Registration – E-Learning

Please take the time to fill in the delegate information form as required by SAQA

Username *

User Password *

User Email *

Confirm Password *

First Name *

Last Name *

Previous Surname (if applicable)

BirthDate *

Identification Number *SA ID Number

Identification Number Type *

Title *

Nationality Code *

Home language *

Disability Status *

Equity Code *

Citizen Resident Status *

Home: Province

Socio Economic Status

Highest School Grade

Name of Last High school Attended *

Town Of Last High School Attended *

Year Of Last High School Attended *

Home Address *

Postal Address *

Home Address Suburb *

Postal Address Suburb *

Home Address Town *

Postal Address Town *

Home Address Postal Code *

Postal Address Postal Code *

Country *

Work Phone

Cell Phone *

Employer Name

Learner Job Title

Division

Years in Current Occupation

Government Order Number (if applicable)

Do you want to receive email updates of future training events and new developments? *

May we use photos taken during the training for marketing purposes and social media *

I declare that the above information is true, correct and complete. I understand that the information provided will appear on my certificate and should the information prove to be incorrect, a fee will be charged for the reprint of any erroneous certificates issued.