Stipend Payments

STIPEND PAYMENTS – GLOBAL

Patient
Ukuba umxhasi uvumile iintlawulo zesibonelelo zolu phononongo.
Site coordinators, please have the patient fill out the Patient Payment Declaration Form below and upload it to our portal with the first stipend request. (1 time only for each new patient).
Download the Patient Payment Declaration Form here
OR use online form below if you need to translate into a different language.
Online Declaration Form
Iintlawulo ziya kwenziwa ngekhadi leVisa elinokufakwa imali kwakhona.
I-Colpitts Clinical iza kunika izigulana ingxelo eneenkcukacha ngenyanga kaJanyuwari nganye, ebonisa iintlawulo zentsimbi zonyaka ophelileyo, ukuba ziyafuneka ekulungiseleleni kwazo irhafu.