Register for an account – ICSP Info Website

Don't have an ICSP account?

If you have not received your ICSP account confirmation email when the registration verification process opened, please proceed to complete the form below to enable the Call Centre to help you create and register an account. Once an account has been registered for you by the Call Centre, you will receive an email confirmation and a link to login to ICSP Online.

PLEASE NOTE: If you already have a username and password and have forgotten what they are, please log a ticket here and set the subject to “Password Reset”.

All fields marked with * are required fields. Your form will not be submitted without this information and your account may not be created.

Document uploads must be in PDF or image formats and not exceed 4Mb.

Pogramme you are applying placement for in the 2020 Annual Cycle*

Your Name*

Your Surname*

Your ID/ Passport Number

Your Email*

Your Contact Number

Alternative Contact Number*

Gender FemaleMaleOther

Race

Nationality*

Country of Origin (if not South African citizen)

Field of Study*

Institution of Learning

Completion date of studies ( for internship application) or internship (for community service application)*

Professional Registration Number*

Proof of Professional Registration* (Only PDF and image file formats may be uploaded and may not exceed 4Mb)

[acceptance* correct-info] I confirm that the information provided in this form is true, complete and accurate*

[acceptance* share-info] I acknowledge that in order to support my placement, the national and/or provincial department of health, may share my details with statutory councils, and the PERSAL information system. In such cases, data sharing and transfer will occur in a secure manner that respects the privacy and confidentiality of my information*

All fields marked with * are compulsory