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Rename

<html><body><img align=left src=https://www.cesa.co.za/images/cesa.gif>
			<h1 align=center>REGISTRATION FORM 
			 
			 Getting Acquainted with Sewer Design</h1>
	<table border=1 cellspacing=0 cellpadding=2 width=100%>
	<tr>
		 <td valign=top> Dates &amp; Times</td>
		 <td valign=top> Venue</td>
		</tr>
		<tr>
		 <td nowrap> &middot;Thu 24 July 2025 08:30 to 16:30 &middot;Fri 25 July 2025 08:30 to 16:30 </td>
		 <td>Online </td>
		</tr>
	</table>
	<table width=100% border=1 cellpadding=2 cellspacing=0 bgcolor=#EFEFEF style=clear:both>
		<tr>
		 <td valign=top> Organisation:
			</td>
		<td valign=top bgcolor=#FFFFFF>Samtak Consulting Services</td>
		 <td valign=top> Purchase order number:</td>
			<td valign=top bgcolor=#FFFFFF></td>
		</tr>
		<tr>
		 <td valign=top> CESA account number:</td>
			<td valign=top bgcolor=#FFFFFF></td>
		 <td valign=top> VAT number:</td>
			<td valign=top bgcolor=#FFFFFF>4170281036</td>
		</tr>
		<tr>
		 <td valign=top> Postal Address:</td>
		<td colspan=3 valign=top bgcolor=#FFFFFF>PO BOX 1310 </td></tr>
		<tr>
		 <td valign=top> 
			</td>
		 <td colspan=3 valign=top bgcolor=#FFFFFF>FAUNA PARK</td></tr>
		<tr>
		 <td valign=top> City:
			</td>
		 <td valign=top bgcolor=#FFFFFF>Polokwane</td><td valign=top> Postal code:
			</td>
		<td valign=top bgcolor=#FFFFFF>0787</td></tr>
		<tr>
		 <td valign=top> 
			</td>
		 <td colspan=3 valign=top bgcolor=#FFFFFF>Limpopo</td></tr>
		<tr>
		 <td valign=top> 
			</td>
		 <td colspan=3 valign=top bgcolor=#FFFFFF>South Africa</td></tr>
		<tr>
		 <td valign=top> Booked By:</td>
		 <td valign=top bgcolor=#FFFFFF>Tendani Ramutsindela</td>
		 <td valign=top> Tel:</td>
		 <td valign=top bgcolor=#FFFFFF>0723829958</td>
		</tr>
		<tr>
		 <td valign=top> Email:</td>
		 <td valign=top bgcolor=#FFFFFF colspan=3>tendanir@samtak.co.za</td>
		</tr>
 <tr>
 <td valign=top> HR Manager:</td>
 <td valign=top bgcolor=#FFFFFF colspan=3>Rachel Ramutsindela</td>
 </tr>
 <tr>
 <td valign=top> Cell No:</td>
 <td valign=top bgcolor=#FFFFFF colspan=3>0728299023</td>
 </tr>
 <tr>
 <td valign=top> Email:</td>
 <td valign=top bgcolor=#FFFFFF colspan=3>hr@samtak.co.za</td>
 </tr><tr><td colspan=2>Responsible for payment:</td>
		<td colspan=2>tendanir@samtak.co.za</td></tr>
 <tr><td colspan=2>Responsible for payment - Name:</td>
		<td colspan=2>Tendani Ramutsindela</td></tr>
 <tr><td colspan=2>Responsible for payment - Cell No:</td>
		<td colspan=2>0723829958</td></tr>
 <tr><td colspan=2>Responsible for payment - Designation:</td>
		<td colspan=2>Director</td></tr><tr><td colspan=2>Where did you hear about us?</td>
		<td colspan=2>Promotional email received</td></tr>
	 </table> <table width=100% border=1 cellpadding=2 cellspacing=0 bgcolor=#EFEFEF style=clear:both>
					<tr>
					 <td valign=top> Attendee 1</td>
					 <td valign=top bgcolor=#FFFFFF>&nbsp;</td>
					 <td valign=top bgcolor=#FFFFFF>&nbsp;</td>
					 <td valign=top bgcolor=#FFFFFF>&nbsp;</td>
					</tr>
					<tr>
					 <td valign=top> Title:</td>
					 <td valign=top bgcolor=#FFFFFF>Mr</td>
					 <td valign=top> Designation:</td>
					 <td valign=top bgcolor=#FFFFFF></td>
					</tr>
					<tr>
					 <td valign=top> First Name:</td>
						<td valign=top bgcolor=#FFFFFF>Ontiretse</td>
					 <td valign=top> Surname:</td>
						<td valign=top bgcolor=#FFFFFF>Kgabi</td>
					</tr>
					<tr>
					 <td valign=top> ID Number:</td>
						<td valign=top bgcolor=#FFFFFF>9108075610081</td>
						 <td>&nbsp;</td> <td>&nbsp;</td>
					</tr>
					<tr>
					 <td valign=top> ECSA registration number:</td>
						<td valign=top bgcolor=#FFFFFF></td>
						<td>&nbsp;</td><td>&nbsp;</td>
					</tr>
					<tr>
					 <td valign=top> SAICE member number:</td>
						<td valign=top bgcolor=#FFFFFF></td>
						<td>&nbsp;</td><td>&nbsp;</td>
					</tr>
					<tr>
					 <td valign=top> Professional Association:</td>
						<td valign=top bgcolor=#FFFFFF>CESA</td>
						<td>&nbsp;</td><td>&nbsp;</td>
					</tr>
					<tr>
					 <td valign=top> Telephone:
						</td>
					 <td valign=top bgcolor=#FFFFFF>0150041555</td><td valign=top> Mobile: </td>
					<td valign=top bgcolor=#FFFFFF>0828252041</td></tr>
					<tr>
					 <td valign=top> E-mail:
						</td>
					<td valign=top bgcolor=#FFFFFF colspan=3>ontiretsek@samta.co.za</td></tr>
					<tr>
					 <td valign=top> Dietary restrictions / allergies:
						</td>
					<td colspan=3 valign=top bgcolor=#FFFFFF></td></tr><tr>
					 <td valign=top> Cost package chosen:
						</td>
					<td colspan=3 valign=top bgcolor=#FFFFFF>No packages applicable to this course</td></tr><tr>
					 <td valign=top> Parking:
						</td>
					<td colspan=3 valign=top bgcolor=#FFFFFF></td></tr>
					<tr>
					 <td valign=top> Years of Experience:
						</td>
					<td colspan=3 valign=top bgcolor=#FFFFFF></td></tr>

</table>