MiTek South Africa Training Registration
 
Please fill out the form below to register your interest in one of the training courses.  If you would like to register for more than one course, you must use a separate form for each.  Courses will be scheduled based on demand.
 
Personal Particulars
Fields marked with an asterisk (*) must be filled in.
 
Title*
First Name*
Middle Name
Surname*
ID Number*
Date of Birth
Socio-economic Status
Employment Equity Status
Disability Status
Gender
Employer*
Job Title
Home Language*
Nationality*
Citizenship*
Province*
Highest Schooling
Highest Qualification
Postal Address
Physical Address
Phone (W)*
Fax (W)
Cell
Email Address*
 
Information about the course you are wanting to attend:
Course Name*
Web Based only available for "Introduction to Roof Technology"
Course Location*
Please indicate if you have any special requirents (dietery etc.)
Please Note:  All information is treated with complete confidentiality, and your details will not be used for any other purpose or be placed on a ny mailing lists.
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