SCERTS Model Registration Form

The SCERTS Model - An Introduction (9 CPD Points)
Name in English (as reflected in passport):*
Sex*

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Nationality*
Occupation*
Religion*
Educational Qualification*
Date of Birth*

DayMonthYear
Date
Country of Birth*
Email Address:*
example@example.com
Mobile #*
Passport #*
Please upload a copy of your Emirates ID ( front and back) (upload PASSPORT if there is no Emirates ID)*

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How did you hear about this training?*
Any additional information you would like us to know?*
The training will run on two Saturdays, (15th and 29th March 2025) from 9 am to 3 pm (Dubai Time) via Zoom platform.

Fee: AED 1360.00

Group price discount:
5- 9 persons - 5%
10-14 persons - 10%
15 persons and above - 15%
By signing this form, you agree to attend the training. Fees are not refundable.
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The SCERTS Model - An Introduction (9 CPD Points)