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PERSONAL DETAILS

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EDUCATION

PROFESSIONAL BOARD REGISTRATIONS

Working Creteria

What are you looking for?

Practice & Personal Details

(Where Applicable)

How do you provide your services?

Client Billing

If Applicable

Do you claim from medical Aid?

(Expected Salary) or (Rate per Hour)

Available Working Hours

Mondays

Thursdays

Wednesdays

Tuesdays

Fridays

Saturdays

Sundays

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To

To

To

To

To

To

To

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Client / Employment Types

Which clients would you work with?

DISCLAIMER: This is a directory service and not employment or a guarantee of employment, clients or business. The annual fee is payable upon submission of this form and is non-refundable. Your profile will be live for 1 year from the day of submission, after which you'll need to reapply to keep your profile active. All other benefits mentioned will also seize after 1 year, unless you renew your subscription at that time.

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