STUDENT REGISTRATION FORM

STUDENT INFORMATION
SURNAME FULL NAMES ADDRESS

CELL NO: EMPLOYER:

I.D. NUMBER ADDRESS:

CELL: OTHER: TEL: EMAIL:

COURSES TO ATTEND
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AGREEMENT AND INFORMATION

All classes of a course needs to be attended before writing the examinations or tests. All classes commence STRICTLY @ 08:00 each day - please do not be late. You will be held responsible for full payment of course if not canceled within 24 hours prior to training. All training fees to be paid BEFORE commencement date. Please bring original ID Document on first day of training. For inquiries, call Louise on 082 451 1364.

Louise Gildenhuis
Cell: 082 451 1364 Fax: 086 560 6411 E-mail: louiseg@sheqworx.co.za www.sheqworx.co.za
Fax / E-mail back student registration form and proof of payment / order number to confirm your booking.

*I, the responsible person, hereby accept and agree to the financial arrangement as stated above. ..
Date:

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