Thank you for Choosing EMTSS for your training.
Please select if you are registering as an INDIVIDUAL or on behalf of a COMPANY.
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When selecting your dates, please refer to our
calendar page
before selecting your dates to attend any course.
Course registration for
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Basic Fire Fighting
Basic First Aid
First Aid Class A
Toddler First Aid
Basic Life Support (BLS)
Working at Heights
Preferred date of attendance
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Please see our Calendar for Training Dates
Venue Details
Preferred Town
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Gobabis
Katima
Keetmanshoop
Luderitz
Mariental
Ondangwa
Otjiwarongo
Rundu
Swakopmund
Tsumbeb
Windhoek
Venue
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EMTSS Premises Onsite
Client provided venue (Minimum 6 (six) participants
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Personal / Company Details.
Please ensure that you complete all fields in this section!
Company Name
Training Co-ordinator
PO Box
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Contact Number
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Email
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1) Initials and Surname
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1) ID Number
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1) Gender
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Male
Female
2) Initials and Surname
2) ID Number
2) Gender
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Female
3) Initials and Surname
3) ID Number
3) Gender
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Female
4) Initials and Surname
4) ID Number
4) Gender
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Female
5) Initials and Surname
5) ID Number
5) Gender
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Female
6) Initials and Surname
6) ID Number
6) Gender
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Female
7) Initials and Surname
7) ID Number
7) Gender
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Female
8) Initials and Surname
8) ID Number
8) Gender
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9) Initials and Surname
9) ID Number
9) Gender
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10) Initials and Surname
10) ID Number
10) Gender
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Please complete the following:
We need to know if you have:
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Difficulty with English
Knee problems / injuries
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Where did you hear about EMTSS?
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Attended Previously
Company
Email for EMTSS
Referred by someone
Social Media
EMTSS Website
Word of mouth
Please read the following and then accept the Terms & Conditions below to submit this form.
Terms and Conditions:
All accounts must be settled 30 days from date of invoice.
2.5% Interest will be charged to all overdue accounts. (Account older than 60 days)
Should a client be unsatisfied with the services of EMTSS he/she must report it directly to training@emtss.com within 10 (ten) work days.
The employees of EMTSS may not receive any gifts from the client.
The client will be responsible to make sure that the participants attend the course.
NO Regional booking will be confirmed / processed without 100% pre-payment or company Purchase Order.
Cancellation policy:
30% - cancellations within 6 working days prior to course.
70% - for cancellations within 4 working days prior to course.
100% - for cancellations within 2 working days prior to course.
If EMTSS must cancel the course: 100% will be refunded.
Please Note:
Applicant may wear comfortable but appropriate clothes - there will be practical simulations with bending and kneeling on the floor throughout the training.
Applicant must take along his / her own stationery (Pen, pencil, notebook, etc).
Applicant must take along his / her ID Document
Should a person not be able to bend, or work on the floor (disabled / medical condition), inform them that we will contact them to discuss probable solutions and opportunities.
Herewith I acknowledge that I understand the program requirements for which I/ the Company have/has applied and that there will be a cancellation / withdrawal administrative fees involved. By submitting this application form I agree to all terms and conditions as detailed above.
I accept all terms and Conditions
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I Agree
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