COVID-19 Vaccination Training for Health Workers

Complete the form below to register for the COVID-19 Vaccination Training for Health Workers Course.

First name

Last name

Nationality

ID number

Passport number

PERSAL/PIN/Employee Number

Add N/A if you don't have a PERSAL/PIN/Employee Number.

Job role/title

Other Job Role

Professional Council

Professional registration number

Enter your employer name

Sector

Vaccinator

Province

Facility

Facility name - type your facility name, if you can't find it, type "Other" and add your facility name in the text box below.

Other Facility

District

Sub district

Email address

Confirm email

Alternative email address

Cellphone number

Alternative contact number

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I confirm that the above details are correct and acknowledge that any incorrect detail may result in my CPD points being processed incorrectly and my information being processed incorrectly by the Department of Health.