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FORM TO REGISTER AS AN ASSESSOR TYPE OF APPLICATION Initial Assessor Registration Extension of Assessor Registration Please tick where appropriate. TYPE OF APPLICANT Private/Independent/Consultant Assessor Training Provider Assessor Please tick where appropriate PERSONAL DETAILS Title Ms Mr Dr Prof Rev Other (Please specify) Surname First Name Middle Name(s) ID Number Date Of Birth (dd/mm/yyyy) Gender Male Female Equity Details African Nationality South African Other (Pleas.

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