Register for YOMA

1. Course Registration Form

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Email*

Name*

First Last

ID Number or Passport Number

Date of Birth*

Gender*

Male

Female

Other

Affiliated institution

Occupation

Town/Province

Contact number*

Main language*

Are you completing this course as part of a group or as an individual?*

If you are completing this course as part of a group, with which group are you affiliated?

Consent*

I declare that to the best of my knowledge the above information provided in this application is true and correct in every respect. Additionally, I authorise the ELRC, Rhodes University to use information about my programme participation for research purposes.

Username

Password*

Enter Password Confirm Password

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Contact us

Email: w.vanstaden@ru.ac.za