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Personal Details

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Course: isiZULU LANGUAGE COURSE (Intermediate)

Salutation *

First Name *

Last Name *

Nationality

South African

Other

Nationality

Passport *

ID Number *

Date of Birth *

Gender

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Female

Job Title

Physical Address

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Address 2

Address 3

Address 4

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Province *

Postal Code *

Country *

Postal Address

Same as physical address

Address 1 *

Address 2

Address 3

Address 4

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Province *

Postal Code *

Country *

Direct telephone

Mobile *

Preferred Email *

Confirm Email *

Race

Responsible party for payment

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Company / Employer

Company / Employer Details

Company / Institution *

Primary Industry *

Company Registration Number

Vat Number

Work Telephone

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Address 2

Address 3

Address 4

City *

Province *

Postal Code *

Country *

Entrance Requirements

National Senior Certificate (NSC) or equivalent

Diploma

NSC, but not for degree studies

NSC with admission for degree studies

Degree

Post-Grad Degree

Application for mature exemption

Age exemption (46 and up)

Recognition of prior learning

Terms & Conditions agreement *

I hereby confirm that the information supplied on this form is correct and that I have read and agree to the conditions stipulated on the registration form. I accept personal liability to ensure payment of the relevant fees before the commencement of the course.

Attachements

Certified copy of identity document/passport

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