New Participant Registration

Dealership Name:
Tel:
Email:
Date Employed
Were you previously employed by Ford? Yes No
If yes, name of dealership:
   
Title:
First Name:
Surname:
Gender
Race
ID Number:
Date of Birth:
Cell:
WSLX ID:
   
Please select designation      
Other (please specify)    
   
Who do you report to: Name:
Academy No:
Please enter the value of 11 + 5 =
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The Protection of Personal Information Act 4 of 2013 (POPIA) requires us to get your consent to process your personal information. By ticking this box, you agree that we can process your personal information as defined by POPIA. You also consent to the Ford Academy (managed by MSX International) using and sharing your information with Ford Motor Company and any systems managed by Ford for the purpose of understanding, managing, and supporting on any training related needs. The Ford Academy will not share your information with anyone else without your consent. For more details, see our privacy policy at https://www.fordacademy.co.za/popiapage.htms

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