Forms

Online Course Registration

3/26/2020

2 Comments

Personal Information

* Indicates required field

Which Course are you applying for? *

Title *

Name *

First

Last

(please note that down-payments are ONLY allowed for the Safety Officer Course and the August package Special)

Email *

ID Number *

Phone Number *

Identification Type *

ID Document Passport Drivers Licence

Date of Birth (YYYY/MM/DD) *

Physical Address *

Line 1

Line 2

City

State

Zip Code

Country

Upload a copy of your ID / Passport or Drivers licence *

Max file size: 20MB

Gender *

Equity (Choose one) *

Disability Status (Select One) *

Home Language *

Socio Economic Status (Choose One) *

Special needs we can assist with? *

Education

Highest Qualification Achieved? *

Certification

How would you like your certificate? *

FREE - In e-mail in PDF format R150.00 extra - PostNet Courier

If you would like it couriered to PostNet, please provide us with the PostNet nearest to you *

Communication

Once you have studied your training material, a facilitator will contact you for a brief discussion of the course before sending you your assessment via email.

How Would you like to be contacted? *

Whatsapp Skype Teams Telephone Call

Please provide your username / number for your preferred method of contact *

Safety Officer Course ONLY: Installments

Down-payments are available for the Safety Officer Course over three months if needed. Please select your preferred method of payment IF applying for the Safety Officer Course. (Unfortunately we do not have debit order facilities as yet)

Leave blank for the other courses.

Tick your preferred payment method *

Settle the whole amount at once R5500 Down-payment (Note that the final assessment and certificate will only be available after final payment)

If you prefer downpayment, kindly indicate how you would like to split your payments. We will send you a payment agreement as soon as we send you your proforma invoice *

I hereby confirm that the above is true *

Agree Disagree

PLEASE TAKE NOTE:

Once you have submitted your registration form, we will send you an invoice with our banking details and further instructions. -

Assessments are in PDF format which is editable. - Please download Adobe Reader to be able to open and complete your assessment
Download Adobe Reader here for free

As soon as we have received your proof of payment, you will receive log in details which will allow you access to your training material, assessments and additional information.

PLEASE ALLOW 24 HOURS FOR REGISTRATION

Submit

2 Comments

Rate Us

3/20/2020

We strive to provide the best OHS services possible to our clients and we value your input.

Your Information

* Indicates required field

Name *

First

Last

Company Name *

Email *

Designation / Job Title *

Service / Training Information

Who did you deal with? *

Annemarie Van Niekerk Samantha Naidoo Dewald Kriel Andre Kriel Eugene Olivier Newman Tshuma Melusi Ncube Martie van der Westhuizen Not Sure

Date of Occurance *

Nature of Service *

Online Training Training General Enquiry Workshop Safety File Audit Risk Assessment (HIRA) Other

General Questionnaire

How is our telephone etiquette? *

Fantastic Average Poor Not Applicable

Was your query attended to the first time? *

Yes, I am satisfied with your service Yes, but I had to explain myself more than once No, I had to contact T-Africa more than once

What do you think about our pricing? *

Very Competitive Affordable Too Expensive Not Sure

On-site Training (If applicable)

Who Was Your Facilitator? *

Eugene Olivier Newman Tshuma Dewald Kriel Melusi Ncube Andre Kriel

Facilitator's Knowledge *

Fantastic Good Can be better Poor

Training Material & Stationary *

Fantastic Good Can be better Poor

Was our Facilitator on time? *

Yes No

Is there anything you would like us to know? *

e-Learning (If Applicable)
Please rate on a scale of 1 to 5 (1 being poor and 5 being brilliant)

Registration Process *

Easy Had some challanges Very difficult

Within the first hour Within 12 hours Within 24 hours Cant Remember Still waiting

Training Material? *

Fantastic Good Poor

Who was your facilitator? *

Eugene Olivier Newman Tshuma Dewald Kriel Melusi Ncube Andre Kriel

Are you satisfied with your facilitator's introduction and communication? *

Yes No

Was your facilitator available in the time-slots given to you? *

Yes No

Is there anything else you would like us to know? *

Overall Experience

Would you recommend T-Africa Occupational Health & Safety Specialists? *

Yes! Absolutely Not!

If yes, would you please provide us with potential leads?

Name *

First

Last

Email *

Name *

First

Last

Email *

Name *

First

Last

Email *

Thank you for taking some of your valuable time to help us improve our quality.

Submit

COVID-19 Workshop (NOT AVAILABLE AT THE MOMENT)

3/20/2020

* Indicates required field

Name *

First

Last

Phone Number *

Company Name *

How many people will attend? *

Please note that we cannot accommodate more than 100 people at the same time

Email *

Your Designation *

Address where workshop should be held? *

Line 1

Line 2

City

State

Zip Code

Country

Do you have any comments or concerns? *

Does any of the attendees show symptoms of colds/flu? *

Yes No Not Sure

Do you and your company take hygiene seriously? *

Absolutely No

I hereby confirm that the information above is true and accurate according to my knowledge *

Yes No

Submit

Online Course Registration

Personal Information

Education

Certification

Communication

Safety Officer Course ONLY: Installments

Rate Us

Overall Experience

COVID-19 Workshop (NOT AVAILABLE AT THE MOMENT)

Contact Us