Registration Online Foundations
ONLINE FOUNDATIONS OF MEDICO-LEGAL PRACTICE 2020
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Important Information
Registrations open on 2nd January 2020

All participants must be a SAMLA member in good standing.

Once we have received your completed registration forms, we will forward you an invoice. The invoice will contain the bank details and a payment reference number which you must use when effecting payment.

Participants will need to complete all videos and pass the online exam, which will run biannually, in order to receive a Certificate of Completion of The Foundations of Medico-Legal Practice Course.

Certificates and CPD letters will be issued in the name supplied on the application form.

Practitioners registered with HPCSA qualify for CPD points for completing this online course. (SAMLA has no influence on the amount of CPD points awarded by HPCSA)

In addition SAMLA will issue medico-legal CPD points for all registered medico-legal practitioners.

Participants who successfully complete the 2018 Foundations Course (whether live or online), and all Workshops 1-10 in 2019 & 2020 will earn a Certificate of Competence in Medico-legal Practice.

Title (eg. Mr/Mrs/Ms/Dr/Adv) *
First Name (Preferred Name) *
Surname *
Name for Certificate *
Email *
SA ID Number *
Date of birth:   *
ДД
.
ММ
.
ГГГГ
Gender *
UCT student number (if applicable):
Occupation: *
Company
Name of applicable professional registration authority: (eg. HPCSA)
Your professional registration number with applicable authority:
Postal Address *
Work Telephone Number
Cellphone Number *
Payment Option *
Please ensure your SAMLA membership is up to date. Participants must be a SAMLA member in good standing.
Who will be paying for you to attend this invoice
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Invoice details
Please note: Individuals and companies will be emailed a statement and payment details on registration.
Please do not complete this section if you are paying as an individual.
Please ensure that you complete this information as it should appear on the invoice.
Invoices will be emailed to the contact person indicated below. Please ensure that you give the correct person’s details.
Note that the attendee’s participant number must be used as reference for the payment. This participant number will appear on your invoice. Do not make payment until you have received the invoice.
Once payment has been made, proof of payment must be sent to admin@samla.co.za.

Name of Company (only applicable if being paid for by Employer/Company)
Postal Address
Physical Address
Vat Reg Number
Purchase Order Number
Contact Person for Invoice
Email address for Invoice
Telephone number for payment follow up
Would you like to join the UCT Law @ Work Mailing List? *
Terms & Conditions

Only EFT payments or bank deposits will be accepted.

Once we have issued a participant number to a participant, cancellations cannot be refunded.  (Participant numbers are assigned once registration is completed.)

By submitting this registration form I become liable for all fees payable for the course I have registered for.

By submitting your registration for the SAMLA Online Foundations in Medico-Legal Practice, you expressly give SAMLA, Azlyn Creative and UCT Law@Work permission to use your information for the purpose for which it is intended.

This includes but is not limited to sharing your contact information with the above organisations as required from time to time.  You will receive email from the SAMLA Faculty and be added onto the Forum for the Online Foundations.



I accept the above terms and conditions *
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