Title ---MrMrsMissMsDrRevSirProfMnrMevMejPastDs
First Name
Last Name
DOB
ID Number
Passport Number
Gender ---MaleFemale
Email
Phone
Province ---Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorth WestNorthern CapeOutside South AfricaOverseasWestern Cape
Postal Address
Postal Code
Town
Current Employment Type ---N/AEmployedSelf employedStudent
Current Employer
Current Employer Telephone
Current Position ---StudentInstructorPilates InstructorPersonal TrainerOther
Current Manager Name
Previous Employment Type ---N/AEmployedSelf employedStudent
Previous Employer
Previous Employer Telephone
Previous Position ---StudentInstructorPilates InstructorPersonal TrainerOther
Previous Manager Name
CPR Certificate ---YesNo
Equity ---Black: AfricanBlack: ColouredBlack: Indian/AsianWhiteUnknown
Nationality ---South AfricaAngolaBotswanaLesothoMalawiMauritiusMozambiqueNamibiaSeychellesSwazilandTanzaniaZaireZambiaZimbabweRest of Africa
Home Language ---AfrikaansEnglishisiNdebelesePediseSothoseTswanasiSwatiSouth African Sign LanguagetshiVendaisiXhosaxiTsongaisiZuluOtherUnknown
Citizen ---Dual (SA plus Other)Permanet ResidentSouth AfricaOtherUnknown
Socio Economic ---EmployedUnemployed looking for workNot workingnot looking for workNot workinghousewife / home-makerNot workingscholar / full-time studentSelf employed
Disability Status ---NoneSight (even with glasses)Hearing (even with aid)Communication (talk/listen)MultipleEmotional (behavioural or psychological)
Registration Type ---GraduateStudent
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Your Title ---Mr.Mrs.Ms.Dr.
Mobile No
Province ---Eastern CapeFreestateGautengKwazuluNatalLimpopoMpumalangaNorthern CapeNorthwestWestern Cape
How would you like to be contacted? ---EmailPhone
How would you like to study? ---OnlinePart TimeFull TimeDistance with Workshops
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