Registration Form1
Registration Form1
Registration Form1
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• Certified copy of ID document/passport Banking Details:
• Certified copy of highest school certificate (If Account Name: Namibia Community Skills Development Foundation
applicable) Account Number: 8000467625
• Curriculum Vitae (If applicable) –Not more than 4 Bank Name: Bank Windhoek
Branch Code: Swakopmund (481-772) Account Type: Cheque
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Closing date for Applications: 11 June 2021 - NO LATE APPLICATIONS WILL BE CONSIDERED.
Individual Registration (Single Participant):
PLEASE COMPLETE ALL FIELDS (Compulsory) or mark with X where applicable
Personal Particulars:
Surname: Title: Mr Ms
First Name(s) in full:
Date of Birth: ID/Passport Number:
Contact Details:
Postal Address:
Office ( + Code): Cell: E-mail:
Do you have any disability? Yes No (for planning purposes only)
If yes, based on your disability, do you have special needs? Yes No
Do you suffer from any other illness? If ‘yes’ please give details of the nature and/or severity Yes No
(for planning purposes only)
School Leaving Particulars
Last secondary school attended:
Highest grade passed: (please submit certificate/latest school report):
Employment details (please submit cv, if applicable)
Employer: Occupation:
Company Registration (more than 1 delegate):
Surname Full Name(s) Company Name Occupation Cell Number E-mail Address