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REGISTRATION FORM

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Your Details
Select Title
Name
Surname
Email
Mobile Number

Select Gender

Type of Identification

Date Of Birth (yyyy-MM-dd)
Select Industry Category
Select Race Group
Select Age Group
Job Title
Select Country

Require Visa Invitation Letter



Selection Details

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Select Type Of Events*


Fee (excl. VAT) - R0



Other Fees



Accomodation Details



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Arrival date (yyyy-MM-dd)
Departure date (yyyy-MM-dd)
Accommodation:
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Select Available Accommodation




Dietary Requirements
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Total (excl. VAT) - R0.00

VAT (15%) - R0.00

Total Cost (incl. VAT) - R0.00


INVOICING

Payment is due 14 days after registration (After this, outstanding registrations will be deleted).

Bank Details

Bank: First National Bank

Account Name: Insurance Institute of South Africa

Account Number: 62113428793

Branch Code: 255805

Payment Reference: Registration Reference

Swift Code: FIRNZAJJ

Address Invoice to

Select Country
Street Address/Post Box
Suburb
City
Postal Code
Contact Name
VAT Number
Email Invoice To
Purchase Order Number


Total (excl. VAT) - R0.00

VAT (15%) - R0.00

Total Cost (incl. VAT) - R0.00


General Data Protection Regulation

General Data Protection Regulation & POPIA.
All information is stored on our server and is handled as per our Policy Statement. We do not store credit card details or do any financial transactions on our server.

Have you read and understood the GDPR, POPIA & Refund Policy?













For assistance or more information, please contact: +27 11 341 9480 or email
aie2026@iisa.co.za


GDPR & POPIA policy statement



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