523 Stanza Bopape Street, Provisis Building 2nd Floor Acadia, Pretoria, 0083

086 111 7622 | 012 440 6044

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CONTACT US

Locum Registration From

1. PERSONAL INFORMATION

2. NEXT OF KIN

3. BANKING DETAILS

PAYMENTS

4. PROFESSION, MEMBERSHIP AND QUALIFICATION DETAILS

5. WORK AVAILABILITY

What specialities would you prefer to work in (In order of Preference)

6. JOB AND EXPERIENCE

Info: Please list your jobs with the most recent at the top

7. ATTACHMENTS

To enable us to process your registration as soon as possible, please include copies of the following documents when Registering:
01. COMPLETE REGISTRATION FORM
02. COPY OF ID/PASSPORT AND WORK PERMIT
03. COPY OF DEGREE/DIPLOMA (ADDITIONAL QUALIFICATIONS)
04. COPY OF MEMBERSHIP CERTIFICATES
05. PROOF OF INDEMNITY
06. LETTER FROM THE BANK TO CONFIRM BANKING DETAILS
07. TAX CERTIFICATE
1. It is recorded that the Locum Candidate shall be employed by S.MAB Agency in terms of the fixed period and no expectation of continued placement is created as the placement will terminate automatically at the expiry of the Locum Placement.

2. The Locum Candidate shall be placed at one of S.MAB Agency’s Clients premises and the Registration Form will still govern your employment with the Agency to be placed with other Clients whenever there is employment.

3. I confirm that induction was done with me and I was handed out an induction booklet.

I,

ID NUMBER
DECLARE THAT ALL THE ABOVE INFORMATION IS CORRECT AND UNDERSTAND THAT MISLEADING INFORMATION GIVEN MAY BE CONSIDERED AS GROUNDS FOR WITHDRAWAL OF FUTURE WORK BEING OFFERED BY S.MAB AGENCY.
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We are a passionate team that strives to empower people through Training, Job creation, Improved Technology Services and Holistic wellness approach.

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HEAD OFFICE (PRETORIA)

  • 523 Stanza Bopape Street, Provisis Building 2nd Floor Acadia, Pretoria, 0083
  • 086 111 7622 | 012 440 6044
  • 082 326 1714
  • info@smabagency.co.za

CAPE TOWN

  • 18 Raats Drive, Table View, Cape Town 8001
  • 021 556 7654
  • 082 654 4832
  • infoct@smabagency.co.za

BLOEMFONTEIN

  • Office Number 74, First Floor, Bloem Plaza, Charlotte Maxeke Street, Bloemfontein 9301
  • 051 430 4996
  • 079 517 8571
  • infoblm@smabagency.co.za

RUSTENBURG

  • 67 Brink Street, Rustenburg CBD 0300
  • 014 592 7688
  • 082 294 4998
  • Inforust@smabagency.co.za

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