2
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
Surname
Please enter your surname
Work Tel Number
Please enter your work phone. No spaces or brackets please
 
*as per identification document   Home Phone Number
Please enter your home phone number. No spaces or brackets please.
*Please select one of the following    
Identification Number
Please enter your ID/Passport Number. No spaces please.
 
Passport Number
Invalid Input
  • Certificates will be sent as a high-quality JPG. file format via email to successful candidates. A hard copy of the certificate can be requested at an additional cost.
Practical Experience
  Period (Months) Activities / Roles (Tester/Analyst/Manager)
Testing
Please enter a numeric value
Invalid Input
Software Developer
Please enter a numeric value
Invalid Input
Other
Please enter a numeric value
Invalid Input
       
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
Disability Options



Invalid Input
Other 
Invalid Input
       
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.