Counselling Training

Helios Course Registration form

* indicates a required field!
 
* You can select multiple courses by holding down the "Ctrl" button while clicking on the options: 
Select which short cource you are registering for: February 2018 | June 2018  | November 2018
   
* Full Name:
* Last Name:
* Date of Birth (DD/MM/CCYY): 
* Gender: Male Female
* I.D. Number:
   
* Residential Address:
* Postal Address:
Home Phone:
Work Phone:
Cell Phone:
Fax no:
* E-Mail:
* Registration Policy: I have read and accept the Registration Policy
* Highest Scholastic Qualification - Grade:
* Highest Scholastic Qualification - School:
   
 * Tertiary Qualification 1 -Qualification:
* Tertiary Qualification 1 - Institution:
   
Tertiary Qualification 2 - Qualification:
Tertiary Qualification 2 - Institution:
   
Tertiary Qualification 3 - Qualification:
Tertiary Qualification 3 - Institution:
   



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