Admission & Training Registration Form

Individual Student Company / Employer

Full Name ID or Passport Number Phone (WhatsApp) Email

Street & No. City / Municipality Province Postal Code

Company Name Contact Person

Company Email Company Phone No. of Employees to Train

Next of Kin / Emergency Contact Next of Kin Phone

Preferred Start Date (optional) Notes / Comments

* Enrollment confirmed upon payment of Registration Fee (R200)

If a sales team member referred you, please select their name. If you came via flyer / WhatsApp / Email, choose that option.

Signed at Date

Student / Contact Signature (type name) Responsible Party Signature

Disclaimer: Your information will be used for admission and training purposes only.