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?
Title
Initials
First names
Last name/Surname
Gender
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)
Profession
Type of Practice
Private practice Information section:
Practice Number:
[Private Practice Number: Starting with 015/014]
Private Practice Location
Private Practice:
Vat number
General Information
Year of first professional registration (year of study if student)
In which year did you register with your professional council?
Are you currently a registrar in family medicine (in an official training post)?
If "YES" which university?
Are you currently a registered undergrad student at a recognized medical faculty
If "YES" which university?
Are you registered as a Specialist Family Physician ?
Are you registered in any other medical specialty, other than Family Medicine?
Are you a member of the South African Medical Association (SAMA)?
SAAFP Membership
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Full Membership [Monthly]191.00 ZAR
Monthly Debit Order Amount

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

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

Trainee Member 440.00 ZAR
Monthly Debit Order 180.00

Associate Member900.00 ZAR
Monthly Debit Order R191.00

Student Member160.00 ZAR
Monthly Debit Order R100.00

Intern Member290.00 ZAR
Monthly Debit Order R125.00

Life MemberFree

Honorary MemberFree

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

Total 0.00 ZAR
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
I agree with this declaration and privacy statement.
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Membership Application Form

Member personal information

Private practice Information section:

General Information

SAAFP Membership