Registration & Setup Section

Please note that the Registration section is intended for EPASA members.
Should you find any problems during the entire registration process, please contact our or Call Peter 083 989 2611

EPASA New Application

The application includes R1300 registration and membership fees. Upon completion of the form, you will be redirected to the Shop Page for Payment

The following application forms must only be completed by new candidates who want to become a registered EPASA Member. For more information on application and membership fees please view Registration Fees 

Personal Information
Professional Application *
Title *
Name *
Surname *
Nationality *
Date of Birth *
ID Number *
Certified Copy of ID Document
Maximum file size: 1 MB
Contact Details
Cell *
Email *
Website URL
Postal Address *
Residential Address *
Area of Practice
Business Address *
Business Area Code
Business Tel
Business Country *
Business Province *
Business City *
Your Qualifications
Spoken Languages
Your Qualifications
Terms & Conditions

EPASA Practitioners only section. Our goal is to help people in the best way possible. this is a basic principle in every case and cause for success. 

EPASA Practitioners only section. 

New User Registration

Display Name / User Name *
Example: John Smith
First Name *
Example: John
Last Name *
Example: Smith
Email *
Phone *
Password *
Confirm Password *
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