REGISTER FOR TRAINING

ID or Passport no:

Title:

Gender Gender *MaleFemale

Surname:

Full Names:

Date of birth:

Equity: Equity: *AfricanColouredIndianWhiteOther

Home language:

Nationality:

Home Address:

Code:

Tel (work):

Cellphone:

Email address 1:

Email Address 2: (Personal email address compulsory)

Have you worked in Real Estate before? Have you worked in Real Estate before? Yes No

If yes, for how long?

Do you currently hold a valid FFC? Do you currently hold a valid FFC? Yes No

7-digit FFC number:

How long have you held an FFC?

Name of your current Employer:

Mentor's Name:

Mentor's contact details:

Highest grade / standard passed at high school?

High school attended?

Did you pass maths in Matric (Grade 12), literacy or pure maths? Did you pass maths in Matric (Grade 12), literacy or pure maths? Matric (Grade 12) Literacy Pure maths

Tertiary Qualification (if applicable):

NQF L4 QUALIFICATION OPTIONS NQF L4 QUALIFICATION OPTIONS 1. Full Qualification = 13 Virtual Classroom Training (For the newbies in the industry (if you've had your FFC for less than 24 months) 2. RPL (Recognition of Prior Learning) Self-Study (if you have had your FFC for 24 months or more) 3. RPL (Recognition of Prior Learning (if you have had your FFC for 24 months or more) Workshop (3 x 30minute sessions)

SUPPORT SESSIONS SUPPORT SESSIONS 1 x 1 hour Support session 2 x 1 hour Support session

PDE SESSIONS PDE SESSIONS 1:1 PDE4 preparation session = 1 session Group PDE4 preparation session = 1 session

EXTRA MODULES EXTRA MODULES Matric Module (If you cannot provide Matric certificate or passed Matric abroad) Literacy Module (If you did not pass 2 of the official SA languages) Math module (if you did not pass Matric Maths)

STUDY GUIDES - Compulsory for Classroom | Optional for RPL STUDY GUIDES - Compulsory for Classroom | Optional for RPL Electronic copy study guides (sent via WeTransfer) Hard copy study guides (printed and bound)

I state that the above information is true to the best of my knowledge. In signing this application form, I accept the terms and conditions of payment and understand the roles and reponsibilities of myself and Itakane Training Academy with regards to this learning qualification. I state that the above information is true to the best of my knowledge. In signing this application form, I accept the terms and conditions of payment and understand the roles and reponsibilities of myself and Itakane Training Academy with regards to this learning qualification. YES

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Please attach the following documentation when returning the request for quotation form: Please attach the following documentation when returning the request for quotation form: Certified copy of your ID (Identity Document) Certified copy of your FFC (Fidelity Fund Certificate) or proof of payment Certified copy of your South African Matric certificate

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