PERSONAL DETAILS SURNAME: FULL TITLE MR MRS MS MISS DR PROF PHYSICAL ADDRESS: PROVINCE: ID NUMBER: PASSPORT NUMBER: EMAIL: CONTACT TEL/MOBILE: SA CITIZEN (Yes/No): If no, country of Origin: DATE OF BIRTH (YYYYMMDD) SPECIAL ASSESSMENT NEEDS: (Accompanied by a medical certificate/letter, if relevant). PS. Please to the SAIT special concessions policy and application process. RACE: BLACK: WHITE: COLOURED: ASIAN: OTHER: HOME LANGUAGE: NDEBELE: OTHER: AFRIKAANS: VENDA: ENGLISH: PEDI: TSWANA: XHOSA: TSONGA: ZULU: PLEASE CHOOSE ONE GENDER: MALE: FEMALE: CURRENT EMPLOYER: ENTRANCE TO FINAL EXTERNAL INTEGRATED SUMMATIVE ASSESSMENT If sponsored, Name and Address of Company: Company VAT number: Name of SDP (skill development provider / Training Institute): Address of SDP (Training Institute): Accreditation number of the SDP: Statement of Results Yes: No: attached Competence has been Knowledge Practical Skills Initial Test of Workplace achieved in Component: Component: Competence (ITC) Component: (PLEASE TICK AND PROVIDE YEAR):
PERSONAL DETAILS SURNAME: FULL TITLE MR MRS MS MISS DR PROF PHYSICAL ADDRESS: PROVINCE: ID NUMBER: PASSPORT NUMBER: EMAIL: CONTACT TEL/MOBILE: SA CITIZEN (Yes/No): If no, country of Origin: DATE OF BIRTH (YYYYMMDD) SPECIAL ASSESSMENT NEEDS: (Accompanied by a medical certificate/letter, if relevant). PS. Please to the SAIT special concessions policy and application process. RACE: BLACK: WHITE: COLOURED: ASIAN: OTHER: HOME LANGUAGE: ENGLISH: AFRIKAANS: PEDI: TSWANA: VENDA: XHOSA: TSONGA: NDEBELE: ZULU: OTHER: PLEASE CHOOSE ONE GENDER: MALE: FEMALE: CURRENT EMPLOYER: ENTRANCE TO FINAL EXTERNAL INTEGRATED SUMMATIVE ASSESSMENT If sponsored, Name and Address of Company: Company VAT number: Name of SDP (skill development provider / Training Institute): Address of SDP (Training Institute): Accreditation number of the SDP: Statement of Results attached Yes: No: Competence has been achieved in Knowledge Component: Practical Skills Component: Initial Test of Competence (ITC) Workplace Component: (PLEASE TICK AND PROVIDE YEAR):
sait_eisa_learner_registrat.docx