ITT Academy Exam Registration Form Tel: (011) 938 9499    Fax: (011) 938 7314
  Careers Centre Corner Old Potchefstroom Road & Immink Drive Diepkloof Soweto  Johannesburg
   
Title  

Name

  Surname  
ID Number:   New Candidate Yes          No  
SP/DT Number   MCP Number  
Novell Candidate Number   Comptia Number  
Telephone (w)   Telephone (h)  
Facsimile   Cellphone  
E-mail Address   Company Contact  
Company Name   Company Order No  
Payment Type: Cash   Cheque   Credit Card  
  ITTA Voucher No:   Sylvan Voucher No:      
Proforma Invoice Request Yes   No   Direct Deposit  
If your booking is part of the ITTA Bundle/package offer please state the following details:
Date   Invoice number  
Postal Address

 

 

Our Current Exam Sessions are 9:00, 11:00 and 14:30.  Exam dates and times are subject to availability

Exam Number

Exam Title

Requested Date

Requested Time

 

 

 

 

 

 

 

 

                                   
       

 

 
 

I,            _______________________      (the above named student) and WE,      _______________________     (the sponsoring company)

hereby agree to be jointly and severally liable for the Examination fee. I/We further agree that all no shows or late cancellations will be charged in full. By affixing my signature hereto, I hereby acknowledge that I have read and understood the terms and conditions listed overleaf. 

THIS REGISTRATION IS ACCEPTED ON THE FULL UNDERSTANDING THAT ALL CANCELLATION/RESCHEDULING MUST BE DONE 48 HOURS IN ADVANCE IN WRITING

Signature      _____________________________ (student)              

Signature      _____________________________ (sponsoring company)

Dated this _____________ day of _______________ 20_____.

COMPLETE THIS SECTION ONLY IF YOU ARE BEING SPONSORED BY YOUR COMPANY.

Approved by

Name             _____________________________________

Position          ____________________________________

Order No         ____________________________________

Invoice for the attention of ___________________ 

 

 

TERMS AND CONDITIONS

1   BOOKINGS

2   PAYMENTS

3   CANCELLATIONS / RESHEDULING

4   GENARAL