Dentist Volunteering Service Registration

Download HPCSA Form

(Please ensure all required documents are uploaded to avoid application rejection.)
Required Documents for Dentist Volunteer Service Registration

Name *
Contact Number *
Email Address *
Upload HPCSA Registration Form *
Maximum file size: 5 MB
Type of Registration *
Original Application Form 12 DP *
Maximum file size: 5 MB
Certified, Valid Clear Copy of Passport *
Maximum file size: 5 MB
Notarised Copy of Diploma/Degree *
Maximum file size: 5 MB
Notarised Copy of Transcript *
Maximum file size: 5 MB
Duly Completed Form 176 DP *
Maximum file size: 5 MB
Valid Foreign Workforce Endorsement Letter *
Maximum file size: 5 MB
(With exact dates, issued by the National Department of Health in South Africa)
Letter from a South African Healthcare Provider Agency or Recognised Organisation *
Maximum file size: 5 MB
(With exact dates)
Letter from Supervisor *
Maximum file size: 5 MB
(Registered with the HPCSA in independent practice for a period of 3 years or more, confirming responsibility for the practitioner's professional acts)
Upload Original Certificate of Good Standing *
Maximum file size: 5 MB
Name of regulator/authority issuing certificate of good standing: *
Curriculum Vitae *
Maximum file size: 5 MB
SAQA evaluation certificate and verification certificate *
Maximum file size: 5 MB
Applicant signature: *
Clear

© 2025 SAAPD | ​Privacy Policy
Created by ​Adorn Media Studio

South Africa’s Protection of Personal Information Act (POPIA) & Cookie Consent

We will not sell, share, or rent your Personal Information to any third party or use your email address for unsolicited mail. Any emails sent by us will only be in connection with the provision of our services and/or the marketing thereof. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. By continuing in the website you accept the use of cookies.
CONTINUE

RSVP

HPCSA Form