New Registration

Category Select Category Category E - Medical Students Category D - Special category by written application and subject to board approval Category C - Interns / Volunteers / Retired Members / Members currently not working in Namibia Category B - Private Medical Practitioners Category A - Public Services (State) Practitioners 0534 0030 0031 Category F - Allied Health Professions 0032 0033 0034 0041 0004 0328 0055 0058 0063 0277 0066 0046 0048 0334 0421 0018 0344 0020 0383 0373 0085 0284 0285 0086 0249 0402 0090 0229 0396 0097 0100 0102 0104 0106 0111 0260 0118 0416 0120 0253 0124 0125 0281 0126 0131 0267 0241 0133 0388 0138 0143 0288 0036 0152 0270 0155 0156 0336 0230 0157 0280 0162 0163 0167 0172 0174 0315 0342 0330 0185 0188 0192 0201 0204 0206 0208 0376 0212 0399 0218 0418 0404 0306 0502 0504 0503 0505 0511 0532 0526 0527 0528 0227 0604 0638 0643 0899 0631 0619 0635 0912 0633 0634 0901 0902 0905 0906 0907 0909 0910 0014 0655 0652 0657 0660 0578 0919 0675 0921 0923 0661 0664 0669 0674 0676 0677 0681 0682 0684 0686 0687 0689 0692 0694 0695 0648 0649 0650 0647 0644 0639 0632 0616 0615 0613 0603 0599 0598 0597 0595 0594 0591 0590 0589 0588 0593 0592 0587 0586 0584 0583 0582 0581 0579 0576 0571 0573 0574 0572 0570 0569 0567 0565 0564 0563 0559 0558 0557 0556 0555 0554 0553 0552 0551 0550 0549 0547 0548 0545 0544 0539 0536 0523 0522 0520 0519 0518 F E D B C A

Title Dr. Prof.

Initials

Surname

First Name

Preferred Name

Practice Name

Email

Tel

Mobile

Fax

Specialization Select Specialization General Practitioner Family Physician Paediatrician Surgeon Internal Medicine Psychiatrist Ophthalmologist Gynaecologist Cardiologist Rheumatologist Dermatologist Neurologist Neurosurgeon Radiologist Orthopaedic Surgeon Nephrology Endocrinology Plastic and Reconstructive Surgeon Oncology Other Gastro-Enterologist ENT Surgeon Pathologist Psychologist Anaesthetist Urologist Radiation Oncologist Pulmonologist Physician Specialist HIV Medicine Sexual & Reproductive Health Family Medicine Obstetrics ENT Specialist

Postal Address

PO Box/Private Bag

Suburb

City/Town Select Aranos Eenhana Gobabis Grootfontein Karasburg Karibib Katima Mulilo Keetmanshoop Khorixas Luderitz Mariental Okahandja Omaruru Ondangwa Ongwediva Opuwo Oranjemund Oshakati Otavi Otjiwarongo Outapi Outjo Rehoboth Rundu Swakopmund Tsumeb Usakos Walvis Bay Windhoek

Country

Postal code

Physical Address

Physical Address

Town/Suburb

Registration Nr's

HPCNA Nr

HPCSA Nr

Qualifications

Qualification	Institution	Year

Specialization/Professional Interests & Special Practice Interest

 

Membership Benefits

Member benefits and services

1. Unrestricted Access To The Information MAN Has To Offer
2. Representation For Individuals And Groups In All Matters Affecting The Profession
3. Industrial Relations Advice, Support And Representation
4. Private Practice Support, Advice And Coding Support Services
5. Continuing Professional Development Services, Including Access To Advice, Information, Recording Systems And Point-Earning Opportunities
6. Ability To Communicate With Entire Membership Base With Regards To Locum Requests/Offerings, And Practice/Partnership Opportunities.