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Examination Registration Form
Personal Details
       
Title
Please enter your title
Email Address
Please enter a valid email address
First Names
Please enter your name
Cellphone Number
Please enter your cell no. No spaces or brackets please
*as per identification document      
Surname
Please enter your surname
Company Address
Please enter your company address  
Home Phone Number
Please enter your home phone number. No spaces or brackets please.
 
Work Tel Number
Please enter your work phone. No spaces or brackets please
 
    Postal Code
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    Certificate Delivery Address
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Company Name
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Postal Address
Please enter your postal address
 
*Please select one of the following    
Identification Number
Please enter your ID/Passport Number. No spaces please.
 
Passport Number
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Postal Code
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    Certificate Delivery Address
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  • Please note that Certifications will only be sent to Postal Addresses. Kindly note that the SASTQB will not be held responsible for the loss of Certification. Should you require a new Certification an additional fee will be charged.
Practical Experience
  Period (Months) Activities / Roles (Tester/Analyst/Manager)
Testing
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Software Developer
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Other
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Qualifications
       
Do you have an IT related qualification?
Please select one option
 
       
Training Details
       
Exam Preperation Method
Please select your exam preperation method
Training Provider (*)
Please enter your Training Provider
 
Training Provider
Please select your training provider
 
Date Course Attended
Please select the date when the course was attended
 
       
Examination Details
Planned Examination Date
Click here for the Public Exam schedule
Please select a planned examination date
Exam Centre
Please select the exam centre
Exam Type
Please select the certification level
Write/Rewrite
Please select the exam type
For rewrite, date of previous exam
Please indicate the previous exam date
Name to be printed on certificate
Please enter the name to be printed
Native Language
Please select a language
Other Language
Please enter your native language
If English is not your native language you are entitled to apply for 25% extended time.
Please select yes or no
  You need to apply for the extension on a written application before the beginning of the exam. The Extra Time Application Form will be mailed for completion upon the receipt of your exam registration. The certification authority is entitled to validate your information. Any misinformation may result in exclusion from the exam, or in disqualification of the certification.
Disability Options



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Other 
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I
Please enter your name
ID / Passport Number
Please enter your ID/Passport Number. No spaces please.
declare that I have read the terms and conditions and will be held responsible for any cancelation fees.