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NPC: 2023 / 661996 / 08

PERSONAL DETAILS:

Title: Mrs ………... Ms…………… Mr……………

Name………………………………… Surname……………………………………………...

Gender……………………………… Contact Number………………………………………

Identity Number…………………………………………………………………………………

Physical Address……………………………………………………………………………….

Your Admin Name ……………………………………… Area…………………………….

Paid? Y / N if Yes, please attach Copy of payment slip or bank statement showing
payment.

T-shirt Size: S M L XL XXL XXXL XXXXL

Which field of study are you applying for?

• Perfume, Roll On, Body Cream and Hand wash (Compulsory)

• Cleaning detergents (Compulsory)

• Banking Y / N

• Catering Y / N

Banking Details
Capitec Bank
Account number: 1377149771
Ref: Your Name & Surname

Signed at………………………on……...of…………………2023 Signature……………