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Octagam infusions and polygamy infusions
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Home
About us
Services
Octagam infusions and polygamy infusions
Wound care
Palliative care
Vitamin Drips
Bookings
Careers
Contact
Login
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Opportunities:
We are looking for various medical practitioners across South Africa in the following fields:
Nurses
Caregivers
Professional Nurses
Nursing Assistance
Staff Nurses
Previously retired practitioners are welcome.
Registration Form
Please ensure certified copies of all supporting documents listed below are submitted with a completed registration form.
Copy of ID Proof of Hepatitis Injection
Copy of SANC Receipt Nursing Certificate
Proof of Professional Indemnity
BLS Certificate and card
Matric Certificate
Copy of bank statement or bank confirmation letter
Please note incomplete applications will NOT be accepted
Personal Information:
First Name and Surname
*
ID Number
*
Residential Address
*
Area Code
*
Postal Address
*
Postal Code
*
Cellphone Number
*
Work Telephone Number
*
Home Number
*
Email Address
*
Emergency Contact Name
*
Emergency Contact Number
*
Gender
Female
Male
Income Tax Reference Number
*
Criminal Record
Do you have any Criminal records?
*
Yes
No
If YES then provide Details
*
Professional Information
SANC Reference Number
*
Receipt Number
*
Type
*
RN
EN
ENA
CG
Are you Trained?
*
Yes
No
Experienced?
*
Yes
No
Do you have your own transport?
*
Yes
No
Are you registered with any other agencies?
*
Yes
No
If YES, please state the name of the agencies
*
Have you had a hepatitis injection?
*
Yes
No
If NO, you are required to have a hepatitis injection, when will you go for one?
*
If YES, please provide the date and Proof of Injection:
*
Employment History
Please provide: Name of Employer, Position held, Year and Duration
*
References
Please provide: Institution, Contact and Position, Telephone numbers
*
Banking Details: Name of Account Holder
Please attached Proof of Banking Details. Please note: Any changes to banking details needs to be communicated to CureVida Health Care in writing.
Name of Account Holder
Branch Name
Account Type
Branch Code
Account No
Agreement
Agreement of Terms and Conditions of Employment between CureVida Health Care and...
Assignee Full Name:
Please note, by signing your name electronically, this serves as a binding agreement that the informatio you have provided is correct and truthful.
Date
Supporting Documents - Upload
Please ensure certified copies of all supporting documents listed below are submitted
Copy Of ID
Proof of Hepatitis Injection
Copy of SANC Receipt Nursing Certificate
Proof of Professional Indemnity
BLS Certificate and card
Matric Certificate
Copy of bank statements or bank confirmation letter
Website
Submit Application