Registration Form

Complete the required information in the form below to register with SAMLA. Please note that the fields marked by * are required.

Your Identity

Membership

Profile Status

 Expert Witness

 Samla Verified Medical Mediator

*(Requires Paid Membership)
*Medical Mediators may apply for registration on the Samla Medical Mediator page once their registration as a Samla member is completed and paid. For Paid Members Only.

Your Qualifications

Your Profession

    Select the profession categories that you belong to by ticking the appropriate tick-boxes boxes below.

Subscriptions

Registered Medico-Legal Practitioner

SAQA Additional Details*

*Practitioners may apply for registration on the Registered Medico-Legal Practitioner page once their registration as a Samla member is completed and paid.

*These Fields are only required by SAQA to register as a "Registered Medico-Legal Practitioner" and are not required otherwise.

*In the event you do not have a standard S.A. Id
(Click on the calender to select the date)

Contact Details

Social Media

  

More About Yourself

For Yahoo and Gmail email users, please check your junk mail or spam folders for the verification email in case you do not see it in your inbox.


NB: Fields marked by a * are required.


About Us

The SAMLA is an independent, neutral, educational and transparent organisation not for profit, funded by membership contributions, donations and funds generated through seminars.


Terms and Conditions

Address

85 St Patrick Road,
Houghton, Johannesburg
2198
info@samla.org.za