Registration Form - AHPC

Section A - Registration Requested

Mode of study for relevant postgraduate qualifications were obtained

Section B - Personal Details

Title
Name
Name
First Name
Last Name

Nationality & Identification Details

Are you a Mauritian Citizen?

Maximum file size: 20MB

Maximum file size: 20MB

Section C - Education and Training For Registration

Professional Qualification as per First Schedule AHPC Act 2017

If your qualification, as per the schedule, requires a postgraduate degree, click “Add” to enter the required details.

Technical /Clinical training obtained during professional qualification

Have you obtained any technical or clinical training during your professional qualification?

Technical /Clinical training after obtaining professional qualification

Have you obtained any technical or clinical training after obtaining your professional qualification?

Other related postgraduate qualification(s)

Do you have any other related postgraduate qualification?

Section D: Previous Registration With Any Foreign Councils / Profesionnal Association

Section E: Current Employment

Section F: Employment History

Section G : Declarations

I hereby declare that:

  • I have read, understood and will comply with the AHPC Code of Practice.
  • I have read the guidance note for applicants accompanying this application form and understand that the AHPC may process my personal data.
  • I agree to pay the applicable processing, registration and annual practising licence fees.
  • I consent to the AHPC contacting any person to obtain further information about my application or to verify the information provided. I agree that any person contacted may provide the AHPC with any information they hold about me.
  • I am of good character and have not been convicted of any crime involving fraud or other dishonesty.
  • I have not been struck off the list of persons entitled to practise my profession in any country.
  • I am not incapacitated by reason of any physical or mental health condition that would impair my ability to practise.
  • I confirm that the information provided in this application is true and correct. I understand that fraudulently procuring an entry in the AHPC Register is a criminal offence under Section 38 of the AHPC Act 2017.
I confirm that I have read and agree to the above declaration.