Short Courses Application Form and Contract of Enrolment Contact details Phone +27 63 303 2270 Email address
[email protected] Website www.etacollege.com Preferred region to attend the short course Region Address Tick Bloemfontein Ramblers Sports Club, 40 Alexandra Avenue, Bloemfontein Cape Town WPCC, Ave de Mist, Rondebosch, 7700 Human Performance Institute, Isaiah Ntshangase Rd, Moses Durban Mabhida Stadium, Durban. East London Hamilton Sports Club, 1 Cleverdon Road, East London George C J Langenhoven St, Eco Stop Centre, Block B, George, 6529 Johannesburg Randburg Sports Complex, Malibongwe Drive, Randburg Mbombela Stadium Nelspruit 1 Bafana Road, Mataffin, Nelspruit, 1200 Port Elizabeth 69 Pickering Street, Newton Park, Port Elizabeth Pretoria Supersport Park, 1st Floor West Block Private Suites, Centurion Stellenbosch House 19 Herold St, Stellenbosch 7600 Banking details Account holder Exercise Teachers Academy (Pty) Ltd Bank Nedbank Limited Branch Name Southern Peninsula Account number 1191103080 Branch code 12 32 09 Universal code for EFTs: 19 87 65 Type of account Current Account Instructions to the eta applicant: 1. Please read the Terms and Conditions of Registration and accept before you complete the form. 2. Each box below is essential information so please complete the entire form. 3. All assessment criteria must be achieved before certification is considered. 4. NB: If you are 18-years or over, please ensure that the ‘Acknowledgement and Declaration’ is signed. 5. The fees for the chosen course must accompany this application form. 6. NB: A certified copy of the ID document of the applicant as well as the person responsible for the payment of the course fees should be attached to the application.