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MIE Individual Enrolment Form

The document is an Individual Enrolment Form for Mecer Inter-Ed, requiring delegate and company details, course selection, and acceptance of terms and conditions. It includes sections for personal information, dietary requirements, and contact details for company representatives. The form emphasizes privacy compliance and consent for communication under the POPI Act.

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lachean.naidoo
Copyright
© © All Rights Reserved
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12 views2 pages

MIE Individual Enrolment Form

The document is an Individual Enrolment Form for Mecer Inter-Ed, requiring delegate and company details, course selection, and acceptance of terms and conditions. It includes sections for personal information, dietary requirements, and contact details for company representatives. The form emphasizes privacy compliance and consent for communication under the POPI Act.

Uploaded by

lachean.naidoo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Individual Enrolment Form

DELEGATE DETAILS TITLE Dr. Mr. Mrs. Ms. Miss.

NAME SURNAME

JOB TITLE COUNTRY

TELEPHONE REGION

ALTERNATE ALTERNATE
NUMBER EMAIL ADDRESS

PRIMARY
EMAIL ADDRESS

DIETARY REQUIREMENTS Vegetarian Halaal Standard

HUAWEI BOOKINGS
CREATE YOUR HUAWEI
USER ID www.huawei.com
HUAWEI USER ID

*All in-person deliveries are standard and cannot be changed during or


COURSE DETAILS before class. 8 working-day notification required to change delivery method.

Please select your type of attendance VIRTUAL (VILT) IN-PERSON

COURSE/ VOUCHER/
COURSE NAME DATE ORDER NO PRICE
EXAM CODE

TOTAL EXCL. VAT 0


Individual Enrolment Form

COMPANY DETAILS
COMPANY NAME

SWITCHBOARD NO. COMPANY VAT NUMBER

COMPANY POSTAL
ADDRESS
CODE

COMPANY CONTACTS Please complete the below Company Contact Fields:

CONTACT 1 (Manager Approved By) CONTACT 2 (Company Finance Contact)

NAME NAME

SURNAME SURNAME

POSITION POSITION

TELEPHONE TELEPHONE

MOBILE NO. MOBILE NO.

EMAIL ADDRESS EMAIL ADDRESS

TERMS AND CONDITIONS For full T's & C's Click Here

I, the undersigned Client/Company, declare that I have read


and understand the enrolment form Terms and Conditions. I Signing on behalf of Signing as an Individual
accept the Terms and Conditions as set out in the link the Company
provided above, I acknowledge and accept Mecer Inter-Ed’s
full Terms and Conditions.

NAME AND SURNAME DATE

Click on the signature field to add


your digital signature.
If you do not already have a digital signature
AUTHORISING SIGNATURE follow the onscreen instructions to create one.
CLICK HERE for a guideline on how
to create your digital signature.

Once completed, click on SEND FORM to automatically send to Mecer Inter-Ed.


Otherwise, please save and send to info@mecerintered.co.za or your Account Manager SEND FORM
directly.

Mecer Inter-Ed takes your privacy seriously. In compliance with the POPI Act, we want to ensure that we have your consent to keep sending future email
communication, product specials and promo information to the contact details provided. If at any time you wish to not continue to receive our email communication, you
can always use the unsubscribe link to be removed. Note that by submitting your personal information to Mecer Inter-Ed you unconditionally and voluntarily consent to
the processing and retention of your personal information for the purposes of enrolment.

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