Register For This Site
Username *
Email Address *
Currently you have JavaScript disabled. In order to register, please make sure JavaScript and Cookies are enabled, and reload the page. Click here for instructions on how to enable JavaScript in your browser.
First Name *
Last Name *
Membership Type * SurgeonFull-time Private PracticeLimited Private PracticeFull-time Hospital PracticeFull-time Government Hospital PracticeRegistrarMedical Officer
Title * DrProfMrsMrMsHon
ID Number (or Passport Number) *
Date of Birth (dd/mm/yyyy) *
HCPSA Number
SAMA Number
Postal Address *
Telephone Number (Work)
Telephone Number (Cell) *
Fax Number
Registration confirmation will be emailed to you.
Log in | Lost your password?
← Back to ASSA