PSAAA: Short course registration form

Courses *

Tittle *

Names (As per ID) *

Surname *

Identity Number *

Passport Number

Physical Address *

Your Position *

EE Profile *

Gender *

Female

Male

Other:

Official Email Address *

Personal Email Address *

Next of Kin Email Address *

Cellphone Number *

Next Of Kin Cellphone Number *

Are you a SAIGA Member? *

Yes

RGA TA No

Consent for PSAAA to use your Personal Details as stated below *

By ticking this box you agree that your personal details are processed and maintained by the Institute for membership administration. You also give consent that the Academy may share information about products, services, promotions, special offers, news and events from PSAAA and any of our partners.

Required

Bank Name: FNB, Account Holder: PSAAA, Branch Code: 210835, Account Number: 62863161362, Account type: Business Account, Reference: Date of birth, surname plus EC e.g. (20200405SmithEC)Please submit your proof of payment to Administrator@publicsectoracademy.co.za

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