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Registration form
@4227 Computer Academy student registration form
Name and Surname *
Full names and surname
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Required
Contact Number *
072xxxxxxxx
Your answer
Email Address
Your answer
Home Address *
E.g. 4227 Block B, Mabopane, 0190
Your answer
Indicate which course(s) you are interested in *
Required
Please indicate if you would like to be considered for a six month internship programme *
Required
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