Registration - Afrika Tikkun Alumni Network Portal

Register with us by filling out the form below.

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How did you hear / become an Alumni^*

Graduated from Work Readiness
Graduated from Youth Accelerated Programme(YAP)
Participated in a Bursary Programme
Participated in the NYS/SEF Programme
Participated in a Learnership
Participated in a YES Programme
Participated in a Work Experience Programme
Participated in Mzansi Digital Learning

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^*

Male
Female
Prefer not to say

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^*

Password must be at least 7 characters long.

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