SAAFP New Membership Application Form

Membership Application Form
Please complete the online membership application form below and click on "Submit Form". For assistance contact us at 060 408 8569, or send an email to members(AT)saafp.org.
Member personal information
Is this a new application, or a renewal?*
ProfDrMrMs
Initials*
First names*
Last name/Surname*
MaleFemale
Birth Date*

MonthDayYear
Address (For billing and postage purposes)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Address (Other)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number (Mobile)*

Area CodePhone Number
If "Other"
Work Phone Number*

Area CodePhone Number
Email*
example@example.com
Council Registration Number Prefix (enter ST for student)*
eg. MP
Council Registration Number (please enter Student Number for Student membership*
Numeric number: eg. 01234567
Qualifications*
e.g. MB, ChB (use new line for each qualification)
MedicineNursingStudentOther
PrivatePublicAcademicRuralMetroNGOOther
Private practice Information section:
Practice Number:
[Private Practice Number: Starting with 015/014]
Western ProvinceEastern ProvinceGautengKwaZulu NatalFree StateLimpopoMpumalangaNorth CapeNorth West
SoloGroup
Vat number
General Information
Year of first professional registration (year of study if student)*
In which year did you register with your professional council?
YesNo
If "YES" which university?
YesNo
If "YES" which university?
YesNo
YesNo
YesNo
SAAFP Membership
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Full Membership [Monthly]191.00ZAR
Monthly Debit Order Amount

Full Membership [Yearly]1,811.00ZAR
Once-off Amount

Specialist Family Physician in Private (SFPP) 475.00ZAR
Monthly Debit Order Amount

Trainee Member 440.00ZAR
Monthly Debit Order 180.00

Associate Member900.00ZAR
Monthly Debit Order R191.00

Student Member160.00ZAR
Monthly Debit Order R100.00

Intern Member290.00ZAR
Monthly Debit Order R125.00

Life Member FreeZAR

Honorary Member FreeZAR

A18 Donation100.00ZAR
Monthly donation [Tax deductible contribution]

Total 0.00ZAR
Debit order form 2026

Please complete the debit order form below, if you are selected one of the monthly option. Complete the form and upload. Using the upload option in this form. [below]
Debit Order Form

Browse Files
2025_DO_Form-.pdf Cancelof
Fax Number

Area CodePhone Number
Privacy Statement

The names and email addresses entered into this website will be used exclusively for the stated purposes and will not be made available for any other purpose or to any other party, unless another agreement has been signed giving approval e.g. Private Practice Forum.

By registering with the SAAFP website you are subscribing to receive emails from us to update you on membership issues, conference notifications, press releases and third party notifications. E.g. SAAFP Newletters.
DECLARATION

I support the aims and objectives of the South African Academy of Family Physicians and agree to abide by its Articles of Association
YesNo
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Membership Application Form

Member personal information

Private practice Information section:

General Information