NB: “APPLICATION PROCESS AND FEES” DOCUMENT BEFORE COMPLETING THIS FORM
I would like to apply to attend the HERS-SA mini-ACADEMY 2012 from Sunday 15 – Wednesday 18 April 2012. I understand that applications will only be accepted from HERS-SA ACADEMY alumnae and on a first-come first-served basis. Places will only be confirmed once the mini-ACADEMY fee of R6000 + 14% VAT R840 (Total R6840) has been received by HERS-SA. I have obtained the necessary approval from my institution and I have informed the HR/Training and Development Department.
HERS-SA will forward invoices for payment upon receipt of application forms.
PLEASE PRINT:
Family name: |
Given names: |
Title: |
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Year applicant attended HERS-SA ACADEMY: |
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Institution: |
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Position: |
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Department: |
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Postal Address: |
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Email address (print clearly): |
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Telephone: ( ) |
Fax: ( ) |
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Do you have any special needs, e.g. dietary, poor eyesight, hearing impairment, etc? If so please give details: |
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Signature of applicant: |
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By 29 February 2012
PLEASE RETURN THIS FORM including signature of applicant BY EMAIL, POST OR FAX TO:
EMAIL: hers@chec.ac.za FAX: +27-(0)21-763-7117
POST: HERS-SA, PO BOX 24022, CLAREMONT, 7735, SOUTH AFRICA
Enquiries: hers@chec.ac.za