EV Training Check If You Qualify Form: Please choose courses you want to enrol in: *I Need GuidanceIMI-Level 1IMI-Level 2 - Hazard ManagementIMI-Level 2 - Routine MaintenanceIMI-Level 3IMI-Level 4Full Names *TitleMr.Mr.Ms.Mrs.MissDate of Birth *DaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212521242123212221212120211921182117211621152114211321122111211021092108210721062105210421032102210121002099209820972096209520942093209220912090208920882087208620852084208320822081208020792078207720762075207420732072207120702069206820672066206520642063206220612060205920582057205620552054205320522051205020492048204720462045204420432042204120402039203820372036203520342033203220312030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925ID Number *Email Address *Cellphone Number *Upload CVChoose FileNo file chosenDelete uploaded fileUpload QualificationsChoose FileNo file chosenDelete uploaded fileMedia Consent *I hereby give ChrisnelSA consent to use pictures, images, or videos taken during the training for promotional and marketing purposes, including on the company website and social media platforms.I AgreeI DisagreeTerms and Conditions * By signing the registration form the individual acknowledges their authority to do so and assumes responsibility for settling the account. To confirm your booking, please fill out the registration form and send it to the email address provided below. A non-refundable deposit of 50% is required at the time of booking. If proof of payment is not received within 7 working days after submitting the registration form, the booking cannot be confirmed. Please email proof of payment to: ev.training@chrisnelsa.co.za. For purchase orders: A copy must be received within 7 working days of the registration form submission to ensure booking confirmation. Please email the copy to: ev.training@chrisnelsa.co.za. All emailed registration forms will be considered legally binding, just like original documents. Full payment is required no later than 5 working days before the course starts. Delegates will not be allowed to attend if payment is still outstanding. Cancellations made within 30 days of the course start date will incur a 100% cancellation fee, or a replacement delegate may be arranged. Chrisnelsa (Pty) Ltd reserves the right to cancel or reschedule a course if there are insufficient bookings prior to the start date. All course materials provided during the course are copyrighted by Chrisnelsa (Pty) Ltd and are intended solely for the attending delegate’s use. Reproduction, distribution, or modification of these materials is strictly prohibited. A certificate will be issued upon successful completion of the course. We reserve the right to deny admission to any course or event if payment has not been received, or if the delegate poses a health or safety risk to others. All delegates must adhere to the rules set by the facilitator and maintain respect for others throughout the course or event. I acknowledge that I have read and agree to the Terms of Business stated above. Please confirm my booking (s) as aboveSubmit Application Notice: JavaScript is required for this content.
