_PT TraineeshipClick here to view or download the document
2016 Change of tutor - TraineesClick here to view or download the document
2016 Application form - Registration of PTA Trainee or PT TraineeClick here to view or download the document

Tutors
Title Option Type
Tutor online application flowClick here to view or download the document