Join THPASA

The Traditional Health Practice Association of Southern Africa (THPASA) welcomes applications from Traditional Health Practitioners, students, affiliated professionals, researchers, community stakeholders, and institutional partners.

Membership applications are assessed by Central Membership Services (CMS) in accordance with THPASA governance instruments, membership criteria, ethical requirements, professional standards, and applicable legislation.

Applicants may apply for Student, Professional, Associate, Affiliate, or Institutional Membership. Professional applicants may additionally apply for Recognition of Prior Learning (RPL), professional level classification, upgrades, or reinstatement where applicable.

Please ensure that all required supporting documents are submitted before completing this application.

Membership Application Form

Welcome to the Traditional Health Practice Association of Southern Africa (THPASA).
Please complete this application form in full. Submission does not constitute automatic approval. All applications are subject to verification, assessment, governance review, and Central Membership Services (CMS) approval.

SECTION A: APPLICATION TYPE

Nature of Application*

New Membership ApplicationMembership RenewalUpgrade / ReclassificationRestoration / ReinstatementRecognition of Prior Learning (RPL)Student-to-Professional Transition

SECTION B: PERSONAL INFORMATION

Full Name(s) as per ID / Passport*

Preferred Professional / Traditional Name

Title / Prefix

Date of Birth*

Gender

MaleFemaleOtherPrefer Not To Say

Nationality*

ID / Passport Number*

Email Address*

Mobile Number*

WhatsApp Number

Residential Address*

City / Town*

Province / State*

Postal Code

Emergency Contact Name*

Emergency Contact Number*

SECTION C: MEMBERSHIP CATEGORY

Membership Category Applied For*

Professional Level Applied For (Professional Categories Only)

SECTION D: PRACTICE CLASSIFICATION

Primary Practice Category

Secondary Practice Categories

Scope of Practice / Specialisations

SECTION E: TRAINING, LINEAGE & QUALIFICATIONS

Traditional Lineage / Initiatory Affiliation

Name of Gobela / Mentor / Supervisor

Contact Details of Gobela / Mentor

Date Training Commenced

Date Training Completed

Years of Practice Post-Initiation

Traditional Training Institution / Lineage

Academic / Professional Qualifications

Recognition of Prior Learning (RPL) Application?

YesNo

SECTION F: PROFESSIONAL DISCLOSURES

Have you ever been suspended by a professional body?

YesNo

Have you ever been found guilty of professional misconduct?

YesNo

Have you ever had a professional designation revoked?

YesNo

Have you ever been convicted of a serious criminal offence?

YesNo

Are there any pending disciplinary proceedings?

YesNo

If Yes, provide details

SECTION G: SUPPORTING DOCUMENTS

Certified ID / Passport Copy

Qualifications / Certificates

Curriculum Vitae (CV)

Portfolio of Evidence

Proof of Payment

LVA26-01 Lineage Validation Affidavit (if applicable)

THPASA-CMS-CTD-01 Competence Testimonial (if applicable)

Ethical Pledge & Declaration of Practice

Additional Supporting Documents

SECTION H: PAYMENT INFORMATION

Payment Method*

EFTDebit OrderMonthly Instalment ArrangementCash DepositInstitutional InvoiceOther

Total Amount Paid (if applicable)

Payment Reference Number

SECTION I: POPIA, ETHICS & CONSENT

I declare that all information submitted is true, complete and accurate.

I consent to the lawful processing of my personal information in accordance with POPIA and THPASA governance requirements.

I authorise THPASA and CMS to verify my qualifications, lineage declarations, references and supporting documentation.

I acknowledge that false declarations may result in refusal, suspension, revocation of membership or disciplinary action.

I understand that electronic submission constitutes a legally binding declaration.

Applicant Declaration

Digital Signature (Full Name)*

Date*