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Please fill in the form below to register for a Course with the ATA International Advanced Training Academy

Applicant Information:

Please include date qualified and from which institution qualification was obtained.

Address:

Special Dietary Requirements:

Do You Have Special Dietary Requirements?(Required)

ALS Training Academy Course Information:

Select American Heart Association Course(Required)
*These courses require that you provide details of BLS for HCP certification
Would you also like to sign up for one of our International Trauma Life Support Programs?(Required)
N.B. You must select Yes or No below to complete this form

Please select a course date, as well as an alternative date:

Note: if you hover your mouse over the two date fields below, a down arrow will appear on each to bring up a calendar for easy date selection.
MM slash DD slash YYYY
MM slash DD slash YYYY
Do you have any challenges we need to know about?(Required)
(This information will be kept confidential, but is important to ensure a positive learning experience)
How did you hear about us?(Required)
Consent(Required)

Physical Address:
Sami G Office Square, E002, Ground Floor 80 Greenvale Road, Rietfontein 63-Ir, Germiston, 1401 Republic of South Africa

Contact Number:
+27-11-450-4263

Email Address:
[email protected]

Our Services

Associations

Advanced Life Support Training Centre associated with the International Trauma Life Support of Southern Africa
Advanced Life Support Training Centre associated with the Health Professions Council of South Africa

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