2011-11-23 - (PSIRA 45A) Instructor Accreditation Application (UPGRADE)

PRIVATE SECURITY INDUSTRY
REGULATORY AUTHORITY
PRIVATE BAG X817
PRETORIA
0001
Private Security Industry Regulatory
Authority (PSIRA)
Tel. No. : (012) 003 0500 / 1
Fax No. : 086-558 3030
INSTRUCTOR ACCREDITATION (UPGRADE)
APPLICATION FORM
(PSIRA 45 A)
Kindly submit the following documentation together with this form to the training
department :
Application letter from the applicant
Application letter from the security service provider
Signed testimonial letter from the accredited instructor
Complete Curriculum Vitae
Copy of the training provider instructor certificate
Copy of the PSIRA registration certificate
Certified copy of the ID Document
Application fee
Name and
Surname
CONFIDENTIAL
APPLICATION FOR INSTRUCTOR ACCREDITATION (UPGRADE)
PSIRA NUMBER
ID Number
Telephone number ( ) Cell Number
Fax number ( )
Signature of
Applicant
E-Mail
Address
Application
Date
/ /
Please ensure that the instructor course report was received, approved and
processed before you apply for accreditation as an accredited instructor. The
Authority will reject incomplete applications and therefore you should ensure that all
the required documents reach our office. Please note that the application fee is nonrefundable.
If you have any further enquiries, please contact the training department at :
(012) 003 0500 / 1.
TRAINING DEPARTMENT