MO-AFRICA Security 101 Training College

Student Registration

Academic Year 2026/2027 • Complete the form below to apply for your selected security training course(s).

Student Application

Registration Form

Fields marked * are required. Please provide accurate details and attach clear copies of your supporting documents. The college will review your submission.

1. Personal Details

Full Name & Surname *

Identity / Passport Number *

Date of Birth *

Gender *

Nationality *

Residential Address *

Mobile Number *

Alternative Number

Email Address *

2. Emergency Contact Information

Next of Kin Name *

Relationship *

Contact Number *

3. Course Selection *

Select one or more PSiRA / security training grades or courses.

Grade E Course (Introductory Security)Grade D Course (Access Control & Patrol)Grade C Course (Asset Protection & Supervision)Grade B Course (Shift Commander & Management)Grade A Course (Site Manager & Security Specialist)Armed Response / Firearm Training (Handgun / Shotgun / Rifle)Specialized / Refresher Training

Specialized / Refresher Training (specify, if selected)

4. Required Documentation

Attach clear copies of the following documents. Accepted: PDF, JPG or PNG, up to 3 MB per file. Do not upload originals. Your completed registration will be converted into a PDF and emailed together with your uploaded supporting documents to the configured registration address.

Certified copy of South African ID or valid passport / permit

Proof of residence (less than 3 months old)

Highest qualification / school report

PSiRA certificate / registration number (if already registered)

ID-size photograph 1

ID-size photograph 2

If you cannot upload a document now, contact the college about how to provide it securely. Missing documents may delay processing.

5. Student Declaration & Agreement

Accuracy of Information: I declare that all information provided in this registration form is true, complete, and correct.
Attendance & Conduct: I agree to abide by the rules, regulations, and code of conduct set forth by Mo-Africa Security 101 Training College.
Fee Structure: I understand that all registration and course fees must be settled according to the agreed payment schedule prior to the issuance of certificates or PSiRA submissions.

I agree to the student declaration and agreement above. *I consent to the college processing my registration details and sending my information and uploaded documents by email for registration administration. *

Student Signature (type your full name) *

Date *

Section 6 — Official Use Only: Student registration number, registration fee payment, amount paid, payment method, document verification and approval date are completed by the training centre after submission.

Please submit only once. This form does not collect payment. Email attachments contain sensitive personal information; the college should use a secured mailbox with restricted access and an appropriate retention policy.

Student Registration

Registration Form

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