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Online Registration

Register for e-learning programmes.

REGISTRATION FORM


GENERAL INSTRUCTIONS

1. Please complete this form, where required in full. Fields indicated with an '*' are compulsory.

2. A certified copy of your ID must be forwarded via Email (info@virtualintegrated.academy) or Fax2Email (086 604 6525) before this registration will be considered.


COURSE INFORMATION


PERSONAL INFORMATION

15

SUPERVISOR/MANAGER DETAILS (if applicable)


DECLARATION


PLEASE NOTE! After submitting this form, please check for a "successfully sent" (green bar) message at the top of this form!

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