First Name:
Last Name:
CellPhone Number:
Phone Work:
Phone Home:
Email:
I want to Study:
Fulltime
Part-Time
Correspondence
Select Course (1st Choice):
Im Not Sure
Boiler Making N4
Boiler Making N5
Boiler Making N6
Business Management N4
Business Management N5
Business Management N6
Computer Literacy - Short Course
Data Capturing - Short Course
Electrical Engineering N4
Electrical Engineering N5
Electrical Engineering N6
Financial Management N4
Financial Management N5
Financial Management N6
Human Resource Management N4
Human Resource Management N5
Human Resource Management N6
Installation Rules
Management Assistant N4
Management Assistant N5
Management Assistant N6
Matric Re-write
Mechanical Engineering N4
Mechanical Engineering N5
Mechanical Engineering N6
Office Administration - Short Course
Public Management N4
Public Management N5
Public Management N6
Specialised Electrical Installation Codes
Select Course (2nd Choice):
Im Not Sure
Boiler Making N4
Boiler Making N5
Boiler Making N6
Business Management N4
Business Management N5
Business Management N6
Computer Literacy - Short Course
Data Capturing - Short Course
Electrical Engineering N4
Electrical Engineering N5
Electrical Engineering N6
Financial Management N4
Financial Management N5
Financial Management N6
Human Resource Management N4
Human Resource Management N5
Human Resource Management N6
Installation Rules
Management Assistant N4
Management Assistant N5
Management Assistant N6
Matric Re-write
Mechanical Engineering N4
Mechanical Engineering N5
Mechanical Engineering N6
Office Administration - Short Course
Public Management N4
Public Management N5
Public Management N6
Specialised Electrical Installation Codes
Select Course (3rd Choice):
Im Not Sure
Boiler Making N4
Boiler Making N5
Boiler Making N6
Business Management N4
Business Management N5
Business Management N6
Computer Literacy - Short Course
Data Capturing - Short Course
Electrical Engineering N4
Electrical Engineering N5
Electrical Engineering N6
Financial Management N4
Financial Management N5
Financial Management N6
Human Resource Management N4
Human Resource Management N5
Human Resource Management N6
Installation Rules
Management Assistant N4
Management Assistant N5
Management Assistant N6
Matric Re-write
Mechanical Engineering N4
Mechanical Engineering N5
Mechanical Engineering N6
Office Administration - Short Course
Public Management N4
Public Management N5
Public Management N6
Specialised Electrical Installation Codes
Select Branch:
Mahikeng
ID No. or Passport No.:
Select Race:
African
White
Indian
Coloured
Other
Physical Address:
Postal Address same as Physical Address
Postal Address:
Comments:
Do you need Accommodation?:
No
Yes
How should we contact you?
Should we Contact you by E-mail?
How should we contact you?
Should we Contact you by By Phone?
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Attach Report/Statement
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Attach Proof of Resident
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