Document No / PBS QMS 04.1 / Document Title / Registration form
Prepared By / C. Lubbe / Approved By / S Didloff
Date / June 2014 / Revision Status / 2/14

COURSE REGISTRATION FORM

PLEASE COMPLETE THIS BOOKING FORM AND FAX IT BACK TO 0866 846 086

A booking form received is a confirmed booking

SURNAME
FULL NAMES
ID NUMBER
COMPANY NAME
COMPANY VAT NUMBER
TELEPHONE NUMBER
E-MAIL ADDRESS
STREET ADDRESS
POSTAL ADDRESS
Special Needs

I wish to apply for the following course:

Unit Standard ID / Unit Standard Title / NQF Level / Tick √ your selection
126262 / Load general freight / 2
8420 / Operate in a team / 2
123257 / Operate a rigid light vehicle / 2
123260 / Operate tailgates and tail-lifts / 3
123254 / Operate a vehicle combination / 4
123253 / Operate rigid heavy vehicle / 4
123261 / Plan road transport services delivery / 3
119467 / Use language and communication in occupational learning programmes / 3
7456 / Use Mathematics to investigate and monitor the financial aspects of a personal, business and national issues / 3
119465 / Write/present/sign texts for a range of communication contexts / 3
119472 / Accommodate audience and context needs in oral/signed communication / 3
9010 / Demonstrate an understanding of the use of relevant calculations / 3
8000 / Apply basic business principles / 3
113834 / Apply standard operating procedures and practises / 4
12155 / Apply comprehension skills to engage written texts in abusiness environment / 3
9013 / Describe motion in 2-and 3-dimensional space in different contexts / 3
8418 / Do basic research / 2
123258 / Foster and maintain customer relations / 3
119457 / Interpret and use information from texts / 3
9012 / Investigate life and work related problems using data / 3
8016 / Maintaining OHSA and general housekeeping / 3
Not accredited / Hazard Identification and Risk Assessment (HIRA) / n/a
123256 / Provide commuter service / 3
12484 / Perform basic fire fighting / 2
114941 / Apply knowledge of HIV/AIDS to a specific business sector and a workplace / 3
113852 / Apply occupational health, safety and environmental principles / 3
117171 / Manage time effectively to enhance productivity and enable a balanced lifestyle / 3
117500 / Manage finance in a small business / 4
123252 / Provide long distance coach/bus services / 3
117241 / Develop a business plan for a small business / 4

TERMS AND CONDITIONS

  • Please note that delegates that do not notify PAL BUS TRAINING CENTRE of cancellation in writing 14 days prior to the commencement date of the training program for any reason whatsoever, will be obliged to pay PAL BUS TRAINING CENTRE the full price of the course.
  • PAL BUS TRAINING CENTRE reserves the right to cancel or postpone any training program due to unforeseen circumstances.
  • PAL BUS TRAINING CENTRE does not accept responsibility for any damage or loss in respect of property brought onto the premises.
  • You will be liable to PAL BUS TRAINING CENTRE in respect of any damage caused by you to property belonging to PAL BUS TRAINING CENTRE and/or to any property where the training takes place as a result of your actions and hereby indemnify PAL BUS TRAINING CENTRE against all damages, claims and/or loss caused to any third party as a result of your actions.
  • Right of admission. PAL BUS TRAINING CENTRE reserves the right to refuse admission to the training course where evidence of full payment cannot be shown.
  • Copyright etc: All intellectual property rights in all materials produced or distributed by PAL BUS TRAINING CENTRE in connection with this training program is expressly reserved and any unauthorized duplication, publication or distribution is prohibited.
  • You appoint the address set out above as Domicilium Citandi et Executandi for all purposes in terms arising out your relationship with PAL BUS TRAINING CENTRE.
  • In the event you fail to pay PAL BUS TRAINING CENTRE on due date, PAL BUS TRAINING CENTRE will be entitled but shall not be obliged to institute legal proceedings for the recovery of all outstanding amounts and that the costs in respect thereof shall be paid by you on the attorney / client scale.
  • ON COMPLETION OF THE COURSE YOU WILL BE AWARDED WITH A CERTIFICATE OF ATTENDANCE.

I hereby acknowledge that I have read, understand and agree to all the terms and conditions of y registration.

Signed: ______

Date: ______

COPIES IF ID & PDP LICENCE DOCUMENTS MUST BE ATTACHED WITH APPLICATION.

Approval Signature / Page Number / 1 of 2

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