APPLICATION FOR APPROVAL OF A CONTINUING PROFESSIONAL DEVELOPMENT (CPD) ACTIVITY Please complete the on-line application form and submit the following: All the training material, including PowerPoint presentations and handouts, which will be used for the training, must be sent in a Drop Box folder or by WeTransfer to email@example.com Courier a USB Flash drive of all the training material, including PowerPoint presentations and handouts, which will be used for the event. [This is the archive copy] Proof of payment CV of trainer/s (3 x fields) Company profile Certified copy of a valid company registration certificate or equivalent Valid SARS tax clearance certificate BEE status Proof of company address A copy of a blank evaluation form for obtaining feedback from participants for rating of the relevance, quality and effectiveness of the event. The above is to be submitted no less than six weeks prior to the commencement of the event date. BODY APPLYING FOR ACTIVITY APPROVAL IN TERMS OF ECSA CPD POLICY Name of Training Provider: Training Provider's Website: Responsible Person: Title: First Name: Surname: Designation: Postal Address: Postal Code: Province: Telephone number: Code: No: Cell No. : Code: No: Fax number: Code: No: E-mail address: Company Vat Registration Number: DETAILS OF ACTIVITY Course Name: (Name on Certificate) Name/s of Presenter/s: NB Presenter CVs must be emailed to firstname.lastname@example.org 1 2 3 Duration of Activity: (Hours) Hours Notional Hours: Course Category: Colloquium Conference Congress E-learning Large Group Workshop Lecture Refresher Course Seminar Workshop Pitched at NQF Level: (if applicable) Piched at Category of Registration: (if applicable) Engineering Discipline: (if applicable) Engineering Sub-Discipline: (if applicable) Nature of Activity: Engineering Project Management Technical Legal Office Finance Computer Skills Interpersonal Skills General Management Description / Overview of Course: Instances: Single Multiple Is the activity promoting a product? NoYes If the activity is a conference or site visit, please enter the date (or starting date): Where else have you submitted a request to have this activity validated? MOTIVATION FOR ACTIVITY TO BE APPROVED: WeTransfer / DropBox documentation download link: Evaluation forms for obtaining feedback from participants for rating of the relevance, quality and effectiveness of the activity, must be provided. I, on behalf of the Training Provider body as specified above, hereby certify that I am fully aware of the CESA policy on the selection and appointment of training providers and the statutory requirements of continuing professional development as described in the ECSA Policy Document and undertake to comply with the requirements of serving as an approved provider for this activity. I confirm that I have seen the prices and confirm that I want to go ahead with this application Please type the verification code, exactly as you see it above, into the box below.