2024 Game Meat Examiner Course

Title:

MrMrsMs/Miss

Other (Please specify):

Surname:

Initials:

First Names:

Known As:

Date of Birth:

ID No.:

Postal Address
(please supply a PO Box, if possible)

Postal Code:

Is This Your Company Address:

—Please choose an option—YesNo

Email Address:

Work:

Fax:

Home:

Cell:

When did you pass Grade 12?

Where did you pass Grade 12?

Course you want to study?

Meat Examination BeefSheepPorkOther

Where do you prefer to study?

Preferred Language?

—Please choose an option—EnglishAfrikaans

Please attach a CERTIFIED copy of your ID

Declaration :

I declare that all the particulars given herein are true and correct

Surname:

Initials:

Date: