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Current Student Complete Registration

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Personal Details

Title
First Name *
Surname *
Full Names
ID Number
Email *
Date of Birth
Website
Must start with https://
Personal Photo
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Contact & Address

Cellphone Number
Residential Address Line 1
Residential Address Line 2
Town
Province
Postal Code
Country

Emergency Contact

Emergency Contact Name
Emergency Contact Cellphone
Emergency Contact Relationship
Emergency Contact Email

Identity Documentation

A copy of your ID
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School Education

High School Name
High School Qualification
Other School Qualification
School Year Completed
High School Certificate
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Previous Qualifications

Previous Qualifications

Relevant Additional Training

Additional Training

Employment & Practical Experience

Employment Status
Other Employment
Employer Business Name
Position Occupied
Years Practical Experience
Practical Experience Description

Declaration & Signature

I confirm that the information and documents I have provided are true, complete and correct to the best of my knowledge. I understand that false or misleading information may affect my registration or enrolment. I agree that TransLife may store and process this information for student administration, training, certification and related purposes. I confirm that I have read and accept the applicable Terms and Conditions and Privacy Policy.

Declaration Acceptance Status

Signature *
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Current Signature / Signed Date

Tel: 012 661 0236 - Cell: / 083 266 4338 / 0839892611 - e-mail: admin@translife.co.za
7, Koggelaar Street, Rooihuiskraal, Centurion, Gauteng. 0154. South Africa
Bank details will be provided on the invoice