COURSE REGISTRATION FORM
Course
Venue
Dates
Trainer
Surname
Names
Nationality
ID Number
Copy of ID
Home Address
Postal Address
Contact Number
Whatsapp?
Whatsapp? Please Select...
Yes
No
Highest Grade
Other Qualifications
ECD Courses
Do you work at an ECD Centre?
Do you work at an ECD Centre?
Yes
No
If Yes, Name of Centre
Address/Area of Centre
Number of Children
Your Role/Job at Centre
Number of Educators
Acceptance
I hereby wish to enrol in the abovementioned course. By ticking this box, I confirm that should I be accepted on this course; I will conform with the terms and conditions of the course and adhere to the code of conduct as laid down by Feed the Babies Fund.
Date
Banking Details: First National Bank, Bank Code: 220226, Acc. No.: 62045358323, Ref: Your name
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