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CPD Provider Accreditation Application
Become CPD Training Provider
Applicant Information
Name of Organization:
Contact Person:
Position/Title:
Email Address:
Phone Number:
Physical Address:
City:
Province:
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Eastern Cape
Free State
Gauteng
Kwazulu-Natal
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Northern Cape
North West
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Other
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Country:
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Algeria
Angola
Benin
Botswana
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Congo, Democratic Republic of the
Djibouti
Egypt
Equatorial Guinea
Eritrea
Eswatini
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Ivory Coast
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
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Sierra Leone
Somalia
South Africa
South Sudan
Sudan
Tanzania
Togo
Tunisia
Uganda
Zambia
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Postal Code:
Organizational Profile
Date Established:
Legal Status:
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Sole Proprietor
Partner
Pty Ltd
Ltd
CC
NPC
NPO
NGO
SOC
Co-op
Trust
LC
Other
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Registration Number:
Sector:
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Agriculture
Mining and Quarrying
Manufacturing
Construction
Wholesale and Retail Trade
Transportation and Storage
Information and Communication Technology (ICT)
Financial Services
Real Estate and Business Services
Tourism and Hospitality
Public Administration and Defense
Education
Health Care and Social Services
Utilities (Electricity, Water, and Gas)
Cultural, Recreational, and Other Services
Pharmaceuticals
Textiles and Apparel
Automotive Industry
Food Processing
Environmental Services (Waste Management and Recycling)
Chemicals and Petrochemicals
Construction Materials
Fisheries
Forestry
Financial Technology (FinTech)
Insurance
Telecommunications
Biotechnology
Aerospace and Defense
Cleaning Services (Janitorial and Commercial Cleaning)
Other
Please specify:
Website: (e.g. https://www.yourcompany.co.za)
Activity Submission Commitment
Are you willing to submit CPD activity/s for accreditation within six (6) months?
Select Yes or No
YES
NO
Declaration
Title:
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Mr
Ms
Mrs
Dr
Prof
Eng
Rev
Sir
Lady
Other
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Full Names:
Surname:
Date:
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073 444 1412