ECG Course Registration Which course would you like to complete?* Basic Intermediate Healthcare Practitioners (Includes the Basic and Intermediate course) A representative will contact you regarding available dates.Focus on Health member*If you are an FoH member you do not have to complete the personal detail section, just fill in your FoH membership number Yes No FoH Number Email address* Full Name* Surname* Profession* Statutory Council Number ID Number* Cell NoTerms & Conditions* Once we received a registration form the once off applicable fee will be due and payable. Please contact us if you did not receive your login detail to access the course content via email within 24-36 hours. All correspondence and receipt of payments sent to Focus on Health will be confirmed via SMS. As part of this registration we reserve the right to communicate with you via WhatsApp, SMS, telephone or email regarding course content and accounts queries. Protection of Personal Information Act, (Act 4 of 2013) I hereby give my consent freely and voluntary that Focus on Health (Pty) Ltd and its employees may collect, process and store my personal data, such as my name, surname, identity number, e-mail address, telephone address and assessment outcomes. I understand that my personal information as recorded and stored by Focus on Health (Pty) Ltd is protected under and in full accordance with the Protection of Personal Information Act, (4 of 2013). Any additional personal information that is supplied by myself will be subject to the same standard of confidentiality and protection. I understand that I have the right to withdraw, verify or change my information held by Focus on Health (Pty) Ltd and that I may request access to the information which was collected and processed by Focus on Health (Pty) Ltd. I further understand that I am free to withdraw this consent at any time, provided that I inform Focus on Health (Pty) Ltd of same in writing. If there is reason for me to believe that my personal information is not processed in the correct manner or that it is used for other purposes than what it was intended for, I may contact the information officer/deputy information officer of Focus on Health (Pty) Ltd. Your personal information will be processed according to our Privacy Statement. You are welcome to request a copy at any stage. I herby give consent in terms of the Protection of Personal Information Act and the terms and conditions as above. NameThis field is for validation purposes and should be left unchanged. Δ
