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RSA
Training Enrolment Form
(This information is also to be used for SETA registration)
NB... We subscribe fully to the POPI Act - Your information will only be used for the intended purpose
Date Captured (dd/mm/yyyy)
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LEARNER PERSONAL DETAILS
Title
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First Name
Middle Names
Surname
Gender
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Please indicate Nationality if not South African
Identification
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SA ID or Passport Number
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Description of disability
Mobile Number
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LEARNER ADDRESS DETAILS
Physical Address
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TRAINING PROGRAMME | COURSE DETAILS | EDUCATION LEVEL & ETD EXPERIENCE
Method of Training
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Qualification Choice
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Matric YES | NO
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Highest Qualification
ODETDP Skills Programme
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Command of English language (please tick all applicable box's below)
Read English
Speak English
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Education Training & Development Experience
EMPLOYMENT DETAILS
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Employment Status
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PAYMENT INFORMATION
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Individual (Myself)
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NB! COMPLETE THIS SECTION ONLY IF YOUR COMPANY IS RESPONSIBLE FOR PAYMENT
Company contact information in respect of payment
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Company Representative
Contact Number
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I hereby acknowledge that al the information completed is true and correct
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