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LSSA LEAD Train-the-Trainer | Civil Mediation Workshop | July 2025 | Application Form

Instructions
Ensure that you complete all mandatory fields * and capture the “CAPTCHA” code (at the bottom of the form) before clicking on the "Submit" button. IMPORTANT: Once you have submitted your online registration, you will receive a system generated e-mail, confirming receipt of the document.
Webinar Date*
- 11 - 12 July 2025 ( Cape Town)
- 25 - 26 July 2025 (Johannesburg)
Number of years' experience as practising legal practitioner*
Number of partners at your firm*
Your details*
Initials Full names Surname
Identity (13 digits no spaces) / passport number:*
Gender*
- Male
- Female
Race (required only for statistical purposes)*
- African
- Asian
- Coloured
- White
Law firm or company name
Your position
Work number*
Cell (10 digits - no spaces)*
Email address (for login/username purpose - on LEAD Platform)*
Postal address*
Courier address/Street address*
City / town*
Province*
- Eastern Cape
- Free State
- Gauteng
- KwaZulu-Natal
- Limpopo
- Mpumalanga
- Northern Cape
- North West
- Western Cape
Special Dietary Requirements
- Halal
- Kosher
- Vegetarian
if disabled,
- Yes
- No
If, yes, how can we assist
Motivation why you should be considered for this workshop*
You can attached information/CV of your background and why you are interested in commercial law
Copy of ID Document (Certificate purpose)*
Max. file size: 64 MB.
Additional: CV/ Information on background (Word/PDF)*
Max. file size: 64 MB.
Additional: Qualification/Degree (PDF/WORD)*
Max. file size: 64 MB.
Where did you hear about the event?
- Email
- SMS
- Social Media
- Website
- Word of mouth
- Employer
CAPTCHA

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Corner Jan Shoba
Brooklyn
Pretoria
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info@lssalead.org.za
+27 (0)12 441 4600

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The Law Society of South Africa promotes a strong, ethical, and accessible legal profession by advocating for its members,
advancing professional development, upholding the rule of law, and championing access to justice.