Cybersecurity Registration Form

In conjunction with

15 and 16 October 2025

Kindly download the following documents and complete them before registering, as you will be required to upload them.

Please note that every participant needs to complete a form

Company Details

Company Name

Contact Person

Contact Email

Contact Number

Training Course Details

Name(s) of course(s) required

Attendee Information

Last Name

First Name

Date of Birth

ID Number

Race

Gender

Do you have a disability?

Are you a South African citizen?

If no, what is your nationality?

What is your current role in your organisation? (if applicable)

How long have you been working in this role? (if applicable)

City/Town

Province

Preferred language for correspondence?

Mobile number (office hours)

Email Address (office hours)

Name of high school

Name of high school qualification (e.g. matric)

Year of high school qualification

Name of highest tertiary education university or college (if applicable)

Name of tertiary qualification (e.g. B-Tech) (if applicable)

Year of tertiary qualification (if applicable)

Required Uploads

Upload Certified Copy of ID

Upload INSETA Completed Worker Programme Agreement

Upload Completed Fund Letter of Confirmation

Upload Proof of Employment (if applicable)