Registration

Name *

Last Name *

Course interested in

Id Number *

Home town

Email Address *

Contact number *

Second contact number

WhatsApp number

Parent's contact number

Date you want to start

Do you have a:Id BookPassport

HTML

I understand that I need to pay a non refundable registration fee of R1500.00 for my application to be accepted.
Bank:Nedbank

Account Name: Witbank Mining College

Account no:1253375836

Reference:Use your name and surname

Checkbox *Option 1