New NPPF Membership Application

*Please see the membership and eligibility requirements here. You can also view our Membership Initiative which outlines our mission and vision. To read more about our monthly membership fees please click here. This application form is for new members only. Current members need not re-apply.

To complete the application, fill in your personal and professional details on the form, signing your name with your mouse or finger on mobile/tablet, and hit submit. An automatic pdf of your submission will be generated for download as well as sent to your email address. Pending membership approval, further details will follow. Thanks!

The Namibia Private Practitioners Forum
Postal Address ~ P.O.Box 98 ~ Keetmanshoop
I hereby apply for membership of the Namibia Private Practitioners Forum.
I understand and acknowledge the rules and regulations of the forum and commit to said rules and regulations as laid out in The Memorandum of Associations of the NPPF.

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