2026 Enrolment Form Gqeberha

First Name/s*

Last Name*

ID Number*

Passport Number

Date of Birth*

Residential Address*

Province*

Email Address*

Contact Number 1*

Contact Number 2

WhatsApp Number (If different)

What Course are you Applying for?*

Next Of Kin*
GuardianSpouseParentPartner

Next of Kin First Name*

Next of Kin Last Name*

Next of Kin Contact Number 1*

Next of Kin Contact Number 2

Next of Kin Email Address*

Do you have your own Laptop/Computer?*
YesNo

If no; Whose Laptop/Computer will you be using?

Laptop/Computer Owner Name

Relationship to Computer Owner

Computer Owner Contact Number

Is the computer owner aware of the bursary program and do you have their consent?*
YesNo

Do you have access to a stable Wi-Fi / Data / Fiber connection?*
YesNo

Are you Currently Employed?*
YesNo

Employer

Have you Matriculated?*
YesNo

If no; Highest grade Passed

Year Matriculated

High School Name*

Are you Currently Studying?*
YesNo

Institution Name

Are you:*
SingleMarriedDivorcedWidowedPartnered

Do you have children?*
YesNo

How many children?

Age of Child(ren)

Do you have 6 to 8 hours per week to dedicate to this program?*
YesNo

How did you learn about this Opportunity?*
TikTokEmailWord of MouthLinkedInInstagramFacebook

What Religion Do You Subscribe to?*
MuslimChristianTraditionalJudaismNoneOther

I attest that I have access to a laptop/computer and wifi/fibre/internet/data.*
Yes

I consent to IT Varsity contacting me via voice calls and/or electronic communication for the purposes and fulfilment of this Course.*
I Agree

IT varsity

2026 Enrolment Form

Next of Kin Details

Computer/ Internet Access

Employment/ Education

Family Details

Final Details...