The Essentials of Starting a Private Practice
Event Timing: As per below
Event Address: To be hosted Online on Zoom
Contact us at
First Name *
Last Name *
Email Address *
Contact Number *
What is your Profession? (Example HPCSA Title) *
What is your Professional registration number? (Example HPCSA Number) *
Full Name as to appear on your CPD Certificate *
Which Day/s would you like to attend? *
How would you prefer to make Payment? *
Payment Details:
If you wish to pay with your Credit/Debit Card - Please click on the following link:

If you wish to pay with EFT, please use your Name & Surname as reference:

Name: Salmaan Khader
Bank Name: Discovery Bank
Account Number: 10111163414
Branch: Sandton
Branch Code: 679000
Account Type: Current

Kindly note that an Invoice will be issued once your registration has been received. Thank You.
I understand that online workshops do require a working internet connection for the duration of the workshop, which is the responsibility of all attendees. Full Attendance for the workshop is compulsory for your CPD Certificate. An Invoice will be issued for payment once this form has been received. I look forward to welcoming you. *
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