Membership of TIRA-SA
Email address *
Nickname
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Title
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Surname *
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Full Names (As needed for CPD certificates) *
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Registered with which body *
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Registration number at the above mentioned. Enter 001 if not registered *
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Occupation *
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Contact number: Landline *
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Contact number: Mobile *
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Applied Metapsychology Courses successfully completed *
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Area located *
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