Complete This Form and E-Mail It Together with Proof of Payment To

Registration Form

Complete this form and e-mail it together with proof of payment to

Workshop / A HALF-DAY WOKSHOP ON FAIS FIT AND PROPER REQUIREMENTS
START: 09:00
FINISH TIME: 13:00
Light meals to be served.
Date: 10 May 2018 / Venue: 748 Richards Drive
Elite Park
Midrand
Tel: 011805 1176/081 314 2076
Email:
Registration closes: 06 May 2018 / Course Amount: R1500,00
CPD Points: 3,5
Your details
Surname / Title:
Full Names
ID Number
Gender / Male Female: Race(for reporting purposes)
Company Name
Occupation
Contact details / W:______H:______
Cell:______
Email
Postal Address / Postal code:
EFT Payment (Registration will be confirmed once the proof of payment has been received)
Bank Details / Account Holder: Ikhwezi Training institute
Bank: FNB Branch Code: 250455
Account Number: 62510749817 Branch Name: Parktown
Reference: Name, Surname and Cell number
TERMS AND CONDITIONS

1. Fees must be paid into the designated Ikhwezi bank account. Ikhwezi will not accept liability if any other bank account is used.

1. Should you need to cancel your registration it must be done in writing and e-mailed to within three days after the registration closing date to avoid the full fee being charged.

1. Cancellations must be done in writing and e-mailed to .

1. Confirmation of the cancellation will be confirmed via SMS or email. Should you not receive a cancellation confirmation from us, it means the cancellation request was not received and that you will still be liable for the full course fee.

1. Delegates who do not cancel and fail to attend the workshop will be held responsible for the full amount.

1. Ikhwezi shall have the right in its sole discretion to postpone or cancel workshop initially advertised and offered because of insufficient demand. Should this be the case, all registered delegates will be given reasonable notice of the cancellation and all fees paid by the delegates will be refunded.

General Declaration

1. I agree that having registered for the ______

workshop, I am liable for the full workshop fee.

1. I am familiar with the outcomes of the workshop specified and fully comprehend the

specifics explained in this document.

1. I acknowledge that payment needs to be made before attendance of the workshop.
2. I accept that a certificate of CPD Points will issued after I have attended the workshop.
3. I acknowledge that I have read and understood the above, and hereby, sign as proof.

I hereby agree to abide by all terms and conditions relating training at Ikhwezi as described in the website, brochure and registration form.
PrintName
Surname / Signature / IDNumber / Date