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106. Exam Centre No. : 899998853 Tel: (011) 492 0949, Fax: 086 573 2445, HWSETA Acc NO.: 2010-APPL07-LP007 email: Klerksdorp: Saambou Building, Second Floor, 30 Boom Street, Cnr OR Tambo Street, Tel: (018) 462 4436 Bloemfontein: Saambou Building, Cnr Maitland & Aliwal Street, 2nd Floor, 9300. Tel: (051) 430 5281 2013- MATRIC RE- WRITE REGISTRATION FORM Full Time A1. Part Time / Saturday Classes Distance Learning PERSONAL DETAILS 1 Mr. Title: (Tick appropriate box) 1 Ms 1 Mrs. 1Miss 1.

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