Full Name

SA ID or Passport Number

Email Address

Phone Number (e.g., +27 82 123 4567)

Primary Accrediting Body (e.g., INSETA, QCTO, PECB, Services SETA)

Assessor Registration Number

Accreditation Scope (List relevant Qualifications, Unit Standards, or ISO Standards)

Assessor Registration Expiry Date

Assessor Certificate (Proof of Registration) File InputChoose FilesNo Files ChosenAccepted file types: pdf. Max. file size: 1 MB

ID or Passport Copy File InputChoose FilesNo Files ChosenAccepted file types: pdf. Max. file size: 1 MB

Curriculum Vitae (CV) File InputChoose FilesNo Files ChosenAccepted file types: pdf. Max. file size: 1 MB

Please provide 3 contactable references

Declaration and Agreement Declaration and Agreement I confirm that all information provided is true and accurate to the best of my knowledge, and I agree to abide by the ethical codes and assessment policies of the Academy and the relevant Accrediting Body. Providing false information may result in immediate disqualification.