Cancellation / Re-schedule Form

 

 

ITT Academy Testing Centre               Telephone number                             (011) 938 9499

Fax number                                          (011) 938 7314

 

Cancellation  ÿ                                                                                                                       Re-schedule  ÿ

 

Please PRINT information to ensure accurate capturing!

 

 

Full Name/s  .................................................…….                              Surname  .................................………..........……

Company ÿ       Private  ÿ

 

Company  ……………………………………………………..          Contact person  ……………………………………..

 

Telephone (W)     ..................................... (H) .....................................  Cell/Alternative  ....................................

 

Fax Number     ...............................................  Email address  .............................................……………………..  

 

Please cancel / re-schedule the following exam / course:

 

Exam  title or  code              .............................................…………                  

 

Date       ……..  ….….  ….……….

 

New requested date  ..........................................                               New requested time  ……  …...  …..…….

(Exam date and time is subject to availability)

 

 

Our current exam sessions are:  Monday to Friday  (9:00, 11:00 and 14:30)

 

 

Invoice number (if applicable)  ……………………

 

Reason for cancellation  ………………………………………………………………………………………………….…

 

                                  …………………………………………………………………………….…………….

 

 

Signature  ………………………………….  Date  ……..……………………