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Progressive Skills Development Centre (PSDC)   Application Form

                                                                                                            P.O BOX 17178, Hilbrow, 2038, Johannesburg                                                                                                                  Tel+27 110571360/+27 72 999 50 99 Email    : progressiveskills771@gmail.com  

website: progressiveskills7.wix.com/mwenyiabdula  

FOR OFFICE USE

 

Date of Submission :    .....................................................................................................................................................................................

 

Invoice No.: ......................................................................................................................................................................................................

 

Value of payments made: ..............................................................................................................................................................................

 

 

To                                                                                                                                      From  

(Name of applicant, Trainer, Intern or other)                                                      (name of contact/company)    

 

 

..............................................................................................                                   .................................................................................................

Fax/Phone No.                                                                                                                      

(Name of applicant, Trainer, Intern or other)                                                      (for contact/company)

 

 

........................................................................................                                         ................................................................................................

 

Email                                                                                                                                Email

(Name of applicant, Trainer, Intern or other)                                                      (for contact/company)

 

 

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Kindly complete ALL sections – No application will be processed without all required information

 

COMPANY/PERSON ( Name of Applicant) .......................................................................................... 

 

Select (ü) one: PRIVATE (Pvt) x COMPANY (Co) Company VAT Number:

 

Name (Co/Pvt): ..................................................................................................................................................................................................

 

Postal Address: ..................................................................................................................................................................................................

 

Code: .....................................

 

Physical Address: ...............................................................................................................................................................................................

 

Code: .....................................

 

Telephone No.: ..................................................................................................................................................................................................

 

Fax No.: ....................................................................................

 

 

CONTACT PERSON:

 

Emergency Tel. No. ............................................................................................................................................................................................

 

CONTACT PERSON: Name .............................................................     Surname ...............................................................................................

 

Email Address: ...................................................................................................................................................................................................

 

Phone No.: .........................................................................................................................................................................................................

 

_____________________________________________________________________________________________________________________________________________________________

 

*Payment Method (Cash Deposit/EFT/Order Number)*: Cheque, money gram. wetsern union other ( Please specify)

 

Authorizing Signature

 

 

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Progressive Skills Development Centre (PSDC) (Name of applicant, Trainer, Intern or other) Applicants' DETAILS – Strictly ONE applicant for each form

 

Is this your first time volunteering, working or doing  intern with (PSDC)

 

NO.............................

 

YES.............................

 

If YES, what date did you attend the course, volunteer, or intern with PSDC ?.................................................................................................. .............................................................................................................................................................................................................................

 

Reason for your current applicant: ....................................................................................................................................................................

 

Dates for your duration: ......................................................................................................................................................................................

 

We will confirm  DATEs & TIME in writing to your email or fax

 

Starting Time..........................................................................................................................................................................................................

 

Price per learner (incl. VAT)

R3500 per month (Please note all payments must be made to the organization account on or before your arrival)

the expenditures of your moneys will be shown during your orientation time.

PSDC  reserves the right to reschedule any dates and services in a monthly notice period towards our volunteers and interns. 

TERMS AND CONDITIONS apply.

 

 

Please Rewrite your details here in block letters.

 

SURNAME  ..................................................................................... First Name .............................................................................................

 

INITIALS ...........................................................................................................................................................................................................

 

GENDER      ...............................................................

 

IDENTITY / PASSPORT NUMBER         .............................................................................................................................................................

 

DIET REQUIREMENTS .......................................................................................................................................................................................

 

1.Please specify if there are some healthy matters that need to be addressed during your stay with us.

 

...........................................................................................................................................................................................................................................

 

Any other issues we must be aware of, please specify

 

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_____________________________________________________________________________________________________________________________________________________________________________________________

Dear

Dear Applicant:

Please be aware of the important requirements as outlined in the TERMS AND CONDITIONS on the following page. or If you are making the payment on behalf of any OTHER PERSON APPLYING, please ensure that you make them aware of the requirements.

 

BANKING DETAILS

Account Name                           :                               Progressive skills development Centre                                                                                      

Bank                                                :                               Standard bank,

Branch Code                                :                               004605

Account No                                  :                               002575434

Type of account                         :                               Business current account.

 

 

* fax or email PROOF OF PAYMENT slip and relevant PREREQUISITES with this form to the fax number at the top of the page*

 

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I……………………………………………………………………. agree to the terms and conditions of Progressive Skills Development Centre (PSDC).                                    I have filled this form with my knowledge and understanding.  I am also aware that if i fail to travel, no funds will be refunded back to me bse it will be part of my volunteering work towards the PSDC project.

 

Signed                                                                                                             Date

 

 

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Applicant