Online Registration form

PERSONAL DETAILS

Full Name/s*

Surname*

Maiden Name (If applicable)

Identity Type*

Identity Number

Date of birth

Socioeconomic status*

Organization

Home Language*

Disability*

Gender*

Equity*

Email address

Home Telephone Number

Cellphone Number*

Work Telephone Number

Postal Address

Residential Address*

Province*

City*

Postal Code*

Country

Contact Number*

Document Upload (ID copy)

Document Upload (Certificates)

Document Upload (CV)

WORKPLACE INFORMATION

Name of Employer

Supervisor / Mentor / Manager

Designation of Supervisor / Manager

Postal Address of Employer

Physical Address of Employer

Email of Employer

Fax Number of Employer

Telephone Number of Employer

TRAINING PROVIDER DETAILS

Name of Provider

Contact Person

Training Provider Physical Address

Training Provider Postal Address

Training Provider Telephone Number

Training Provider Email Address

Training Provider ETQA Accreditation Number

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EDUCATIONAL BACKGROUND

Last School Attended*

Highest Qualification Achieved*

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WORK EXPERIENCE

Year of Experience

PROGRAMME ADMISSION REQUIREMENTS

Course Applying For

SAQA Title of the Course

NQF Level

Number of Credits

Mode of Delivery

Training Date

I agree to be governed by the rules and regulations as per code and conduct of Dee's Training in the learner admission pack

Signature

User Email*

By submitting the information I agree on the terms and conditions electronically of this application.

Payment Method