Nursing registration form

ARE YOU CURRENTLY REGISTERED WITH SANC?

If you are NOT registered with SANC and require free restoration to the SANC register you must first download and complete the restoration form and attach it on the allocated field below.

Application for restoration form

Click here to download

Section A
Full names

First Name
Last Name
South African ID number
Passport number if NOT SA resident:
Cell Phone Number:
Mobile number
Alternative Contact Number:
Other number
EMAIL ADDRESS (IF AVAILABLE)
Section B
Province currently residing at:
Town currently residing at:
Are you currently employed and working?
Please indicate your field of work
WHICH HOSPITAL WOULD YOU LIKE TO WORK AT?
1st Choice:
2nd Choice:
3rd Choice:
QUALIFICATIONS
Do you have a Nursing Qualification?
"Thank you for your time however this application is for nursing recruitment only."
Please Indicate your Nursing Qualification
AREA YOU WISH TO WORK IN
Indicate the area you wish to work in
WISH option 1: Please indicate the area you wish to work in
WISH OPTION 2: Aternative area you wish to work in
ADDITIONAL QUALIFICATION AREA YOU WISH TO WORK IN
Indicate the Additional qualification area you wish to work in
Option 1: Post Basic Qualification registered at SANC - area you wish to work in
Option 2: Post Basic Qualification registered at SANC - alternative area you wish to work in
SANC RESTORATION
Are you currently registered with SANC?

Yes No
Please provide your SANC Annual Practicing Certificate (APC) number
Please indicate whether you would require free restoration to the SANC register

Yes No
"If you do not register with SANC you will not be able to work as a nurse. Should you wish to register with SANC please indicate YES above or indicate field/area you wish to volunteer in below."
Upload the restoration form below, if you do not have it, Click here to download
Upload the SANC Restoration form
Filename
Status
Size
Add Files
Please indicate the field/area you wish to volunteer in
Other fields/areas
Please indicate which shifts you would prefer
What mode of transport will you be using?
Do you have any health conditions we need to be aware of?
Please indicate what health condition you want us to be aware of - Kindly list
Are you currently involved in other volunteer work?

Yes No
Please indicate where and what kind of volunteer work you are involved in

Nursing registration form

ARE YOU CURRENTLY REGISTERED WITH SANC?

Section A

Section B

WHICH HOSPITAL WOULD YOU LIKE TO WORK AT?

QUALIFICATIONS

AREA YOU WISH TO WORK IN

ADDITIONAL QUALIFICATION AREA YOU WISH TO WORK IN

SANC RESTORATION