FUEL STATION TRAINING ONLINE REGISTRATION Fuel Station Training Registration / Group Enrolment Form Company Name * VAT number Physical address of fuel station / site Province---Eastern CapeFree StateGautengKwaZulu-NatalLimpopoMpumalangaNorthern CapeNorth WestWestern Cape Contact person name and surname * Position / Designation * Contact Number * Email Address * Number of learners to be invoiced * Select training packageFuel Station Starter Compliance Package (R2950)Forecourt Staff Awareness and Service Package (R2750)Cashier and Convenience Store Staff Package (R3150)Food Counter and Convenience Store Hygiene Package (R4250)Fuel Station Supervisor Compliance Package (R5950)Emergency Preparedness Package (R3950)Environmental and Spill Compliance Package (R4500)Dealer / Site Manager Compliance Package (R9950) Select individual courses:SGEC336 - Forecourt Safety Awareness (R650)SGEC337 - Fuel Station Fire and Spill Response (R950)SGEC338 - Fuel Station Legal Compliance Awareness (R1 250)SGEC339 - Cashier Safety and Robbery Awareness (R650)SGEC330 - Retail Safety Essentials (R650)SGEC331 - SHE Representative for Retail (R950)SGEC332 - Incident Reporting for Retail (R450)SGEC333 - Basic Fire Safety for Retail (R450)SGEC334 - Manual Handling for Retail Workers (R450)SGEC335 - Safe Stacking and Storage for Retail (R650)SGEC340 - Merchandiser Safety (R450)SGEC341 - Housekeeping and Slips, Trips and Falls (R450)SGEC342 - Food Safety for Convenience Stores (R650)SGEC344 - R638 for Restaurants, Hotels and Retail Food Premises (R1 600)SGEC009 - First Aid Level 1 (R950)SGEC015 - Basic Fire Fighting (R750)SGEC016 - Spill Response and Prevention (R850)SGEC241 - Emergency Evacuation Procedures (R950)SGEC242 - Evacuation Marshal (R850)SGEC154 - Risk Assessment Awareness (R450)SGEC172 - Hazardous Chemical Substances Awareness (R450)SGEC165 - Contractor Safety Awareness (R450)SGEC167 - Environmental Awareness (R450)SGEC169 - Spill Prevention Awareness (R450) Learner Full Name and Surname * ID Number * Cellphone Number * Email Address * If registering multiple employees, please upload an Excel learner list with the following columns: Full name, surname, ID/passport number, job title, site/branch, cellphone number, email address, selected course/package and preferred language. Declarations and Terms *I confirm that the information submitted is accurate and that learner names and details must be captured exactly as they should appear on certificates.I understand that training access will only be activated once payment has been received and confirmed, unless otherwise agreed in writing by SAFCON Group.I understand that this is online, self-paced training and that learners must complete the required course content and assessments before certificates can be issued.I understand that some courses are awareness-level courses, while others are more detailed compliance or supervisor-level programmes.I consent to SAFCON Group processing the submitted company and learner information for training registration, learner administration, invoicing, communication, recordkeeping and certificate issuing purposes.I confirm that I am authorised to submit learner information on behalf of the company. SUBMIT REGISTRATION