Registration Form

Application Form
Name

First NameLast Name
Email
example@example.com
Phone Number
Preferred Start Date:

MonthDayYear
Date
Preferred Training Time:*

MorningAfternoonEvening
Please select the appropriate time slot

Friday - Saturday (10.00 am - 2.00 pm)Saturday - Sunday (2.30 pm - 6.30 pm)Monday - Wednesday (8.00 am - 12.00 pm)
Please select the program you wish to register for*

Basic Computer SkillsOnline MarketingRobotics (Basics)
How did you hear about us?*

WebsiteSocial MediaReferralOther
Date

MonthDayYear
Date
Signature

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Johannesburg

Gauteng

Randfontein
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Application Form