Popi Act

POPI ACT declaration Dear Student/Potential Student, upon completion of this form, you agree to the following: The Protection of Personal Information Act 4 of 2013 (”POPI) We, at Elada Institute apply due care as we collect, store and process your personal information. We assure you that we take the security of your personal information seriously and are committed to protect your personal information from any misuse, interference, loss, unauthorized access, modification and/or disclosure. Your personal information will be processed based on our contractual terms and/or with the necessary consent you provided through any voluntary, specific and informed agreement with us

Date of Enrollment*

Name & Surname of Student*

Initials*

ID Number/Passport Number*

Date Of Birth*

Gender*

Tittle*

Disability*

Health Functioning Rating ID*

Equity*

Home Language*

Contact Number*

Socio Economic Status*

Country

Citizen Residential Status*

State/province*

City*

Street Address1

Street Address2

Municipality*

Postcode / Zip*

Separator2

Splitter

Training Information

Highest Education

Course Enrolling For*

If Other Please specify the course you are interested in

Training Method

Where Did You Hear About Us

Separator

Splitter2

Document Uploads

Previous Qualification

Certified Copy of ID

Apply

Popi Act

Training Information

Document Uploads