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

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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

Contact Us

+27 82 839 5466

info@samla.org.za