Candidate Registration

Thank you for signing up for a Gaboon Medical Training course. Kindly complete the form below for each attendee for whom you have booked. Once you have submitted a registration, you will be able to return to the form to register additional attendees.

Further information on how Gaboon Protection processes personal information is available at https://www.gaboonprotection.com/.

What to expect on the training days...

All courses start at 08h30.
Please arrive half an hour prior to the course start time.
Please bring a pen and notebook.
Please bring snacks/lunch.
Water, tea and coffee is provided at the course.
We suggest loose, comfortable clothing as much of the practical work is done on the floor.
Learner manuals will be provided.
Certificates are issued at the end of the course.
If you are attending any of the SETA courses, you need to bring a SAPS certified copy of your ID.

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Order Number

Name as per your ID/Passport(Required)

First Middle Last

I will present my...(Required)

South African ID

Passport

South African ID Number(Required)

Passport Number(Required)

Gender(Required)

(National Database Requirement)

Race(Required)

(National Database Requirement)

Residential Address

Street Address Address Line 2 City Province Postal Code Country

Postal Address

Street Address Address Line 2 City Province Postal Code Country

Municipal Location(Required)

Name of Company

(only for completion where your company requires you to attend this course)

Cellphone Number(Required)

Work Phone Number

Home Phone Number

E-mail Address(Required)

Name of the Course you are attending(Required)

Course Date(Required)

Highest School Grade Achieved(Required)

(SETA Database Requirement)

Special Dietary Requirements (eg. food allergies, Halaal, etc.) - FREC 3 COURSES ONLY

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Signature

Phone

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Candidate Registration

What to expect on the training days...

Operations conducted within the last year include the following countries: