Student Registration | Micro Corporate Training

Personal information

Surname * First name * Other name(s) Occupation Sex * Date of birth * Postal address *

Contact information

Cell number * Emergency contact number * Work number Email address * Work address

Educational qualifications

Enter up to four relevant qualifications.

Qualification 1

Course or subject Examination body Duration Grade

Qualification 2

Course or subject Examination body Duration Grade

Qualification 3

Course or subject Examination body Duration Grade

Qualification 4

Course or subject Examination body Duration Grade

Additional information Work experience Medical condition(s)

Include only information MCT reasonably needs to support your participation or respond to an emergency.

Declaration and signature

Micro Corporate Training Ltd. does not guarantee student placement after fourteen (14) days from the date on the Student Registration Form if the student has not registered on the Course Registration Form. Student registration is valid for one term from the date registered.

Student's full name (electronic signature) * Parent/guardian/representative name, if signing for the student I declare that the information supplied is true and complete, and I authorize MCT to use it to process this registration. *

Submitting this form sends the information securely over the website connection to MCT by email. The website does not save a copy.

* Required field