ONLINE REGISTRATION

ONLINE registration

Title:

Mr.

Ms.

Mrs.

Name: Gender:

Male

Female

Other

Nationality: Home Language: Highest Qualification Attained: ID No.: Passport No.: Date of Birth:

Email Address: Mobile No.: Home Phone: Address: City: Province: Zip Code: Next of Kin: Any disability?: If yes, describe the nature of disability:

SECURITY COURSES: MINING AND CONSTRUCTION MACHINE TRAINING: COMPUTER TRAINING:

HEAD OFFICE
113 Central Tower
286 Pretorius street
Hammanskraal CBD, 0002

PRETORIA: 012 023 2495

SUPPORT
063 860 4898

info@shermitexacademy.co.za