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Before you begin: Please have your ID document and highest qualification certificate ready to upload. All fields marked with * are required.

Programme Category *

Programme Name *

Unit Standards

Title *

Surname *

Maiden Name (if applicable)

First Name *

Middle Name

ID Number *

Birth Date *

ID Type *

Province *

Nationality *

Home Language *

Equity Status *

Residence Status *

Gender *

Disability Status *

Nature of Disability

Name of High School

Matriculated Year

Socio Economic Status *

Physical Address *

Postal Code *

Postal Address (If different from your Home Address)

Postal Code (for postal address)

Work Telephone

Work Fax

Cell No *

E-mail *

Copy of ID Document *

Upload ID Document PDF, JPG or PNG (Max 5MB)

Highest Qualification Certificate *

Upload Qualification Certificate PDF, JPG or PNG (Max 5MB)

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