UCT FHS Registration: FATE Workshops

REGISTRATION FORM

Basic & Advanced FATE Workshops
1. Basic FATE Course Information

Please note that the Basic FATE courses for 2025 are currently fully booked. Should you wish to be added to the mailing for updates on future courses, please email ce.administration@uct.ac.za.

2. Advanced FATE Course Information

Please note that the Advanced FATE courses for 2025 are currently fully booked. Should you wish to be added to the mailing for updates on future courses, please email ce.administration@uct.ac.za.
Course Name*
Course Date*
Courses will run from 1pm to 8pm.

Personal Details
Title (e.g.: Dr / Mr / Mrs / Miss)
Name*

First NamesSurname
Full Name to appear on certificate*
Student Number (if previously registered with UCT)
ID Number / Passport Number*
Please upload a copy of your ID*

Cancelof
Date of Birth*
Nationality*
Highest Qualification*
HPCSA Registration Number
If applicable
Occupation*
Company / Employer*

Contact Details
Email (NB: Your digital certificate of attendance will be emailed to this address)*
example@example.com
Cell Phone Number*
Postal Address
Postal Code
Country

Other Information
Do you have any special dietary requirements? (NB: Only allergies and religious reasons can be accommodated)

AllergiesHalaalKosherNoneVegetarian
For allergies, please provide details:
Do you have any other special requirements that we should be made aware of?

YesNo
If yes, please provide details:
May we add your name to our mailing list to receive notification of future courses?

YesNo

Payment Information
Who is paying for you to attend this course?*

My employer/company is paying - please complete the section below "Invoices"I am paying for myself - A UCT PayU payment link will be sent to you upon confirmation of your placement on the course.
Company Invoices

For a company to receive an invoice, the following details must be completed.
NB: Tax invoices are only issued to companies. The correct reference must be used as indicated. Please ensure you complete this information as it should appear on the invoice. You should receive an invoice within 15 working days from the date of request. If payment is unlikely to reach us before the start of the course, we require a letter from your company stating their intention to pay the fee upon receipt of the invoice. Once payment has been made, proof of payment must be emailed to ce.administration@uct.ac.za.
Name of Company
Postal Address
Postal Code
Street Address
Postal Code
VAT registration number
Purchase Order Number
Business Sector (e.g. Commercial, Government, NPO)
Industry Type (e.g. Finance, Electronics, Education)
Contact person (e.g. Finance officer) to whom the invoice should be emailed
Name
Position
Email
example@example.com
Telephone

Terms & Conditions
1. We will acknowledge receipt of your registration form. If there are no available spaces, you will be notified.

2. Closing date for registrations is dependent on the particulars of each course. You may not cancel your registration after registrations have closed.

3. Fees are due immediately upon registration, unless otherwise arranged with the Continuing Education Unit.

4. We must be informed of cancellations in writing at least four weeks before the start of the course or the full fee will be charged.

5. Where cancellations are received after the course material has been sent to the delegate, the full course fee will be charged.

6. UCT reserves the right to take any legal proceedings to recover the full fees payable, and to recover the costs in connection with such recovery.

7. Certificates are issued in digital format only. The link to access this document will be sent to the email address provided on this registration form. No certificate will be issued until full payment of the course fee has been received.

8. Certificates will not be issued to any student who is not in financial good standing with UCT.

9. UCT reserves the right to cancel any registration or revoke certification should the student have any tertiary education disciplinary measures against their name.

10. UCT reserves the right to cancel the course if insufficient registrations are received, in which case, the course fee will be refunded in full if already paid.

I have read and accept these terms and conditions.
Signature*

Clear
Date*
DD/MM/YYYY
Should be Empty:

REGISTRATION FORM

Personal Details

The following information is required for UCT reporting purposes only.

Contact Details

Other Information

Payment Information

Company Invoices

Terms & Conditions