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COURSE DETAILS - SAIW

010-01-1 Form 1 : COURSE Enrollment Form Page 1 of 2 TRAINING EXAMINATION CERTIFICATION SOUTHERN AFRICAN INSTITUTE OF WELDING 52 Western Boulevard (off Main Reef Road) City West, Johannesburg, 2029 Box 527, Crown Mines, 2025 Telephone : +27 11 298 2111 Fax : +27 11 836 4132 Please refer to our Website ( ) for any further information COURSE ENROLMENT APPLICATION (Please complete in legible block letters) CANDIDATE NUMBER _____ (If known, otherwise number shall be provided during the training COURSE ) COURSE DETAILS NAME OF COURSE GROUP TRAINING DATES Start Date End Date CANDIDATE INFORMATION Surname _____ First Name(s) - In Full _____ Identity / Passport No _____ Age _____ Postal / Resi

010-01-1 Form 1 : Course Enrollment Form Page 2 of 2 TRAINING EXAMINATION CERTIFICATION EMPLOYER / COMPANY / PERSON RESPONSIBLE FOR PAYMENT Employer / Company Name

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