Learner Details
*
Name/s
Surname
Identity Number
*
Sex
*
Please Select
Male
Female
N/A
Disabilities if Any
Please Select
YES
NO
If YES specify below
Nature of Disability
Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
Alternative Number
*
E-mail
example@example.com
Preferred Start Date
-
Day
-
Month
Year
NB: Confirm time before reporting for class!
Select Course
*
1. Cashier ONLY
1.1. Cashier and Computer
2. Office Administrator
3. Call Centre Agent
4. Bookkeeping
5. Health Promotion Officer / HPO
6. HIV/TB Counseling and Testing
7. Care Giver / Home Based Care
7.1 Care Giver Refresher (Upgrade)
8. NIMART
8.1. NIM DR TB
9. Phlebotomy Technician
10. End User Computing 2 Weeks
10.1. End User Computing 4 Weeks
10.2. End User Computing 8 Weeks
10.3. End User Computing 12 Weeks
11. Good Clinical Practice (GCP)
12. Hospitality / Chefs / Cooks
13. Safety Officer Management
13.1 Safety Officer Practitioner
13.2 OHS Risk Management
14. Plumbing Basics 2 Weeks
14.1 Plumbing 3 Months
Attendance Options
*
Please Select
*Full-time Mondays - Thursdays
*Part-time During the week/Saturdays
*Online via Zoom or WhatsApp - Mondays - Thursdays
*Distance Learning/Home Study
Applicant Signature
*
Submit
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