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Enrolment Application

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Personal Details

Name:
E-mail:
Telephone Number:
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Age:
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Professional Information

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Have you ever worked with people (groups or individuals) as a salesperson, teacher, counsellor, speaker or in some other capacity?
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Have you ever worked in the medical profession?
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If so, please list the kind of worked performed:

The price for the correspondence course is R 3,500.00
and is inclusive of posting and packaging.

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