ACADEMY REGISTRATION FORM ACADEMY REGISTRATION FORM: Please complete the following fields. Select the training programme you wish to register for * Occupational Certificate: Facilities ManagementNational Certificate: Generic Management: Customer ManagementLearning Programme: Generic Management: Conflict ManagementLearning Programme: Generic Management: Disaster Risk ManagementPrinciples and Practices of Facilities ManagementProject Management for Facilities ManagersFacilities Maintenance: Handyman TrainingProcurement and Contract ManagementHealth Environment and Safety in Facilities Management Title * Mr.Mrs.Miss.Ms. Full Name * Gender * MaleFemale ID Number * (Please note that this information is required for registration purposes) Race * BlackWhiteColouredAsianIndian (Please note that this information is required for statistical purposes) Email * Contact No’s * Work Cell Company Job Title * Physical Address * Province * —Please choose an option—0 Undefined1 Western Cape2 Eastern Cape3 Northern Cape4 Free State5 Kwazulu Natal6 North West7 Gauteng8 Mpumalanga9 Limpopo Do you have any disabilities? Dietary Requirements * Where did you hear about us? WebsiteEmailFacebookLinkedInInternet SearchWord of MouthOther If other please specify Please email a copy of your ID document / Driver’s licence to firstname.lastname@example.org to complete your registration.