CTPA Institute — Course Application

Personal Information

First Name *

Last Name *

Date of Birth *

Country *

City / Town *

Mobile Number *

WhatsApp Number

Email Address *

Residential Address *

Program & Education

Program of Interest *

Occupational Health and Safety

Programme selected from the course listing.

Highest Education Level *

Qualifications

Work / Relevant Experience

Employment Status *

Employed

Self-Employed

Not Employed

Student

NDES 2026 — Student Details

Gender *

Year of Study *

University / Institution *

Course / Programme of Study *

Digital Skills Questionnaire

Declaration & Agreement

I confirm that all the information I have provided in this application is accurate, truthful and complete to the best of my knowledge.

I agree to provide accurate information and understand that providing false or misleading information may result in the cancellation of my enrollment.

I certify and authorize the CTPA Institute team to verify the information provided and use it for enrollment and communication purposes.

Program Application Form