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Registration form RK3
Application for registration as: KINDERKINETICIST IN TRAINING OR ASSISTANT KINDERKINETICIST IN TRAINING
An amount of R160.00 must be deposited / made out to: SAPIK Account number: 9305430937 Branch Code: 632005 ABSA, Tom Street, Potchefstroom.
- Reference: Name, surname, RK3. - A copy of the deposit slip must accompany the completed form and be e-mailed to sapikinfo@gmail.com.
The following registration form must be completed in full.
Last name
Initials / Title
Mr
Ms
Mrs
Dr
Prof
First name
Middle name
Maiden name
ID/Passport number
(Required)
Nationality
South African
Namibian
Other
Ethnic Group
White
Black
Coloured
Indian
Email
(Required)
Contact number (cellphone)
Physical Address
Postal Address
Province
(Required)
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
Northern Cape
North West
Other
OCCUPATIONAL INFORMATION
Please select one
Kinderkineticist in training
Assistant Kinderkineticist in training
Institution of Training
North-West University
Stellenbosch University
University of Free State
Years of Training
Program leader (name and surname)
I Accept / I do not accept (Please select)
Accept
Do not accept
Proof of Payment
Max. file size: 128 MB.
ANSWERS TO THE ETHICAL GUIDELINES
Max. file size: 128 MB.