DIPLOMA ENROLEMENT Please enable JavaScript in your browser to complete this form.Name: *FirstLast Initials: *Gender: *-Select-MaleFemaleTitle: *-Select-MrMrsMsMissMarital Status *-Select-SingleMarriedDivorcedSeparatedWidowedID/Passport Number: *Citizenship: *Employment: *EmployedUnemployedVolunteerEthnic Group: BlackColouredWhiteIndianOtherMother Tongue: *-Select-AfrikaansEnglishNdebeleXhosaZuluPediTsongaTswanaSothoVendaSwatiOtherTel (H): *Cell Number: *Tel (W): *Fax: *Email: *Next Of Kin : *FirstLastTel (H): *Tel (W): *Email: *Physical Address: *Postal Address: *Disabilities: *HearingPhysicalSightSpeechOtherNoneComputer Literacy: *IlliterateFairly LiterateHighly LiterateDiploma Qualification(s): *Diploma in Business AdministrationDiploma in EntrepreneurshipDiploma in Transport and Logistics ManagementDiploma in Health Services AdministrationDiploma in Occupational Health, Safety and Environment1.Do You Need Academic Support? *-Select-YesNo2.Family Doctor:Tel:Address:Submit
