Workshop application/registration form

Please enrol me for the * Please enrol me for the *FETC OD ETDP NQF4NCERT OD ETDP NQF5NDIPL OD ETDP NQF5NCERT LABOUR NQF5ASSESSORMODERATORFACILITATORSDF

Course Date*

I accept that this workshop will not automatically lead to certification, but that I will have to be assessed on an assignment (cost included in workshop) to be completed at my work place within two months of completing the workshop. * I accept that this workshop will not automatically lead to certification, but that I will have to be assessed on an assignment (cost included in workshop) to be completed at my work place within two months of completing the workshop. * An additional R650 + VAT will be charged for assignments submitted after the two month period.

Surname*

Full Name*

Home Language*

Candidate’s I.D. Number*

Race* Race*AfricanColouredIndianWhite

Nationality*

Gender* Gender*MaleFemale

Candidate Telephone Number*

Candidate Cellphone Number*

Candidate Fax Nr

Candidate E-Mail Address*

Company Name

Candidate’s position/job title

Company Postal Address

Deptartment/person to be invoiced name

Deptartment/person to be invoiced tel no.

Company Order Number

Company VAT Registration Nr

Do you have any disability?* Do you have any disability?*YesNo

Notes

Please note* Please note* Fees for attendance to training workshops must be received three days before workshop commencement date. Learnership Support Systems cannot be held liable for any losses or damage to property brought to any of their workshop venues. Learnership Support Systems cannot be held liable for any injuries occurring at any of their workshop venues Learnership Support Systems cannot be held responsible for candidates that do not complete the course. Learnership Support Systems reserves the right to cancel a workshop subject to a minimum of 8 delegates.

Cancelation Clause* Cancelation Clause* Cancellation should be done in writing. A hundred percent (100%) cancellation fee will be levied should you cancel two working days or less prior to commencement of the workshop, or should you not attend the workshop. A fifty percent (50%) cancellation fee will be levied should you cancel five working days prior to commencement of the workshop. A R200.00 Admin Fee will be levied if you cancel more than five working days prior to commencement of the workshop.