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CPD Application

Continued Professional Development (CPD) Programme

Delegate details
Name
Date of Birth
Email
Tel (w)
Tel (h)
Cell
Gender
RSA ID Number
Address
Years of work experience
Current employer
Job title / function
Years in current job
Year of matriculation

Do you have any University or Technikon qualifications?

Name of institution Qualification Date completed
1.
2.
3.

Courses you would like to take

I wish to register for the FULL CPD Programme in Software Engineering:

(Please examine the list of courses and the timetable for 2012 in the CPD Programme Brochure).


Billing details

If you are not using JCSE Points to pay for these courses, please give us the details of the person responsible for payment:

Name
Email
Tel (work)


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