Surname: First name: Title: Home base town:
Address Line 1:
Address Line 2:
Address Line 3:
Post Office: Postal Code:
Phone: (Landline)
Fax:
Cell:
Email:
Website:
Skype:
Personal SA ID No
Culture Guides:
Sites or Regions:
Nature Guides:
Area of competence:
Specialist Guide (proof of qualification required):
Tracking:
Level 1 Level 2 Level 3
Trails Guide - Dangerous Animals
Adventure and Other Guides Categories:
1st choice
2nd choice
3rd choice
4th choice
5th choice
6th choice
First aid Certificate expiry date:
Company’s name (if you are the owner):
Professional Driving Permit: Yes No (Please tick the applicable box)
Category for which you have a PDP: (insert code e.g. EB, EC1 etc)
Driver/Guide - Number of (Dept of Transport) Registered Vehicles licensed to carry:
Number of Vehicles:
Vehicle Make:
Number of Seats / Pax per vehicle:
(maximum SIX keywords to assist clients to select the appropriate guide)
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