E-Learning Registration

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*Required information.

Applicant Details:

 

Title *
Full Names *
Surname *
ID Number / Passport *
Date of Birth *
Preferred Language *
Gender *
Residential Address *
Residential Province *
Postal Address *
Postal Province *
Mobile Number *
Home Phone Number *
Work Phone Number *
Email Address *
Occupation *

Additional Information

Highest Grage Passed *
How did you learn of the KZN Got-Game E-Learning Platform? *
Do you have access to a computer or mobile device with an internet connection? *
Where do you generally access the internet from? *
If "Other" please specify
How much time do you spend on the internet for work and/or study during one week? *
How many hours can you spend during the week to do online training? *

 

I am interested in studying because..

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