Registration form

Full Name
Surname
Address
Telephone
ID Number
Gender
Date of birth
Highest educational qualification
Type of course you wish to register for
Why do you wish to do this course?
Language
Employment status
Name of employer
Occupation
What relevance, if any, would this course have for you in your current position or in terms of your responsibilites within the company?
Have you ever been on any course pertaining to substance abuse before?
If yes please give details:
Presented by
Certificate
Date
In terms of SANCA Western Capes assessment policy, any training (formal or informal), on- or off-the job experience relevant to the outcomes of this course which you may have gained may be recognised against the specified learning outcomes. Please furnish information about any training or experience which you think may be relevant during the assessment for this programme. (You will be required to furnish evidence of any prior learning experiences which you wish to be considered for the purposes of assessment.)
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