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I herewith make application for membership of SASMOA on and from the date of this application, and agree to abide by the rules and policies of SASMOA as they may be amended from time to time. And I herewith make application for membership of ASMOF on and from the date of this application, and agree to abide by the rules and policies of ASMOF as they may be amended from time to time.
* This Field is required Information for: Membership : <p>You are joining SASMOA and as a part of that membership you are also joining, for no extra cost, ASMOF SA which covers the federal jurisdiction. If you do not wish to be a member of ASMOF SA select No for this option and it will be noted against your membership.</p>
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Information for: Existing Issue : <p><strong>Conditions for existing issues:</strong><br />Service from SASMOA will commence from the day of your membership. If you have existing issues which you might seek SASMOA's assistance to resolve, SASMOA does not undertake to address those issues as part of membership, but may agree to undertake them after consideration. This will include whether or not additional fees may need to be paid for SASMOA to undertake that work.</p>
Information for: Title : <p>Please select your title.</p>
* This Field is required Information for: Given Name : Please enter your real first name.
Information for: Middle Name : Please enter your real middle name.
* This Field is required Information for: Surname : Please enter your real last name.
Information for: Informal name : <p>If you have a preferred name other than your given name entered above, please enter it here</p>
* This Field is required Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
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* This Field is required Information for: State : Please enter your state
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* This Field is required Information for: Username : Please enter a valid username. No spaces, at least 3 characters and contain 0-9,a-z,A-Z
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* This Field is required Information for: Trainee Medical Officer Classification : <p>MP2 is the equivalent to PGY2 and MP3-8 is equivalent to PGY3-8.</p>
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* This Field is required Information for: Specialist Qualification OR Training Program : <p>Please select one Specialist Qualification/Training Program. If you need to notify us of more&nbsp;Specialist Qualification or Training Programs, please enter it in the Other Specialist Qualification(s) OR Training Program(s)&nbsp;field below.</p>
Information for: Other Specialist Qualification(s) OR Training Program(s) : <p>Please enter your specialist qualification(s) or training program(s) separated by a comma(,)</p>
* This Field is required Information for: Region : <p>Please select the region in which you work.</p>
Information for: Workplace - CALHN : <p>Please select your workplace within the CALHN region.</p>
Information for: Workplace - CHSALHN : <p>Please select your workplace within the CHSALHN region.</p>
Information for: Workplace - NALHN : <p>Please select your workplace within the NALHN region.</p>
Information for: Workplace - SALHN : <p>Please select your workplace within the SALHN region.</p>
Information for: Workplace - STATE : <p>Please select your workplace within the STATE region.</p>
Information for: Workplace - WCHN : <p>Please select your workplace within the WCHN region.</p>
Information for: Workplace - SAHEALTH : <p>Please select your workplace within the SAHEALTH region.</p>
Information for: Workplace - Private Sector : <p>Please enter your Private Sector workplace.</p>
Information for: Secondary Workplace - Private Sector : <p>Please enter your Private Sector workplace (SECONDARY).</p>
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The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$634.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$53.70

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$297.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

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$25.60

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$433.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

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$36.90

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$1065.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$89.60

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$783.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$66.10

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$671.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$56.80

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$1065.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$89.60

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$671.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$56.80

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$865.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$72.90

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$634.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$53.70

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$540.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$45.80

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$783.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$66.10

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$197.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$17.30

The rate below is the 2020 yearly rate for your category. The correct figure will show at payment stage.
View current rates here.

$197.00

The rate below is the monthly rate for your category.

Note the first fee payment will be deducted on the day of processing (which could be anytime in the month) but will thereafter occur on the 1st day of each subsequent month.

View current rates here.

$18.80

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