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  Course Application Fee

Name & Surname:
Age:
Sex:
Nationality:
Address (1):
Address (2):
Address (3):
Address (4):
Country:
Phone code:
Phone:
Mobile:
Email:
Fax:
Course:
Payment type :
Accomodation required:
Relevant experience:
Background:
Disabilities:
Medical Conditions:
Other information:
   

DISCLAIMER
PLEASE NOTE: WEPTAC SOUTH AFRICA AND ITS ASSOCIATES WILL NOT BE HELD RESPONSIBLE FOR ANY ACCIDENTS, INJURY OR DEATH THAT MAY OCCUR DURING TRAINING. DUE TO THE NATURE AND CONTENT OF WEPTAC COURSES, WE INSIST THAT ALL APPLICANTS ARE FULLY SATISFIED AS TO THEIR OWN ABILITIES AND LEVELS OF MEDICAL FITNESS IN ORDER TO PARTICIPATE IN THE TRAINING PROGRAMMES. WEPTAC RESERVES THE RIGHT TO REMOVE AT ANY TIME, FROM ANY COURSE, ANY INDIVIDUAL OR INDIVIDUALS, THAT BEHAVES IN A DANGEROUS OR IRRESPONSIBLE MANNER, OR IN ANY OTHER WAY THAT WOULD JEAPORDIZE THE SAFETY OF HIS/HER SELF OR THE SAFETY OF ANY OTHERS.