THE PROFESSIONAL BOARD FOR PSYCHOLOGY - hpcsa co 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your HPCSA Registration Number at the top of the form. This is essential for identification.
3. Fill in your personal details, including your surname and first names. Ensure accuracy as this information is crucial for processing.
4. Indicate the dates of commencement and completion of your internship. Use the provided fields to specify both start and end dates clearly.
5. Select the category under which you completed your internship training. This helps categorize your experience appropriately.
6. Provide details about your intern training institution, including its full postal address, telephone number, fax, cellular, and email.
7. Ensure that all required signatures are obtained from relevant authorities, including the Head of Department and Administrative Head. Each must date their signature.
8. If applicable, include a detailed explanation if any service was deemed unsatisfactory, signed by all necessary parties.

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