Logbook Module 1

Registration Form | 102147 | Occupational Certificate: Facilities Manager

Title (Mr/Mrs/Miss etc.)

Surname

First Name

National ID Number

Alternative ID Number (Foreign ID, Birth Certificate, Passport etc.) - If none, please put N/A

Alternative ID Type - If none, please put N/A

Gender (Male/Female)

Nationality

Race

Home Language

Citizen-Resident Status

Immigrant Status

Socio Economic Status (Employed/Unemployed)

Primary Email Address

Alternative Email Address

Telephone Number

Cellphone Number

Company of Employment

Current Position

Please indicate if you have any disabilities as mentioned below:

00 - None

01 - Sight (even with Glasses)

02 - Hearing (even with Hearing Aid)

03 - Communication (talking, listening)

04 -Physical (Moving, Standing, Grasping)

05 - Intellectual (Difficulties in Learning)

06 - Emotional (Behavioural or Psychological)

07 - Multiple

Please rate your disability should you have one:

Not Applicable

No Difficulty (Code 01)

Some Difficulty (Code 02)

A lot of Difficulty (Code 03)

Cannot do at all (Code 04)

Cannot yet be determined (Code 06)

May be part or Multiple difficulties (Code 60)

May have difficulty (Code 70)

Former difficulty – None now (Code 80)

Multi-line address

Country/Region

Address

City

Zip / Postal code

Please upload your Certified Copy of ID (no older than 3 months)

Please upload your Certified Copy of Senior/ Matric Certificate (no older than 3 months)

Please upload your Certified Copy of Certificates obtained from any tertiary qualifications (no older than 3 months)

Conditions for Registration & Enrolment

· Pre-payment is essential for all courses.

· Certificates will only be issued to learners that have complied with all the requirements for a particular course. No certificates will be issued to any learner that is not fully paid up.

· Global-FM retains the right to amend course dates/ module dates. Should this occur, Global-FM will offer alternative dates in cooperation with the learners.

· Should you be forced to pull out of a course, before attending the classes, you may be substituted by another without extra cost.

· A registration fee of R 2 500.00 for year 1 is payable on your registration. (This includes your General Information and Knowledge Module 1)

· The maximum duration of time to complete the course is 4 years from the date of your first enrolment.

· Should you study a 3^rd and 4^th year to complete your qualification, a registration fee of R 2 500.00 will be payable for each year.

· In the event of a cancellation made at least 30 days prior to the commencement date, a full refund of the course fee will be made. For a cancellation, made between 14 - 30 days prior to the commencement date, a 50% refund of the course fee will be made. If a cancellation is made less than 14 days prior to the commencement date, no refund of the course fee will be made.

Signature

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