Apply For A Course Apply For A Course Please fill in this form to apply fo a course at PCD College. Name Date of Birth ID number Phone Current Address City Province Postal Code Choose your Courses Basic Plumbing Course Basic Plumbing Course Basic Electrical Cource Basic Electrical Cource Solar Geyser Installation Course Solar Geyser Installation Course Advanced Plumbing Course Advanced Plumbing Course Advanced Electrical Course Advanced Electrical Course Pre Trade Preparation Plumbing Pre Trade Preparation Plumbing Pre Trade Preparation Electrical Pre Trade Preparation Electrical Trade Test(Plumbing Only) Trade Test(Plumbing Only) National Courses 3 Years National Courses 3 Years Have you mailed your Proof Of Payment to firstname.lastname@example.org? For International students Only Do you have a Valid VISA / Study Permit ? Do You Have Driver License? Employment Information (Of person responsible for payment) Current Employer Employer Address Period Of Employment: Employer Phone Employer Email Employer Fax Employer City Employer Province Employer Postal Code Employer Position Medical Aid Information Medical Aid Name Medical Aid Number Medical GP Name And Contact Medical- Do you have any Allergies And Needs? Emergency Contact Emergency Contact Name Emergency Contact Address Emergency Contact City Emergency Contact Province Emergency Contact Postal Code Emergency Contact Phone Emergency Contact Relationship Accomodation Information Accommodation- Do You Need Accommodation? If you do - Should we pick you up on arrival? Yes/No Where How Late? Allergic to anything?