Registration Form – IT UPSKILL

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Registration Form

Full Name *

First

Last

Email *

Phone Number *

Identification Number *

DATE OF BIRTH

First

Last

Residential Address

Gender (please tick)

Male
Female

RACE: (Required by government for statistical purposes)

AFRICAN
COLOURED
WHITE
INDIAN

Home Language

Email Address

Highest Standard Passed

School/Institute

Other Qualifications

How Did You Hear About Us?

Choose Your Career Paths Below *

Payment Options

Cash
EFT (Electronic funds transfer)

Terms And Conditions Of Enrolment

I accept

I Accept