Existing Members

Personal Details

Title *

Surname *

First Name *

Other Names (if any)

Gender *

Country of Citizenship *

Phone Number (preferably WhatsApp) *

Email Address *

Professional Details

Current Status *

Subspecialty (if applicable)

Country of Practice *

Hospital or Centre (if applicable)

Department (if applicable)

NSA Membership Category

Membership Category *

Account Creation

For accessing your membership dashboard.

Username *

Choose a Password * (minimum 8 characters)

Confirm Password *

Upload Relevant Documents

Upload only where applicable - the list below adjusts to the category you choose. Each file must be a PDF, JPG or PNG under 2MB.

Choose your membership category above to see which documents are needed.

Declaration and Consent I confirm that all information provided is accurate to the best of my knowledge. * I consent to the NSA storing and processing my personal data in accordance with applicable data protection regulations. *