Online Application - Pharmaceutical Society of South Africa

General Information

SAPC P Number	Date of Birth
Gender	Title
Nickname	Cell phone number
Home telephone number	Business telephone number
Postal Address	Postal Code
Suburb	City
Race	Job Description
Name of Employer	Registration number of Pharmacy
Owner details	Responsible Pharmacist detail
PSSA number of spouse (if applicable)	Branch
Province	Sector
Please select fee for Community Pharmacist
* Please note that it is possible to work in the geographic area of one branch and live in the geographical area of another branch. In a case like this, you would be free to choose membership of another branch.

Affiliation required(additional R50.00 per annum)

If you are interested in more than one sector, please select an additional sector for affiliation. Please note that an additional affiliation fee will be charged.

Community Pharmacy

Hospital and Institutional Pharmacy

Industrial Pharmacy

Pharmaceutical Sciences or Arcademia

Not Applicable

Method of Payment

Account Type	Payment Type	Payment Date
Bank name	Account Holder
Branch code	Account number

Ref No:

I hereby authorise the PSSA to debit my bank account with the applicable fees per the payment term and data indicated above
I hereby make application for membership of the society and in so doing undertake, upon admission, to abide by the Constitution, Codes of Practice and ethics, Rules and Regulations of the Society, and of any branch or sector of the Society in which my membership may from time to time be located - as currently in force and as may from time to time be amended.
I agree to the Privacy Policy and Disclaimer

Submit Application

Apply for Professional Indemnity Insurance

Visit Professional Indemnity Insurance for more info or send an email to sinah@pssa.org.za.
Note: Only members of the Pharmaceutical Society are eligible for Professional Indemnity Insurance

E-mail address	ID Number
Name	Surname

Online Membership Application

Login \ Registration Details

General Information

Affiliation required(additional R50.00 per annum)

Membership fees - VAT Include (01/10/2022 - 30/09/2023)

Associate Membership

Additional Fees

Method of Payment

Apply for Professional Indemnity Insurance

Have questions? Call 012 470 9550 or get started online

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