Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Title Name Surname Organisation*Designation*Email* Postal Address* Address Line 1 Address Line 2 City Province Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Cell PhoneID Number*Highest academic qualification*TEI reserves the right to check validity of the qualification*Qualification*Institution*Field*Year Achieved*Should you not have the required NQF 7 qualification you will be required to complete some assessment tests. There are 3 assessments in total. The assessments are done unsupervised and online. You are welcome to do the assessments whenever you are ready and do not have to complete them all in one sitting. We do however require that you complete each individual assessment uninterrupted once you have started. Your assessment/s cut-e scales Verbal Admin Comprehension cut-e scales English Literacy cut-e scales Logical Reasoning I'm booking for these dates:* 1 - 27 February 2024 (Private Sector) 4 - 30 April 2024 (Private Sector) 8 August - 3 September 2024 (Private Sector) 7 November - 3 December 2024 (Private Sector) Payment DetailsOnline Course Price*Please select the price applicable to you 1 – 27 February 2024 Non-Supporter R 31 521.00 (VAT inclusive) 1 – 27 February 2024 Supporter R 26 547.00 (VAT inclusive) 4 – 30 April 2024 Non-Supporter R 33 413.00 (VAT inclusive) 4 – 30 April 2024 Supporter R 28 140.00 (VAT inclusive) 8 August – 3 September 2024 Non-Supporter R 33 413.00 (VAT inclusive) 8 August – 3 September 2024 Supporter R 28 140.00 (VAT inclusive) 7 November - 3 December 2024 Non-Supporter R 33 413.00 (VAT inclusive) 7 November - 3 December 2024 Supporter R 28 140.00 (VAT inclusive) Person responsible for payment First Last Accounts Email Accounts PhoneVAT NumberMembership(s)Please indicate which of the following you are a member of: TEI ACFE BEN-Africa CIGFARO EPA FPI GGA IIASA ISACA ICFP IRMSA IoDSA SABPP SAICA SAIPA SIOPSA TEI Membership Number*ACFE Membership Number*BEN-Africa Membership Number*EPA Membership Number*IIASA Membership Number*ICFP Membership Number*FPI Membership Number*GGA Membership Number*IRMSA Membership Number*IoDSA Membership Number*SABPP Membership Number*SAICA Membership Number*SAIPA Membership Number*SIOPSA Membership Number*CIGFARO Membership Number*Membership Verification* I accept that my membership details will be verified.Special requirementsSpecial Requirements/DisabilitiesIf you have an special requirements or disabilities that you feel we should be aware of, please give a brief explanation here.Terms & Conditions Registration for this programme closes two weeks before its commencement date. Any registrations that remain unpaid two weeks prior to the event, will be cancelled to allow an opportunity for candidates on the waiting list to attend. Cancellations made two weeks prior to the programme commencement date, will result in a 30% penalty. No refunds will be issued for cancellations occurring one week prior to the programme, however, applicants who have made payment can be substituted by another individual at any time before the event, without incurring an additional fee. Such changes must be communicated to TEI in writing. Given the practical nature of this course, TEI can only accommodate a limited number of participants per course. Attendance will be confirmed upon receipt of a completed registration form, full payment, or purchase order in the case of government department delegates. Candidates must include a copy of their ID and their highest qualification when submitting their registration forms. Late registrants will be given a 24-hour window to confirm both their registration and provide proof of payment to TEI. Registrations not adhering to these terms and conditions will be cancelled without any charges to TEI. DISCOUNT A 5% discount will be applied if three or more delegates from a single organisation register. A 10% discount will be applied if six or more delegates from a single organisation register. Acknowledgement* I acknowledge that I am aware of the terms and conditions.The Ethics Institute recognises its responsibility to protect the Personal Information collected under the Protection of Personal Information, Act 4 of 2013, and have taken reasonable measures to ensure that all Personal Information is protected under its care. A copy of the Ethics Institute's Protection of Personal Information Policy is available from the Information Officer, on request.POPIA Consent*I hereby provide voluntary consent for the processing of my Personal Information as it will only be used for the intended purpose of registering for the above-mentioned programme, assessment and moderation of the Portfolio of Evidence, training verification statistics and evaluations, and will not be used for any other purpose. Processing of Personal InformationTEI Consent*I hereby provide voluntary consent to The Ethics Institute for referring to my name, surname, and EO number online and receive direct marketing from The Ethics Institute for the full period of my Supporter subscription. TEI Consent
