PDA Online Course Registration

You can reserve your place right now online. Simply enter your details below and press the SUBMIT button. An acknowledgement screen will appear as soon as your details have gone through.

NOTE:
The form below can be used to enter up to 5 participants for the one course. If you have more than 5 participants, or are enrolling for more than one course, re-use this form by pressing the BACK button of your browser after the SUBMIT has been confirmed.

Please ensure all fields marked are completed.
Please press the SUBMIT button only once and wait for confirmation. If you experience any problems please e-mail your details.

Please complete ALL fields marked with an asterisk (*) The SUBMIT will not be accepted otherwise.

Participants

Participant 1

Name*
Position*
Email*
Direct/Mobile*

Participant 2

Name
Position
Email
Direct/Mobile

Participant 3

Name
Position
Email
Direct/Mobile

Participant 4

Name
Position
Email
Direct/Mobile

Participant 5

Name
Position
Email
Direct/Mobile

Organisation Details

Organisation*

Address*

Address

City/Town*

Postcode*

State*

Telephone (Switchboard)*

Fax*

Other Information

Person Making Booking
Position
Email
Direct/Mobile

Send Invoice to
Position
Email
Direct/Mobile

Course Information

Course Code *
Attend in*	or Other:
Course Date*	(DD/MM/YY)

CITREP Enrolment
(ITIL, PRINCE2, COBIT, SABSA and CISM Courses Only)

CITREP funding is currently only available for ITIL, PRINCE2, COBIT and CISM courses.
If you wish to apply for CITREP funding please provide the required information below.
If you do not wish to apply please leave the following blank:

Name (as per NRIC)

NRIC Number

Sponsor
(only tick
1 box)

Company Sponsored

Self Sponsored

Comments

(Please enter any comments or special requirements you may have)

(Please click ONCE ONLY and wait for acknowledgement)