Conference registration EFT

Delegate registration type

Student card upload (students only)

Title

First name

Surname

Email address

Contact number

Province

City

Organisation / Practice / Institution

Speciality / Profession for badge

HPCSA / SANC number (if applicable)

Diet preference

Food allergies details

Please note: The cocktail function cost is included in the conference fee. On 9 October, only the Cocktail Function will be available in the evening. Delegates requiring strictly Halal meals may incur an additional charge according to the venue’s cost. SAMLA will contact these delegates individually.

Will you attend the Cocktail Function?

Yes No

Will you use accommodation?

Yes No

Accommodation reminder: Delegates are responsible for arranging and paying for their own accommodation.

Accommodation nights required

Wednesday 7 Oct 2026 Thursday 8 Oct 2026 Friday 9 Oct 2026

Accommodation type

Accommodation name / details

Will you require the complimentary shuttle service?

Yes No

Arrival airport

Arrival date

Arrival time

Departure airport

Departure date

Departure time

Parking required at the venue?

Yes No

AV requirements for speakers

Sponsor / Exhibitor organisation name

Number of representatives attending

Representative names

I confirm that the information provided is correct.

I consent to SAMLA processing my information for conference administration purposes.

SAMLA
South African
Medico-Legal Association

SAMLA
South African
Medico-Legal Association

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