2025 Training Enrolment Form

Company Details
Company Name
VAT Number
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Company Phone Number

Area CodePhone Number
Name of Authorised Manager

First NameLast Name
Contact Number

Area CodePhone Number
Email
example@example.com
Does your company require order numbers?

YesNo
If you answered YES, please indicate the order number to be used below:

SAQA Assessment
SAQA Assessments do not apply to this course. Please click "Next" below.
SAQA Assessment is applicable to the following courses: Prerequisite Program, Overview of R638, Internal Auditing, FSSC 22000 v6 Implementation, and Food Safety for Supervisors. Please indicate if a formal assessment is required (for you to accumulate the credits for the applicable unit standards). Mark YES if you intend claiming against your skills levy.

YESNO

An additional SAQA admin fee of R832 (excl. VAT) will be charged per person. A post-course assignment must be submitted by the required deadline to meet SAQA requirements and an onsite post-course evaluation by a Swift Silliker (Pty) Ltd representative may be applicable.
Skills Programme Number

	Full Name
Delegate 1
Delegate 2
Delegate 3
Delegate 4
Delegate 5
Delegate 6
Delegate 7
Delegate 8
Delegate 9
Delegate 10

Course Rates
Course Rate Per Delegate

2 Hour Course

	Number of Delegates:	= (Total Amount)
R 930 per person (Excl. VAT)

3 Hour Course - Promotional Price

	Number of Delegates:	= (Total Amount)
R 930 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)
R 1 855 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)
R 2 910 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)
R 5 450 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)
R 9 980 per person (Excl. VAT)

4-Day Course - Promotional Price

	Number of Delegates:	= (Total Amount)
R 8 200 per person (Excl. VAT)

Early Bird OR Group Discount

A 10% discount applies for all delegates who enrol 2 weeks before the course date.

Early Bird AND Group Discount

A 20% discount applies if three or more delegates register from the same company. Not applicable to the SAQA fee.

PROMO CODE

	Number of Delegates:	= (Total Amount)	Date:
R 2 619 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)	Date:
R 4 905 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)	Date:
R 7 380 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)	Date:
R 8 982 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)
R 2 328 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)
R 4 360 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)
R 6 560 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)
R 7 984 per person (Excl. VAT)

	Number of Delegates:	= (Total Amount)
R 832 per person (Excl. VAT)

Are you a NEW or EXISTING client?

NEWEXISTING
New Clients

Every new client that wants to make use of the services of Swift Silliker (Pty) Ltd t/a Mérieux NutriSciences is required to complete a Customer Take-on Form and also open an account before the commencement of any work. Mérieux NutriSciences offers their clients the option of opening either a Prepaid (Cash) Account or a Credit Account.
Please indicate whether your completed Customer Take-on Form was submitted with the enrolment form.

YESNO
Existing Clients

Credit Account Clients: If your company requires an order number, please indicate the order number on page 1.

Pre-paid account Clients: If you have a pre-paid account, please submit the proof of payment with the enrolment form (refer to the pro forma invoice attached).

Please note, payment must be received prior to the commence-ment of the training workshop.

Please indicate whether proof of payment was submitted with the enrolment form in the space provided.
Please indicate whether proof of payment was submitted with the enrolment form in the space provided.

YESNO

Swift Silliker (Pty) Ltd t/a Mérieux NutriSciences Standard Terms and Conditions (Pertains to any current or future work submitted to Swift Silliker (Pty) Ltd t/a Mérieux NutriSciences)

Conditions of entry:
1. Payment of course fees.
  - Account holders: course fees are payable strictly 30 days from date of invoice. Interest will be levied on all overdue amounts.
  - Private enrolments/pre-paid clients: enrolments will not beaccepted unless accompanied by payment.
2. Where order numbers need to be reflected on a company’s invoice, such order number must be supplied on the enrolment form.
3. Enrolment forms will not be accepted without a copy of the attending delegate’s identification document. Attendance certificates will only be issued to delegates who have submitted a clear copy of that document. It must be submitted before or on the day of training.
4. Cheques to be made payable to “Mérieux NutriSciences.”
5. Cancellations/postponements will be accepted up to seven working days prior to the start of the course. No refunds will be made after this date. If cancellations are made closer to the course start, the full fee will be invoiced and the non-attending delegate will forfeit all rights to reference notes and course materials.
6. Substitute candidates will be accepted.
7. Swift Silliker Pty Ltd t/a Mérieux NutriSciences reserves admission rights to all courses. Enrolment forms will be screened. Competitors will not be allowed to attend and will be asked to leave a course.
8. Course fees include course material, refreshments and lunch.
9. Swift Silliker Pty Ltd t/a Mérieux NutriSciences reserves the right to cancel the course should there be insufficient enrolment numbers. Applicants will be informed and all fees will be fully refunded.
10. The number of applicants is limited and acceptance will be on a first-come, first-served basis.
11. Registration will be confirmed a few days before the course starts.
12. Swift Silliker Pty Ltd t/a Mérieux NutriSciences is not liable for client claims relating to non-refundable travel bookings before enrolment confirmation has been issued.
Confirmation of registration will be sent a week prior to the course. If you do not receive a letter of confirmation one week prior to the course, please contact us on + 27 (21) 683 8436 / +27 (11) 805 4310 or email za.customercare@mxns.com
Acknowledgement & Acceptance

I certify that all information given is correct and I agree to all terms and conditions of sale. I hereby declare that I am duly authorised in my capacity (listed below) to act on behalf of the Company as far as this application is concerned.
Name

First NameLast Name
Capacity/Position
Date

DayMonthYear
Date
I have read through and accept the Swift Silliker (Pty) Ltd T/A Mérieux NutriSciences Terms & Conditions.
Should be Empty:

2025 Training Enrolment Form - Midrand

Company Details

Delegate Details

SAQA Assessment

Course Rates

Acknowledgement & Acceptance