Workplace Performance Technologies (Pty) Ltd

Reg. No. 98 01552/07

Vat Reg. No. 4450172582

PO Box 925 Lanseria

Gauteng South Africa 1748

322 Kent Avenue, Kent Place,

3^rd Floor West Wing, Randburg

REGISTRATION FORM 2008

Tel: [011] 781 4228

Fax: [011] 507 6173

Email: info@workinfo.com

URL http://www.workinfo.com

URL http://www.caselaw.co.za

BOOKING CONFIRMATION OF:

Course

Date

City

Email: michelle@workinfo.com

Fax: 011 – 781-4228

Tel: 011 – 781-4228/083 232 2004

(PLEASE USE BLOCK PRINT)

Company: ____________________________________________________________________________________

(A tax invoice will be issued in the name recorded in the space immediately above)

Co. Reg. No: _________________________________________________________________________________

Vat Reg. No: _________________________________________________________________________________

Physical Address: _____________________________________________________________________________

Postal Address: Code: ___________________________

Tel: Fax: ____________________________

E-mail: ______ Cell number: _____________________________

Signature: ___________________________________________________________________________________

NB: I hereby acknowledge that I have read and that I understand all the terms and conditions of my registration.

Payment method:

Electronic transfer/direct deposit must be validated by faxed copy of transaction slip.

Nedbank, Musgrave:

Account number: 1301 196 088 Branch code: 1301 26 10 Acc. Type: Cheque

Company order number: ________________________ (Please fax official order form: 011 – 781-4228)

Cheque payment – Cheque number: ___________________________________________________

(Made out to Workplace Performance Technologies (Pty) Ltd)

Attendees:

NAME & SURNAME

DESIGNATION

ID NUMBER

Please include any special dietary requirements: ___________________________________________________

To make sure your payment is done timeously please provide the following information:

Main Finance contact person: ______________________________________________________________

Contact number: ______________________________ Email: ____________________________________

Course Details – In-house Workshops

The following courses can be conducted on an in-house basis. Course fees are negotiated directly. Please contact us for more information or request a quotation.

o Developing an HR Strategic Plan o Workforce and Succession Planning Workshop o Workplace Communications Workshop o Industrial Relations Workshop o Employment Equity Committee Training o Managing for Diversity Workshop o Workplace Violence and Prevention o Talent Management

o Coaching and Mentoring Skills o HR Basics for Line Managers o Communications for Communications and Public Relations Practitioners o Interpersonal Skills for Supervisors - Transactional Analysis o Wage Negotiation Management Support Workshop o Recruitment and Selection o Guidelines for Internal Statutory Committees

In-house Course Request

Name of Course: ________________________________________

Recommended Dates: ________________________________________

Number of delegates: ________________________________________

Venue: ________________________________________

I acknowledge that I have read and understood all the Terms and Conditions of our registration (see terms and conditions below):

Date: ________________________________________

Signature: ________________________________________

Position: ________________________________________

Thank you for choosing Workinfo.com. We look forward to your attendance at the workshop. Please feel free to bring your laptop with you. Please fax or email your completed registration form to:

Contact: Michelle du Toit

Email: michelle@workinfo.com

Tel: +27 (0)11 781 4228(Office)

Fax: +27 (0)11 781 4228

Cell: +27 (0)83 232 2004

Terms and Conditions

Cancellations / Postponements

ALL BOOKINGS ARE CONFIRMED TELEPHONICALLY AND DELEGATES WILL BE ISSUED WITH A VAT INVOICE CONFIRMING THEIR RESERVATION.

Circumstances beyond the organiser’s control could necessitate the replacement of a trainer, cancellation or postponement of an event.

Should an event be cancelled / postponed by Workinfo.com, Workinfo.com will issue a 100% credit for the value paid, to be used towards any future Workinfo.com events, up to one year of date of issue. No refunds will be made. Changes to the programme (e.g. content/topics, facilitators, and venue) are at the discretion of the event organisers. We are not responsible for any loss or damage incurred, as a result of such changes or cancellation / postponement of an event. All rights reserved.

1. Bookings will only be confirmed once we receive full payment.

2. Your provisional booking will only be held for 2 weeks until we receive payment.

3. Upon receipt of your booking a vat invoice will be issued.

4. Delegates will be only allowed access if we receive full proof of payment prior to the event.

5. In the event of unforeseen circumstances the organisers reserve the right to change the venue/and/or dates.

6. Certificates require SUCCESSFUL completion / full attendance of the course

WHAT IF I HAVE TO CANCEL OR CHANGE DATES

1. If you cancel two (2) weeks or more prior to the event a 10% cancellation fee will be levied. Thereafter the full fee is payable.

2. If you cancel less than two (2) weeks prior to an event you may:

A. Transfer only once to a future workshop date (a 5 % transfer fee will apply);

B. Nominate a substitute for workshops.

C. Pay 100 % penalty

Additional Delegate Listing

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