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Application for Restoration of Name to the Register 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out your personal particulars. Enter your full name, including any maiden names, and provide your identity number.
- Complete your contact information, including postal and residential addresses, telephone numbers, and email address. Ensure all details are accurate for effective communication.
- Indicate your marital status and race as required. This information is collected for statistical purposes.
- In the declaration section, confirm that you have not been convicted of any criminal offense and that no misconduct proceedings are pending against you.
- Provide bank details for payment processing related to your application. Make sure to include the correct bank name, branch code, and account number.
- Finally, sign the form and ensure it is stamped by a Commissioner of Oaths before submission.
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hpcsa form 19
A. An eligible whose name is removed from an eligible register, may make a written request to the Director of Human Resources for the restoration of his/her
PLEASE BRING: * Case Number (s) * Conviction/Sentencing Date * What you pled guilty to * Date of Discharge from Probation * Absolute Discharge from ADOCRead more