registration – Afrika Tikkun Alumni Portal

Register with us by filling out the form below.

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How did you hear / become an Alumni*

ECD-BambananiGraduated from Work ReadinessGraduated from Youth Accelerated Programme(YAP)Participated in a Bursary ProgrammeParticipated in the NYS/SEF ProgrammeParticipated in a LearnershipParticipated in a YES ProgrammeParticipated in a Work Experience ProgrammeParticipated in Mzansi Digital LearningParticipated in CYDInclusionDrivers License ProgrammeGraduated from ICTJob Boost ICTJob Boost GeneralSOBC AmbassadorSpecialized Training

Which Centre are you closer to?*

What is your employment status?*

Start Date*

End Date*

Last Qualification*

First Name*

Last Name*

ID Number / Passport Number*

Date of Birth

Gender*

MaleFemalePrefer not to say

Race*

AfricanWhiteColouredIndianOther

Disability*

No DisabilityCommunication (speech impairment)Hearing (deaf, profoundly hard of hearing)Intellectual (serious difficulties in learning)Mental - Emotional (behavioural, psychological)Physical (needs wheelchair, crutches, etc.)Sight (blind/severe visual limitation)Other than above

Email*

Enter email again *

Phone Number*

Alternative Phone Number*

Physical Address

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Street Number

Street Address

City

State

Country

Zip Code

Password*

Password must be at least 7 characters long.

Enter password again*

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