DPWI-ACPM Events Registration

ACPM

Thank you for wanting to be part of our upcoming CIC Event

To confirm your attendance, please complete the form below:

Event Registering For? *

Are You Attending in Person or Virtually? *

Virtual Attendance
In-Person Attendance

PLEASE NOTE THAT THIS IS A HYBRID EVENT – YOU HAVE A CHOICE FOR VIRTUAL ATTENDANCE VIA ZOOM OR IN PERSON AT THE VENUE.

Your Name *

First

Last

Mobile Number *

Email *

What is your relationship with DPWI? *

Employee
DPWI Busary Holder – Student

Are you an Employee or Student?

Persal Number *

Provide Your Persal Number

Indicate DPWI office of Employment

National, Provincial or Regional

Province Details

Landline Details *

Indicate Your Branch/Directorate/Office *

If Other, specify here…

Are You Registered With ACPM? *

Yes
No

ACPM Registration Number *

Are you registered with any Institute, Association or Council

Yes
No

Please provide details of the Institute, Association or Council you are registered with. *

First

Last

If you are registered with more than one organisation, please provide additional details below.

Additional Organisations Details

First

Last

Additional Organisations Details

First

Last

Additional Organisations Details

First

Last

Name of institution *

Provide Name of Institution Where You Are Studying

Name of qualification *

Provide Details of Qualificatiom You Are Studying For

Student Number *

Year of study *

Province Details *

Please share industry related information with me. I prefer to receive my communication via…

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Your selection confirms that you have voluntarily given ACPM consent to send you industry related information as well as activity updates, and ACPM commits to upholding an anti-spam behavior at all times.

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