Registration

New Student Registration Form

First Name

Surname

Your email

Identity Number

Date of Birth

Home Language

Equity

BlackClolouredIndianWhiteOtherRather not say

Gender

WomanManNon-binaryPrefer not to say

Disability

NoneCommunicationDisabledEmotionalHearingIntellectualPhysicalSightMultiple

Employment Status

Full TimePart timeNot WorkingJob seekerStudent

Highest Education

Matric EndorsementDiplomaDegreeHigher CertificateNone

Referral

FriendColleagueSocial MediaBillboardWord of Mouth

Physical Address

Postal Address

Mobile Number

Alternative Number

Highest Qualification

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Identity Copy

_{File number limit: 1 Single file size limit: 15MB Allowed file types: Pdf, Jpg, Png, Jpeg}

“ETI / STUDENT CONTRACT

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Declaration

_{I Hereby confirm that the information supplied is correct and true}