Registration – Rise Learning Academy

MANAGEMENT COURSES LEADERSHIP COURSES SUPPORT COURSES IT COURSES and MUCH MORE

Surgo Learning Academy is a pool of knowledge accessible at your fingertips! Ignite your potential to kickstart your career and gain the skills you need to excel.

Learning Account Registration Information

Welcome to the registration form for Surgo Learning Academy, a premier online learning platform brought to you by Surgo Pty Ltd. We are delighted that you have chosen to embark on a journey of knowledge and growth with us.

By completing this registration form, you are joining a vibrant community of learners from around the world, united by a shared passion for knowledge. Get ready to unlock new horizons and seize exciting opportunities for personal and professional development.

Title *

Maiden Name *

Home Number

Fax Number

Username *

First Name *

Middle Name

Mobile Number *

Email Address *

User Password *

Confirm Password *

Surname *

Residential Information

Street Name & Number *

Postal Code *

City *

Area/Suburb *

Province *

Indentification Information & Educational Background

Identification Type *

ID Number *

Nationality *

Home Language *

Equity *

Date of Birth *

Gender *

Socio Economic Status *

Disability Status *

Special needs we can assist with (optional)

Highest Qualification Achieved *

Documents

Certified copy of ID or Passport *

Drop your file here or click here to upload You can upload up to 1 files

The file should be jpg/jpeg/pdf.

Certified copy of highest qualification after matric

Drop your file here or click here to upload You can upload up to 1 files

The file should be jpg/jpeg/pdf.

Certified copy of Matric Certificate *

Drop your file here or click here to upload You can upload up to 1 files

The file should be jpg/jpeg/pdf.

For learners with special needs, we will need a medical certificate.

Drop your file here or click here to upload You can upload up to 1 files

The file should be jpg/jpeg/pdf.

I accept and acknowledge the Terms and Conditions of this website *

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