Online Registration

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

Select the applicable course from the dropdown menu*:

PERSONAL INFORMATION

Years experience in occupation:

Specify highest qualification*:

Residential Address (including Province and Postal Code)*:

Postal Address (including Province and Postal Code)*:

SUPERVISOR/MANAGER DETAILS (if applicable)

Designation:

DECLARATION

I hereby acknowledge that I've read the general instructions. Furthermore, by submitting this form, I hereby confirm that all the information provided herein is true and correct to the best of my knowledge. I further understand that any false information may result in denial or revocation of the training certificate. A certified copy of my ID will also be forwarded as required.

I agree to above declaration.*

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

Online Registration

Register for e-learning programmes.

REGISTRATION FORM