Online Registration PERSONAL DETAILS Surname Maiden Name First Name Title —Please choose an option—MrMrsMissMs Date of birth Gender —Please choose an option—MaleFemale Disability Equity —Please choose an option—BlackIndianWhiteColoured ID Number Home Language Socio Economic Status —Please choose an option—EmployedUnemployed Cell no. Email Address Postal Address Physical Address Municipality Province —Please choose an option—Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeWestern CapeNorth West Next of kin (Name) Next of kin (Cell No.) QUALIFICATIONS Name of School Highest Grade Passed Year Obtained TERTIARY EDUCATION Name of Institution Name of Qualification —Please choose an option—CertificateDiplomaDegree/MastersOther Specialization REGISTRATION COURSE Intended CourseNational Certificate: Brick Laying (Level 3) (3 Months)National Certificate: Construction Painting (Level 3) (3 months)National Certificate: Construction Tiling (Level 3) (3 Months)National Certificate: Construction Plastering (Level 3) (3 Months)National Certificate: Construction Carpentry (Level 3) (6 Months)National Certificate: Construction Masonry (Level 3) (3 Months)National Certificate: Construction Contracting (Level 2) (3 Months)National Certificate: Building and Civil Construction (Level 3) (1 Year)Short Skill: Building and Civil Construction (Level 3) (3 Months)Security: Grade E (1 Week)Security: Grade D (1 Week)Security: Grade C (1 Week)Security: Grade B (1 Week)Security: Grade A (1 Week)Security: Grade E,D,C (3 Week)Security: Grade E,D,C,B (4 Week)Security: Grade E,D,C,B,A (5 Week)Security: Grade C on Special (1 Week) MONTHLY FEE WILL BE PAID BY Name Cell no. I agree to pay the fee for the course I Agree UPLOAD DOCUMENTS Certified ID Copy CV Qualifications Proof of Residence Proof of Payment (if not paying online) If you have more attachments, please send them on a separate email to info@tavillaskillsandacademy.co.za DECLARATION By clicking on the "Agree & Submit" button below, you declare the following: 1. I will familiarize myself with the rules and regulations of Tavilla Skills and Academy and I will comply with them. 2. I will notify the register immediately in writing should any address change occur. 3. I will familiarize myself with the rules and general relating program for which I am applying and to any subject. 4. I hereby absolve Tavilla Skills and Academy from any possible action and indemnify the said college regard to: • Any claim to those rise form • Any loss or damage to property • Any event incident or accident • Any legal cost expense legally incurred to claim with court case arising from the a fore mentioned event 5. I accept full responsibility for participating in any event at the college. 6. I accept that I cannot attend at Tavilla Skills and Academy if my monthly fees are in arrears. 7. I here by accept that no fees are refundable.