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Learner Registration Form

Course Terms and Conditions

I accept the Terms and Conditions in the button link above *

Full Name/s - (as per Identity Document) *

Example: John Jabu

Surname - (as per Identity Document) *

Example: Doe

Date of Birth *

SA Identity Number - (as per Identity Document) (No Spaces) *

No spaces: Example 960101500800

Passport Number (if not a South African Citizen)

Example: FD5270001

Gender *

Male
Female

Are you a South African Citizen *

Yes
No

Other Nationality (Specify)

Example: Namibian

Equity (Select One) *

African
Coloured
Indian
Asian
White
Other

Literacy (Multiple Selection) *

English: Read (yes)
English: Write (yes)
English: Speak (yes)

Other Languages (Read, Write and Speak)

Example: Isizulu

Disabilities

Example: Paraplegia

Have you ever been convicted of a crime or currently have any pending cases? *

Yes
No

Current Residential Address *

Street Name (or Flats Name) *

Street Name

Suburb *

Town Name *

Postal Code *

Province *

Cellphone Number (No Spaces) *

Example: 0821001000

Work Phone Number (No Spaces)

Example: 0119001000

Home Phone Number (No Spaces)

Example: 0119001000

I have an email address *

Yes
No

Email Address

Email

Confirm Email

Employment Status *

Employed
Self-Employed
Unemployed
Pensioner

Where did you hear about us? *

I hereby authorize and grant SECURITY EDUCATIONAL SYSTEMS permission to capture and use photographs of me for inclusion in my POE (Portfolio of Evidence) as this is a requirements for this qualification and certification process.

Yes
No

I give SECURITY EDUCATIONAL SYSTEMS permission to utilize my photographs in both print and digital materials, including social media platforms such as Facebook, Twitter, Instagram, and other similar platforms.

Yes
No

I hereby grant SECURITY EDUCATIONAL SYSTEMS the right to edit, alter, copy, or distribute the aforementioned photographs for media advertising and marketing purposes.

Yes
No

By agreeing to this, I acknowledge and agree that the ownership of the listed photographs shall now belong to SECURITY EDUCATIONAL SYSTEMS.

Yes
No

I acknowledge that I will not be entitled to any monetary compensation for the use of these photographs.

Yes
No

Furthermore, I explicitly prohibit SECURITY EDUCATIONAL SYSTEMS from using these materials in any way that may cause harm to me or others.

Yes
No

Payment Terms and Conditions

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Our experienced instructors provide practical application of Security in the field through teaching: Awareness, Correct Attitude & Effective Procedures

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