Individual Learner - Course Registration:
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Full Name and Surname: *
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ID Number: *
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Date of Birth: *
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Race: *
Cell Number: *
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Email Address: *
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Address 1 (house nr. and street): *
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Address 2 (suburb): *
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Address 3 (town): *
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If you were you referred to us by a person or a company, please kindly assist us by letting us know below?
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What course would you like to register for? *
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Do you have any dates in mind? - Please request our training dates, if you have not seen them before.
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How did you hear about us? *
I agree to FMR's terms and conditions, which is made available on www.fmrsa.co.za, alternatively if you have received any information via email. *
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