NEW ACCOUNT APPLICATION

Before ordering any of our products, an account application has to be submitted first. You can proceed to submit an order request once you have filled in a new account application.

Required fields are indicated by *

Are you a:

Company Individual

Individual details

Title*

Name*

Surname*

ID/Passport number*

HPCSA number

Mobile number*

If you can read and understand this label, filling in this field will render you not human.

Email address*

Work phone number*

Contact person for queries

Same as above?

Title*

Name*

Surname*

Work phone number*

Email address*

Who is responsible for the account?

Same as above?

Title*

Name*

Surname*

Mobile number*

Work phone number*

Email address*

Physical address

(Company/Private practice/Institution)

Complex/Residential/Office Park/Building*

Address*

Suburb*

Country*

City*

Postal code*

Postal address

Same as physical address?

PO BOX/PRIVATE BAG/POSTNET SUITE*

Number*

Suburb*

Country*

City*

Postal code*

Please select the products you would like to order*

Hardcopy assessment materials Online assessment reports Both

Preferred delivery option*

Recipient*

Select only one option

Collect at JvR

View map

Courier (overnight services)

Overnight order must be placed before 14:00.
Excludes courier fees.

Courier (same day service - JHB only)

Same day orders must be placed before 09:30.
Excludes courier fees.

Physical address

Same as physical address?

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING *

Address *

Suburb *

Country *

City *

Postal code *

Physical address

Same as physical address?

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING *

Address *

Suburb *

Country *

City *

Postal code *

Product selection

Product code	Product*	Quantity*

Product information

Project name (if applicable)

Date reports required by you*

Assessment type*	Assessment name*	Report type*	Norm type (if applicable)	Upload attachment
				+ Choose a file ⨯

Participant information

Name*	Surname*	ID no/User ID Some assessments require a User ID	Age*	Gender*

Group/team report name(max. 16 characters)

Purchase order number

Send reports to the following email addresses:

Email address*

Preferred delivery option*

Recipient*

Select only one option

Collect at JvR

View map

Courier (overnight services)

Overnight order must be placed before 14:00.
Excludes courier fees.

Courier (same day service - JHB only)

Same day orders must be placed before 09:30.
Excludes courier fees.

Physical address

Same as above?

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING *

Address *

Suburb *

Country *

City *

Postal code *

Physical address

Same as above?

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING *

Address *

Suburb *

Country *

City *

Postal code *

Product selection

PRODUCT CODE	PRODUCT*	QUANTITY*

ONLINE ASSESSMENT REPORTS

Product information

Project name (if applicable)

Date reports required by you*

Assessment type*	Assessment name*	Report type*	Norm type (if applicable)	Upload attachment
				+ Choose a file ⨯

Participant information

Name*	Surname*	ID no/User ID Some assessments require a User ID	Age*	Gender*

Group/team report name(max. 16 characters)

Purchase order number

Send reports to the following email addresses:

Reports will only be sent to email address(es) approved by the accredited user.

Email address*

Is your company required to provide JvR Psychometrics with a purchase order?*

Yes

Have you or the company ever been declared insolvent?*

Yes

I have read and accepted the terms and conditions and that the information provided above is correct.*

Yes

Submit application & place order Submit application & request a quote

Company details

Company name*

Company registration number*

VAT number

Individual details

Title*

Name*

Surname*

ID/Passport number*

HPCSA number

Mobile number*

If you can read and understand this label, filling in this field will render you not human.

Email address*

Work phone number*

Contact person for queries

Same as above?

Title*

Name*

Surname*

Work phone number*

Email address*

Who is responsible for the account?

Same as above?

Title*

Name*

Surname*

Email address*

Mobile number*

Work phone number*

Physical address

(Company/Private practice/Institution)

Complex/Residential/Office Park/Building*

Address*

Suburb*

Country*

City*

Postal code*

Postal address

Same as physical address?

Po Box/Private Bag/Postnet Suite*

Number*

Suburb*

Country*

City*

Postal code*

Please select the products you would like to order*

Hardcopy assessment materials Online assessment reports Both

Preferred delivery option*

Recipient*

Select only one option

Collect at JvR

View map

Courier (overnight services)

Overnight order must be placed before 14:00.
Excludes courier fees.

Courier (same day service - JHB only)

Same day orders must be placed before 09:30.
Excludes courier fees.

Physical address

Same as above?

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING *

Address *

Suburb *

Country *

City *

Postal code *

Physical address

Same as above?

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING *

Address *

Suburb *

Country *

City *

Postal code *

Product selection

Product code	Product*	Quantity*

Product information

Project name (if applicable)

Date reports required by you*

Assessment type*	Assessment name*	Report type*	Norm type (if applicable)	Upload attachment
				+ Choose a file ⨯

Participant information

Name*	Surname*	ID no/User ID Some assessments require a User ID	Age*	Gender*

Group/team report name(max. 16 characters)

Purchase order number

Send reports to the following email addresses:

Email address*

Preferred delivery option*

Recipient*

Select only one option

Collect at JvR

View map

Courier (overnight services)

Overnight order must be placed before 14:00.
Excludes courier fees.

Courier (same day service - JHB only)

Same day orders must be placed before 09:30.
Excludes courier fees.

Physical address

Same as above?

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING *

Address *

Suburb *

Country *

City *

Postal code *

Physical address

Same as above?

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING *

Address *

Suburb *

Country *

City *

Postal code *

Product selection

Product code	Product*	Quantity*

Product information

Project name (if applicable)

Date reports required by you*

Assessment type*	Assessment name*	Report type*	Norm type (if applicable)	Upload attachment
				+ Choose a file ⨯

Participant information

Name*	Surname*	ID no/User ID Some assessments require a User ID	Age*	Gender*

Group/team report name(max. 16 characters)

Purchase order number

Send reports to the following email addresses:

Email address*

Is your company required to provide JvR Psychometrics with a purchase order?*

Yes

Have you or the company ever been declared insolvent?*

Yes

I have read and accepted the terms and conditions and that the information provided above is correct.*

Yes

Submit application & place order Submit application & request a quote

Required fields are indicated by *

Please select the products you would like to order*

Hardcopy assessment materials Online assessment reports Both

HARDCOPY ASSESSMENT MATERIALS

Are you a:

Company Individual

Company details

Company name*

COMPANY REGISTRATION NUMBER*

VAT NUMBER

Individual details

Title*

Name*

Surname*

ID/Passport number*

HPCSA number

Mobile number*

If you can read and understand this label, filling in this field will render you not human.

Email address*

Work phone number*

Contact person for queries

Same as above?

Title*

Name*

Surname*

Work phone number*

Email address*

Preferred delivery option*

Recipient*

Select only one option

Collect at JvR

View map

Courier (overnight services)

Overnight order must be placed before 14:00.
Excludes courier fees.

Courier (same day service - JHB only)

Same day orders must be placed before 09:30.
Excludes courier fees.

Physical address

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING*

Address*

Suburb*

Country*

City*

Postal code*

Physical address

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING*

Address*

Suburb*

Country*

City*

Postal code*

Product selection

Product code	Product*	Quantity*

Is your company required to provide JvR Psychometrics with a purchase order?*

Yes

I have read and accepted the terms and conditions and that the information provided above is correct.*

Yes

Individual details

Title*

Name*

Surname*

ID/Passport number*

HPCSA number

Mobile number*

If you can read and understand this label, filling in this field will render you not human.

Email address*

Work phone number*

Contact person for queries

Same as above?

Title*

Name*

Surname*

Work phone number*

Email address*

Preferred delivery option*

Recipient*

Select only one option

Collect at JvR

View map

Courier (overnight services)

Overnight order must be placed before 14:00.
Excludes courier fees.

Courier (same day service - JHB only)

Same day orders must be placed before 09:30.
Excludes courier fees.

Physical address

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING*

Address*

Suburb*

Country*

City*

Postal code*

Physical address

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING*

Address*

Suburb*

Country*

City*

Postal code*

Product selection

Product code	Product*	Quantity*

Are you required to provide JvR Psychometrics with a purchase order?*

Yes

I have read and accepted the terms and conditions and that the information provided above is correct.*

Yes

ONLINE ASSESSMENT REPORTS

Are you a:

Company Individual

Company details

Company name*

Company registration number*

VAT number

Individual details

Title*

Name*

Surname*

Email address*

ID/Passport number*

HPCSA number

Mobile number*

If you can read and understand this label, filling in this field will render you not human.

Work phone number*

Contact person for queries

Same as above?

Title*

Name*

Surname*

Work phone number*

Email address*

Product information

Project name (if applicable)

Date reports required by you*

Assessment type*	Assessment name*	Report type*	Norm type (if applicable)	Upload attachment
				+ Choose a file ⨯

Participant information

Name*	Surname*	ID no/User ID Some assessments require a User ID	Age*	Gender*

Group/team report name(max. 16 characters)

Purchase order number

Send reports to the following email addresses:

Email address*

Is your company required to provide JvR Psychometrics with a purchase order?*

Yes

I have read and accepted the terms and conditions and that the information provided above is correct.*

Yes

Individual details

Title*

Name*

Surname*

Email address*

ID/Passport number*

HPCSA number

Mobile number*

If you can read and understand this label, filling in this field will render you not human.

Work phone number*

Contact person for queries

Same as above?

Title*

Name*

Surname*

Work phone number*

Email address*

Product information

Project name (if applicable)

Date reports required by you*

Assessment type*	Assessment name*	Report type*	Norm type (if applicable)	Upload attachment
				+ Choose a file ⨯

Participant information

Name*	Surname*	ID no/User ID Some assessments require a User ID	Age*	Gender*

Group/team report name(max. 16 characters)

Purchase order number

Send reports to the following email addresses:

Email address*

Are you required to provide JvR Psychometrics with a purchase order?*

Yes

I have read and accepted the terms and conditions and that the information provided above is correct.*

Yes

HARDCOPY ASSESSMENT MATERIALS & ONLINE ASSESSMENT REPORTS

Are you a:

Company Individual

Company details

Company name*

COMPANY REGISTRATION NUMBER*

VAT NUMBER

Individual details

Title*

Name*

Surname*

Email address*

ID/Passport number*

HPCSA number

Mobile number*

If you can read and understand this label, filling in this field will render you not human.

Work phone number*

Contact person for queries

Same as above?

Title*

Name*

Surname*

Work phone number*

Email address*

Preferred delivery option*

Recipient*

Select only one option

Collect at JvR

View map

Courier (overnight services)

Overnight order must be placed before 14:00.
Excludes courier fees.

Courier (same day service - JHB only)

Same day orders must be placed before 09:30.
Excludes courier fees.

Physical address

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING*

Address*

Suburb*

Country*

City*

Postal code*

Physical address

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING*

Address*

Suburb*

Country*

City*

Postal code*

Product selection

PRODUCT CODE	PRODUCT*	QUANTITY*

ONLINE ASSESSMENT REPORTS

Product information

Project name (if applicable)

Date reports required by you*

Assessment type*	Assessment name*	Report type*	Norm type (if applicable)	Upload attachment
				+ Choose a file ⨯

Participant information

Name*	Surname*	ID no/User ID Some assessments require a User ID	Age*	Gender*

Group/team report name(max. 16 characters)

Purchase order number

Send reports to the following email addresses:

Reports will only be sent to email address(es) approved by the accredited user.

Email address*

Are you required to provide JvR Psychometrics with a purchase order?*

Yes

I have read and accepted the terms and conditions and that the information provided above is correct.*

Yes

Individual details

Title*

Name*

Surname*

Email address*

ID/Passport number*

HPCSA number

Mobile number*

If you can read and understand this label, filling in this field will render you not human.

Work phone number*

Contact person for queries

Same as above?

Title*

Name*

Surname*

Work phone number*

Email address*

Preferred delivery option*

Recipient*

Select only one option

Collect at JvR

View map

Courier (overnight services)

Overnight order must be placed before 14:00.
Excludes courier fees.

Courier (same day service - JHB only)

Same day orders must be placed before 09:30.
Excludes courier fees.

Physical address

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING*

Address*

Suburb*

Country*

City*

Postal code*

Physical address

COMPLEX/RESIDENTIAL/OFFICE PARK/BUILDING*

Address*

Suburb*

Country*

City*

Postal code*

Product selection

PRODUCT CODE	PRODUCT*	QUANTITY*

ONLINE ASSESSMENT REPORTS

Product information

Project name (if applicable)

Date reports required by you*

Assessment type*	Assessment name*	Report type*	Norm type (if applicable)	Upload attachment
				+ Choose a file ⨯

Participant information

Name*	Surname*	ID no/User ID Some assessments require a User ID	Age*	Gender*

Group/team report name(max. 16 characters)

Purchase order number

Send reports to the following email addresses:

Reports will only be sent to email address(es) approved by the accredited user.

Email address*

Are you required to provide JvR Psychometrics with a purchase order?*

Yes

I have read and accepted the terms and conditions and that the information provided above is correct.*

Yes

REQUEST INFO

Please choose what info you require

Price list

Sample reports

Assessment abstracts

Assessment advice

Help/Support

Sample reports - add products*

Assessment abstracts - add products*

Title*

Name*

Surname*

Email address*

If you can read and understand this label, filling in this field will render you not human.

Comments

HAVING TROUBLE SUBMITTING THE FORM?

Contact or phone us on +27 (0)11 781 3705 for assistance.

Client Services office hours: 07.00 to 16.00, Monday to Friday

Call me back

Title*

Name & surname*

Phone number*

Email address*

If you can read and understand this label, filling in this field will render you not human.

When can we call you back?*

We use cookies to enhance your experience on this website. By continuing to use our website, you consent to the use of cookies in accordance to our Terms & Conditions.

Please note

Assessments are restricted and can only be provided to practitioners with proven credentials
Compulsory accreditation training may be required
Prices may change without notice
JvR Psychometrics cannot guarantee stock availability from Suppliers

Your browser is out of date!

Please update your browser to view this website correctly

NEW ACCOUNT APPLICATION

Before ordering any of our products, an account application has to be submitted first. You can proceed to submit an order request once you have filled in a new account application.

Required fields are indicated by *

Are you a:

Individual details

Contact person for queries

Who is responsible for the account?

Physical address

Postal address

Please select the products you would like to order*

Preferred delivery option*

Physical address

Physical address

Product selection

Product information

Participant information

Send reports to the following email addresses:

Preferred delivery option*

Physical address

Physical address

Product selection

ONLINE ASSESSMENT REPORTS

Product information

Participant information

Send reports to the following email addresses:

Reports will only be sent to email address(es) approved by the accredited user.

Company details

Individual details

Contact person for queries

Who is responsible for the account?

Physical address

Postal address

Please select the products you would like to order*

Preferred delivery option*

Physical address

Physical address

Product selection

Product information

Participant information

Send reports to the following email addresses:

Preferred delivery option*

Physical address

Physical address

Product selection

Product information

Participant information

Send reports to the following email addresses:

Required fields are indicated by *

Please select the products you would like to order*

HARDCOPY ASSESSMENT MATERIALS

Are you a:

Company details

Individual details

Contact person for queries

Preferred delivery option*

Physical address

Physical address

Product selection

Individual details

Contact person for queries

Preferred delivery option*

Physical address

Physical address

Product selection

ONLINE ASSESSMENT REPORTS

Are you a:

Company details

Individual details

Contact person for queries

Product information

Participant information

Send reports to the following email addresses:

Individual details

Contact person for queries

Product information

Participant information

Send reports to the following email addresses:

HARDCOPY ASSESSMENT MATERIALS & ONLINE ASSESSMENT REPORTS