Online Learner Registration | Khumoetsile Training Academy

ONLINE LEARNER REGISTRATION

Register for your training programme

Complete the form below. Fields marked with * are required.

1. Course Information

Course / Programme * Preferred Training Date Training Mode

2. Learner Personal Details

First Name * Middle Name Surname * ID / Passport Number Date of Birth Gender Nationality Preferred Language

3. Contact Details

Mobile Number * Alternative Telephone Email Address * Province City / Town Residential Address Postal Address

4. Employment Details

Employment Status Employer Name Job Title / Position Employer Contact Number Employer Email

5. Emergency Contact

Full Name Relationship Contact Number Alternative Contact Number

6. Supporting Documents

Optional at this stage. PDF, JPG or PNG only. Maximum 5MB per file.

ID / Passport Highest Qualification CV Other Supporting Document

7. Declaration & Consent

I declare that the information provided is true and correct to the best of my knowledge. I consent to Khumoetsile Training Academy processing my personal information for learner registration, training administration and related lawful purposes.