KUSILE SKILLS ACADEMY
Soft Skills Registration Form
What program are you planning to enrol with?
Microsoft Word Program
Microsoft Excel Program
CANVA
Social Media Management
Business Administration Short Course
Business Administration Learnership
Marketing Short Course
Marketing Learnership
Student Information
Student Name
First Name
Last Name
Age
Date of Birth
-
Month
-
Day
Year
Date
Gender
Male
Female
Phone Number
Format: (000) 000-0000.
Email Address
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
This section is optional. You may leave it blank if it is not applicable.
School Name
School Level
Occupation
Company Name
Educational Attainment
Job Position Title
PAYMENTS BE MADE TO THE BANK ACCOUNT BELOW
BANK: FNB, Acc. Holder: Kusile Marketing, Acc. No: 62796809865, Acc. Type: Cheque, Branch Code: 250655
Please upload the documents mentioned above
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Does the student have any disabilities, illness, medical conditions, personal problems, etc. that can affect his/her classes/study?
If you have any awards, recognition, certificates, please share them here:
I am an adult (18 years above)
I am a minor (17 years below)
Parent/Guardian Details
Parent/Guardian Name
First Name
Last Name
Phone Number
Format: (000) 000-0000.
Relationship
Others
How did you learn about this virtual course?
Facebook
Twitter
Instagram
YouTube
Search Engine
Online Ads
Referral
Other
Student Signature
Date Signed
-
Month
-
Day
Year
Date
Parent/Guardian Signature
Date Signed
-
Month
-
Day
Year
Date
Signature
Submit
Submit
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