Customer Services

Manual Application Forms

Approval of Premises
Title Option Type
2015 Application form - Approval of premises-internal changesClick here to view or download the document
2015 Application form - Automated dispensing unitClick here to view or download the document

Assessors
Title Option Type
2015 Application form - Assessor & ModeratorClick here to view or download the document

Course Applications
Title Option Type
2015 Evaluation of a Specialist in Pharmacy CourseClick here to view or download the document
2015 Evaluation of PT CoursesClick here to view or download the document
2015 Evaluation of a B Pharm CourseClick here to view or download the document
2015 Evaluation of CPD or Short CourseClick here to view or download the document
2015 Evaluation of a Pharmacist Assistant CourseClick here to view or download the document
2015 Evaluation of a Pharmacy Specialist CourseClick here to view or download the document

Finance
Title Option Type
SAPC Direct deposit slip - M65 formClick here to view or download the document
GPP & Register order formClick here to view or download the document
SAPC banking detailsClick here to view or download the document

Foreign Graduates
Title Option Type
2015 Application form - Evaluation of Credentials obtained outside SA (non SA Citizens)Click here to view or download the document
2015 Application form - Evaluation of Credentials obtained outside SA (SA Citizens)Click here to view or download the document
2015 Application for admission to the professional examinationsClick here to view or download the document
2014 Brochure Foreign Graduate registration guidelinesClick here to view or download the document
2014 Study guide Professional Exam Click here to view or download the document

Interns
Title Option Type
2015 Intern - 400 hours declarationClick here to view or download the document
2015 Application form - Cession of contractClick here to view or download the document
2015 Contract_Intern Practical TrainingClick here to view or download the document
2015 Interns 400 hours progress reports (PPD)Click here to view or download the document
2015 Interns 400 hours progress reports (Sectoral)Click here to view or download the document

Pharmacy Support Personnel
Title Option Type
2015 Application form - Change of FacilityClick here to view or download the document
2015 Application form - Change of ProviderClick here to view or download the document
2015 Application form - Recognition for Prior Learning (LB & LPB)Click here to view or download the document
2015 Application form - Change of TutorClick here to view or download the document
2015 Application form - Qualified BasicClick here to view or download the document
2015 Application form - Qualified Post BasicClick here to view or download the document

Pharmacists
Title Option Type
2015 Application form - Certificate of Good StandingClick here to view or download the document
2015 Application form - Duplicate certificate for registered personsClick here to view or download the document
2015 Application form - Supplementary TrainingClick here to view or download the document
2015 Application form- Responsible PharmacistClick here to view or download the document
2015 Application form - Specialist PharmacistClick here to view or download the document
2015 Application form - Completion of Community Service Click here to view or download the document

Pharmacies
Title Option Type
2015 Application form - Change of name of trading titleClick here to view or download the document
2015 Application form - Duplicate certificate for registered facilitiesClick here to view or download the document
2015 Application form - Another Business or Practice in a PharmacyClick here to view or download the document
2015 Application form - Recording of a Pharmacy and it's Responsible PharmacistClick here to view or download the document
2015 Application form - Satellite PharmacyClick here to view or download the document
2015 Application form - Primary Health Care ClinicsClick here to view or download the document

Providers
Title Option Type
2015 List of Approved ProvidersClick here to view or download the document
2015 Approval as provider of pharmacy specialist courseClick here to view or download the document
2015 Provider of Short CoursesClick here to view or download the document
2015 Provider of a Supplementary Training CourseClick here to view or download the document
2015 Provider of Authorised Prescriber CourseClick here to view or download the document
2015 Provider of BPharm CourseClick here to view or download the document
2015 Provider of Pharmacist's Assistant CourseClick here to view or download the document
2015 Provider of Pharmacy Technical Assistant and or Pharmacy Technician CourseClick here to view or download the document

Restoration
Title Option Type
2015 Application form - Restoration - Voluntary RemovalClick here to view or download the document
2015 Application form - Restoration - Non payment of feesClick here to view or download the document

Students
Title Option Type
2015 Application form - Student (Change of University)Click here to view or download the document
2015 Application form - Student Pharmacy Techinician/Technical AssistantClick here to view or download the document
2015 Application Form - Foreign Exchange StudentClick here to view or download the document

Trainees
Title Option Type
2015 Contract_PTA TraineeClick here to view or download the document
2015 Contract_PT TraineeClick here to view or download the document
Manual for PT & PTA TraineesClick here to view or download the document
2015 Application form - Registration of PTA Trainee or PT TraineeClick here to view or download the document

Tutors
Title Option Type
Application form - TutorClick here to view or download the document