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Green Park Education Group

Learner Enrolment Form

Programme Name

Short course

Date

SECTION A: PERSONAL DETAILS

Title

Initials

Full Names

Sex

Race

ID/Passport No

Email Address

Residential Address

Phone Number

Highest Grade Passed

SECTION B: PARENT/GUARDIAN DETAILS/ NEXT OF KIN

Title

Initials

Full Names

Sex

Race

ID/Passport No

Email Address

Phone Number

Residential Address

SECTION D: MODULES/UNIT STANDARD REGISTERED

Name of Qualification

Unit Standard Registered (Optional)


DOCUMENTS REQUIRED FOR THE REGISTRATION

ID/Passport copy (Optional)

Upload here

Latest school report/results (Optional)

Upload here

Proof of payment for registration (Optional)

Upload here

BANKING DETAILS/ TERM & CONDITIONS

Please students are advised to make payment via the bank using your surname student number or ID as a reference number:

BANK: FNB.

ACCOUNT NO: 62861711036.

BRANCH CODE: 210651.

Read Terms and Conditions Click Here

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