Our contact details:
Telephone Number: 023 348 7616/ 023 348 7630

E-mail:
applications@training-kaleidoscopesa.org

Fax:
023 348 7633

Postal address:
20 Adderley Street, Worcester 6850

Contact person(s):
Applications:
Corné du Bois (023 348 7616)

Enquiries:
Philip Crouse (023 348 7630)

PLEASE NOTE: All fields must be completed and all additional information and documents
must be submitted using the above contact details before your application can be
processed. Your place in the course(s) will only be booked after full payment has been received.

Kaleidoscope Technological Centre online application form

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Section B: Parent/guardian if student is a minor (under 18)
Section C: Enrolment

Please indicate the module(s) you are enrolling for with a check mark in the box next to the course number and name below.

Cost per module: R1500.00 before commencement of training.
If no, please state the full details of the company/person responsible for tuition:
Section D: Skills and abilities
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Section E: Payment details

Please note: payment is due in full before commencement of training.
You may make payments directly into our bank account. Should you not be able to pay the
amount in full in advance, contact us to make alternative payment arrangements.

Bank: Absa, Worcester

Branch Code: 632 005

Account Name: Instituut vir Blindes / Institute for the Blind

Account Number: 0440 159 087

Send proof of payment to:
Fax:+27 (0) 23 347 3665
Attention: Belinda Coetzee
Email: belinda@blind-institute.org.za
Reference: Student’s Name