Registration Application Form
Personal Details
Surname: As per your ID document * 
Full Names: As per your ID document * 
Title: Mr, Ms, Mrs, Dr, Prof. * 
ID Number: RSA ID. If not applicable, complete next line * 
Nationality: Specify Nationality  
Alternative ID Number: Only complete if no RSA ID available.

Alternative ID Type: Indicate type of alternative ID  
Date of Birth: Insert date of birth    
Gender: Male – M, Female – F, Other – O  
Equity: Black African – BA, Black Indian Asian – BI, Black Coloured – BC, White – W, Other – O (specify)
Socio Economic Status: Employed, unemployed, student  
Disability Status: None, hearing / sight / speech / movement, other (specify)  
Geographic Area:
Home Language:
Contact Details
Physical Address: *
Postal Address: *
Home Phone Number : * 
Business Phone Number : * 
Cell Phone Number: * 
Fax Number: * 
Email: * 
Highest Education: Overview of qualifications completed * 
Educational Details
Current Occupation: State current or last occupation, if unemployed. * 
Experience: Overview of experience in years and fields / areas *
Years in Occupation: State number of years using a numeric value * 
Qualification Registering for:
Name of programme: Please specify course registering for:  
Payment Please indicate payment option  
Specify if you are doing self study or would like to attend lectures.  
Payment Amount * 
Company Name (if not currently at a company indicate as N/A):

* 
Once you have registered, your login details will be emailed to you.

 
Where did you hear about us?

 
Are you applying for RPL?

If yes, please complete the rest of the form below.
If no, please click the submit button at the bottom of the page now.

Recognition of Prior Learning (RPL) details
Comments
Have you worked in the real estate industry? If yes, please specify how long in the comments box.



You are currently employed in the capacity of Real Estate Agent (non-principal)? If yes provide eaab registration details if available



You are currently employed in the capacity of Real Estate Principal ? If yes provide company registration details



Do you have a matric or grade 11 with literacy, numeracy and communication skills or equivalent? In comments provide details of results



Have you attended other training ? If yes, please specify courses in the comments box.



Do you have a personal computer in the workplace or at home? In comments provide details



Do you have estate agent qualification at level 4 or equivalent? Please provide details in the comments.



You have sufficient prior exposure to the real estate environment to specialise in real estate ? In comments provide details of specialisation



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