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Get Ahfoz Application Form

Association of Healthcare Funders of Zimbabwe AHFoZ House 18 Southey Road Hillside P O. Box 2026 Harare Tel/Fax: +263 4 778896/778798/778724 Email: ahfoz ahfoz.co.zw Website: www.ahfoz.co.zw Cell.

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How to fill out the Ahfoz Application Form online

Filling out the Ahfoz Application Form online can be a straightforward process with the right guidance. This guide provides you with clear, step-by-step instructions on how to successfully complete each section of the form.

Follow the steps to fill out the Ahfoz Application Form online.

  1. Click ‘Get Form’ button to obtain the Ahfoz Application Form and open it in your editor.
  2. Begin by accurately filling out your personal details. Use block letters for your title, initials, first names, and surname. Provide your ID number and relevant registration numbers along with their effective and expiry dates.
  3. Complete the employment section. Indicate if you are currently employed in a registered institution, government entity, or any other authority, and provide the name of your employer if applicable.
  4. Fill in your contact details, ensuring you include your postal and physical address, telephone and facsimile numbers, email address, and cellphone number.
  5. In the details of practice premises section, input the name of your practice or institution, along with any necessary registration details.
  6. For practitioners not employed elsewhere, fill in the details for both practice locations, if applicable, providing the required information for each practice.
  7. If you are part of a partnership, list the other practitioners involved in the partnership practice.
  8. Complete the practice details section as required, especially focusing on the area of practice for nursing personnel.
  9. Review the fees section and indicate whether you will adhere to the agreed tariff of fees as specified by AHFoZ.
  10. Provide your banking details accurately to ensure correct reimbursement. Include the practice name, bank details, and authorize the use of this information for claims.
  11. Indicate if you have previously registered with AHFoZ and provide your previous payee number if applicable.
  12. Finally, read and confirm that all information provided is correct and complete. Sign and date the application form, attaching the registration fee.
  13. Once you have filled out all necessary sections, save your changes, download, print, or share the completed form as required.

Complete your Ahfoz Application Form online today and ensure you meet all requirements for a successful application.

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