TO:      NATIONAL DEPARTMENT OF HEALTH
             PROVINCIAL DEPARTMENTS OF HEALTH
             NURSING EDUCATION INSTITUTIONS
             ALL STAKEHOLDERS

SUBJECT:   ANNUAL FEES FOR 2026 GOVERNMENT GAZETTE

This Circular serves as confirmation of the South African Nursing Council’s fees and fines as stipulated in the Government Gazette published on 13 June 2025. 

1. • 1. ANNUAL FEES FOR 2026
        • NORMAL ANNUAL FEES

      

     The annual fees for the calendar year 2026 for different categories of practitioners are provided in the table below:

     CATEGORY	ANNUAL FEE FOR 2026
     Registered Nurses and Midwives	R870.00
     Enrolled Nurses and Midwives	R520.00
     Enrolled Nursing Auxiliaries	R370.00

     • REDUCTIONS IN ANNUAL FEES FOR AGE 60 AND OVER

      

     The Council has resolved to introduce reduced fees for nurses 60 years of age and over as per the table below:

     • 60 TO 64 YEARS OF AGE ON 1 JANUARY 2025 (25% REDUCTION)

      

     CATEGORY	ANNUAL FEE FOR 2026
     Registered Nurses and Midwives	R660.00
     Enrolled Nurses and Midwives	R390.00
     Enrolled Nursing Auxiliaries	R280.00

     • 65 YEARS OF AGE AND OLDER ON 01 JANUARY 2025 (50% REDUCTION)

      

     CATEGORY	ANNUAL FEE FOR 2026
     Registered Nurses and Midwives	R440.00
     Enrolled Nurses and Midwives	R260.00
     Enrolled Nursing Auxiliaries	R180.00

     NB: To qualify for the discount amounts, practitioners may be required to submit a certified copy of their identity document in order to confirm their age.

     Notes:

     • The annual fees for 2026 must be received by the SANC (reflect in its bank account) on or before 31 December 2025.
     • The amounts in the tables above all include 15% VAT.
     • The amounts are rounded off to the nearest R10.00.
     2. RESTORATION FEES FOR 2026

      

     The restoration fees for different categories applicable from 1 January 2026 are shown in the following table.

     CATEGORY	NORMAL RESTORATION FEE	REDUCED RESTORATION FEE
     Registered Nurses and Midwives	R2 610.00	R180.00
     Enrolled Nurses and Midwives	R1 560.00	R180.00
     Enrolled Nursing Auxiliaries	R1 110.00	R180.00
     Retired Nurses	R   180.00	R180.00

      

     Notes:

     The reduced restoration fee only applies to a practitioner:

     • Who has been removed from the register at his/her own request; or
     • Who must be 60 years of age or older on 1 January 2026. (Note: This must be confirmed with the Council before paying the reduced amount.)

      

     3. VOLUNTARY REMOVAL

      

     A nurse practitioner who no longer wishes to practise in South Africa or who is unemployed, may request, in writing, for a voluntary removal of his/her name from the register, by completing the form available from the SANC. If a voluntary removal is granted by the SANC, the nurse practitioner’s name will be removed accordingly on the 31^st of December of the year in which the application is received.

     Once removed, the nurse practitioner will no longer be required to pay annual fees while he/she is removed from the register.

     If the nurse practitioner requires reinstatement onto the register, he/she will, in addition to paying the reduced restoration fee, be required to complete a Restoration Form which can be accessed from the SANC website, www.sanc.co.za . It must be noted that practising while not being registered is illegal.

     4. CLOSING DATE FOR PAYMENT OF ANNUAL FEES

     Please note that for the calendar year 2026, the closing date for the payment of annual fees is 31 December 2025. Payments must reach the SANC bank account on or before the closing date. You are, therefore, urged not to leave payment for the last minute to avoid problems associated with making payments at year end.

     Remember: Bank transfers from non-FNB banks may take up to 3 working days and you are therefore advised to pay well in advance to meet the 31 December 2025 deadline to ensure that the money reflects in the SANC’s bank account by 31 December 2025.

     5. ELECTRONIC ANNUAL PRACTISING CERTIFICATES
        • The SANC will, from July 2025, send electronic annual practising certificates (APCs) by EMAIL to nurse practitioners upon receiving their 2026 annual fee payment. This is a pilot phase and is to be rolled out in phases.
        • From July 2026, the Council will fully implement the issuing of electronic annual practising certificates and no longer issue printed annual practising certificates, except in exceptional cases as defined during the 2025/26 pilot study.
        • The SANC is also embarking on a campaign for nurse practitioners to update their contact details (emails and cell phone numbers specifically) to ensure the SANC has recent and correct email addresses and cell phone numbers in its records. This will assist in ensuring that nurse practitioners receive their electronic annual practising certificate in time and via email as of 2026. (Refer to Circular 2 of 2025)
     6. OTHER FEES

     Please note that other fees and fees payable by institutions will be applicable with effect from 01 January 2026.

     7. PERSAL DEDUCTIONS

     The signing of Resolution 3 of 2019 in September 2019 by the National Department of Health together with major trade unions in Public Health and Social Development Sectoral Bargaining Council (PHSDSBC), brought into effect the implementation of PERSAL deductions from the 2020 APC season for all employees falling under the scope of the PHSDSBC. As a result of this agreement, affected nurse practitioners are urged not to pay the annual fees on their own as the employers are required to pay on their behalf in terms of Resolution 3 of 2019.  

     8. eREGISTER

      

     The SANC has made an eRegister facility available on the SANC website which can be utilised by employers to verify the registration status of all nurse practitioners in their employment. Employers MUST utilise this facility to verify the authenticity of the electronic annual practising certificate presented to them.

     Visit: https://www.sanc.co.za/eRegister.aspx for more details.

      

     9. COMMUNITY SERVICE PRACTITIONERS

      

     Community Service Practitioners are not eligible to be issued with an APC, and therefore, should NOT pay annual fees. They MUST pay a conversion fee on completion of their Community Service in order to be registered as nurse practitioners using the REGFPRA registration fee code instead of ANLFEES (e.g. 12345678REGFPRA).

     Yours sincerely

     _____________________________

     PROF NG MTSHALI

     REGISTRAR AND CEO:

     SOUTH AFRICAN NURSING COUNCIL 

     DATE:  ________________________  

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