Application for Facilitating Online Courses 2018

Please provide all the following information since it is used for certification purposes. Your personal information is secure, will be treated confidentially and not shared with any third parties.

Personal information

(Required information by University of Cape Town short course policy for certification)
(Your preferred email address for all course announcements, notifications and correspondence with course facilitators)
(Please provide a contact number, including country code, that may be used even after office hours)
(Please provide your complete physical address, including area code, where your certificate of completion may be delivered via courier)

Supporting information

Drop a file here or click to upload Choose File
Maximum upload size: 10MB
Drop a file here or click to upload Choose File
Maximum upload size: 10MB
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