Register form - eNtsa | Specialised Engineering Technology & Consulting Services

Please provide your personal contact information?

First Name

Last Name

Cell Phone Number

Email Address

ID Number

Physical Address

Gender

Race

Designation

Company Name

Are you currently a registered member of the Engineering Council of South Africa (ECSA)?
Yes No

Please confirm whether you are attending in your personal or professional capacity

Please complete the following fields ONLY if you are attending in your professional capacity

Employer Contact First Name

Employer Contact Last Name

Employer Contact Cell Phone

Employer Contact Email Address

Employer Contact Designation / Job Title

Dietary Requirements: Please select your preference below.

None

Vegetarian

Halaal

Kosher

Vegan

Please upload a legible copy of your ID. Please note if it is a card-type we require both sides. You can upload up to two files.

Please acknowledge the term and conditions of the course

Declaration and Informed Consent I declare that all personal information supplied to the NMU for the purposes of applying for admission, is up-to-date, is not misleading and that it is complete in all respects. I undertake to immediately advise the NMU of any changes to my personal information should any of these details change. I furthermore give the NMU permission to process my personal information, as provided in my application documentation, and sourced from DBE, IEB, Home Affairs, and acknowledge that I understand the purpose for which it is required and for which it will be used.

Purpose for Collection Statement The Protection of Personal Information Act, 2013 (POPI Act) has been promulgated and implemented on 1 July 2020. All personal identifiable information provided by you shall be treated in accordance with this statute and only used for academic and academic administration purposes, as indicated in the University’s Privacy Policy. By providing your information, you are giving consent for the use of all your personal identifiable information, provided to the University, for the aforesaid purposes.

To finalise your registration we will require you to please sign a quotation and a client capture form along with a legible copy of your ID within two days of receipt of registration documents.

Pictures will be taken of the events on the day and will be posted on social media platforms.

Online Safety System Integration & Design Course Registration Page

15 and 16 November 2022
08:00 - 13:00

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