REGISTRATION FORM FOR COMMUNITY EDUCATION AND TRAINING COLLEGES

INSERT COLLEGE LOGO

PLEASE ENSURE THAT YOU COMPLETE+A7:AA19 THE RELEVANT SECTIONS FOR YOUR REGISTRATION
1. Copy of ID OR Passport OR Student permit must be attached to this form
2. This form consist of 7 pages and sections for different qualifications:
2.1 AET SUB-LEVELS 1 - 3, COMPLETE THE FOLLOWING SECTIONS (PAGES)
Section A (page 2)
Section B1 (page 2-3)
Section B2 (page 3)
Section C (page 4)
Section G - Signatures (page 7)
2.2. GENERAL EDUCATION AND TRAINING CERTIFICATE (GETC-ABET Level 4, NQF 1) -
COMPLETE THE FOLLOWING SECTIONS (PAGES)
Section A (page 2)
Section B1 (page 2-3)
Section B2 (page 3)
Section D (page 5)
Section G - Signatures (page 7)

2.3. GRADES 10, 11 AND 12 (SENIOR CERTIFICATE) - COMPLETE THE FOLLOWING SECTION (PAGES)

Section A (page 2)
Section B1 (page 2-3)
Section B2 (page 3)
Section E - (page 6)
Section G - Signatures (page 7)

2.4. SKILLS PROGRAMMES - COMPLETE THE FOLLOWING SECTIONS (PAGES)

Section A (page 2)
Section B1 (page 2-3)
Section B2 (page 3)
Section F (page 7)
Section G - Signatures (page 7)

3. PROTECTION OF PERSONNAL INFORMATION

Please note the following
The Department of Higher Education and Taining will at all times protect the personal information provided in this application form. However, the information
may be used for the following purposes:
3.1 Enrolment and funding purposes
3.2 Auditing purposes by the Auditor-General
3.3 Tracer studies
3.4 Sharing with prospective employers for placement opportunities

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 REGISTRATION FORM FOR COMMUNITY EDUCATION AND TRAINING COLLEGES

INSERT COLLEGE LOGO

SECTION A: COLLEGE DETAILS (This information must be pre-populated by the CET College before the forms are printed)

Name of CET College FREE STATE COMMUNITY EDUCATION AND TRAINING COLLEGE
Name of Community Learning Centre
Name of Satellite Learning Centre

Physical Address (Compulsory)

Building S P I T S K O P
Street/Block/Zone number 8 6
Street/Block/Zone name K E L L N E R
Town or City or Village B L O E M F O N T E I N
Postal Code 9 3 0 0

Telephone number 0 5 1 2 5 0 4 0 2 8 Fax number

Email address [email protected]

Website address
Facebook page

SECTION B: STUDENT DETAILS

Section B1: Personal Information

Re-registration Y N
Date of birth Y Y Y Y M M D D
Title Mr Mrs Ms Gender M F
Surname Initials
Maiden Name

1.
2.
Full names
3.
4.
RSA citizen Yes No Nationality
ID number
Passport number
Permit/Asylum
number
Immigration date Y Y Y Y M M D D
Expiry Date Y Y Y Y M M D D
Marital Status 1. Single 2. Married 3. Divorced 4. Widow 5. Widower
Population group 1. African 2. Coloured 3. Indian/Asian 4. White 5. Other
Employed Unemployed Self-employed
Home Language
Cell No Tel No (H)
Fax No Tel No (W)
Email address

Physical Address (Compulsory)

Building
Street/Block/Zone number
Street/Block/Zone name
Town or City or Village
Postal Code

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 REGISTRATION FORM FOR COMMUNITY EDUCATION AND TRAINING COLLEGES

Postal Address
PO Box number
Private Bag number
Post Office
Town or City
Postal Code

Work Address
Building
Street/Block/Zone number
Street/Block/Zone name
Town or City or Village
Postal Code

Next of kin details Name and Surname

Next of kin contact details
Relationship
Disabilities Yes No
If Yes, specify disability(ies)

Section B2: Student Academic History

Did you attend any CLC before? Yes No
Previous institution (school/CLC) attended

Are you repeating the level? Yes No

Did you attend the Kharigude Mass literacy Programme? Yes No
Highest Grade/ Standard passed: TICK (√)
Never been to school
Grade 3/Sub-Level 1
Grade 5/Sub-Level 2
Grade 7/AET Sub-Level 3
Grade 9/GETC-ABET Level 4 (NQF 1)
Grade 10 (NQF 2)
Grade 11 (NQF 3)
Grade 12 (NQF 4)

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 REGISTRATION FORM FOR COMMUNITY EDUCATION AND TRAINING COLLEGES

SECTION C: CURRENT REGISTRATION

Section C1: AET Sub-Level 1
LEARNING AREA

Choose ONE language of instruction and ONE African language TICK (√)
Afrikaans
English
IsiNdebele
IsiXhosa
IsiZulu
Sepedi
Sesotho

SiSwati
Tswana
Tshivenda
Xitsonga
Numeracy (Compulsory for ALL students)

Section C2: AET Sub-Level 2

LEARNING AREA TICK (√)

Choose ONE language of instruction and ONE African language

Afrikaans
English
IsiNdebele
IsiXhosa
IsiZulu
Sepedi
Sesotho

SiSwati
Tswana
Tshivenda
Xitsonga
Numeracy (Compulsory for ALL students)
Intergrated Studies OR Skills Programme

Section C3: AET Sub-Level 3

LEARNING AREA

Choose ONE language of instruction and ONE African language TICK (√)
Afrikaans
English
IsiNdebele
IsiXhosa
IsiZulu
Sepedi
Sesotho
SiSwati
Tswana
Tshivenda
Xitsonga

Numeracy (Compulsory for ALL students)

Intergrated Studies OR Skills Programme

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 REGISTRATION FORM FOR COMMUNITY EDUCATION AND TRAINING COLLEGES

Section D: General Education and Training Certificate: GETC-ABET Level 4 (NQF 1)

FUNDAMENTAL COMPONENT

1 Official language AND Mathematical Literacy OR Mathematics and Mathematical Sciences

CODE LEARNING AREA TICK(√)
MLMS4 Mathematical literacy
MMSC4 Mathematics and Mathematical Sciences
LCAF4 Language Literacy and Communication: Afrikaans
LCEN4 Language Literacy and Communication: English
LCND4 Language Literacy and Communication: IsiNdebele
LCZU4 Language Literacy and Communication: IsiZulu
LCXH4 Language Literacy and Communication: IsiXhosa
LCSP4 Language Literacy and Communication: Sepedi
LCSO4 Language Literacy and Communication: Sesotho
LCSW4 Language Literacy and Communication: Siswati
LCTS4 Language Literacy and Communication: Setswana
LCVE4 Language Literacy and Communication: Tshivenda
LCXI4 Language Literacy and Communication: Xitsonga

CORE: COMPULSORY TICK(√)

LIFO4 Life Orientation

ELECTIVES COMPONENT (Choose Option 1 OR 2) TICK(√)

OPTION 1: 2 Electives OPTION 2: 3 Electives

Academic Learning Areas TICK(√)

ARTC4 Arts and Culture
EMSC4 Economic and Management Sciences
HSSC4 Human and Social Sciences
NATS4 Natural Sciences
TECH4 Technology

Vocational Learning Areas TICK(√)

ANHC4 Ancillary Health Care
AAAT4 Applied Agriculture and Agricutural Technology
ECDV4 Early Childhood Development
INCT4 Information Communication Technonolgy
SMME4 Small, Medium and Micro Enterprices
TRVT4 Travel and Tourism
WHRT4 Wholesale and Retail

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 REGISTRATION FORM FOR COMMUNITY EDUCATION AND TRAINING COLLEGES

Section E: Senior Certificate

OFFICIAL LANGUAGES AT HOME +A222:U240AND FIRST ADDITIONAL LANGUAGE

LEARNING AREA TICK(√)

Afrikaans Home Language

Afrikaans First Additional Language
English Home Language
English First Additional Language
IsiNdebele Home Language
IsiNdebele First Additional Language
IsiZulu Home Language
IsiZulu First Additional Language
IsiXhosa Home Language
IsiXhosa First Additional Language
Sepedi Home Language
Sepedi First Additional Language
Sesotho Home Language
Sesotho First Additional Language
Siswati Home Language
Siswati First Additional Language
Setswana Home Language
Setswana First Additional Language
Tshivenda Home Language
Tshivenda First Additional Language
Xitsonga Home Language
Xitsonga First Additional Language

AGRICULTURE TICK(√)

Agricultural Sciences

BUSINESS, COMMERCE AND MANAGEMENT STUDIES TICK(√)

Accounting
Business Studies
Economics

HUMAN AND SOCIAL STUDIES TICK(√)

Geography
History
Religion Studies

PHYSICAL, MATHEMATICAL, COMPUTER AND LIFE SCIENCES TICK(√)

Computer Applications Technology

Information Technology
Life Sciences
Mathematical Literacy
Mathematics
Physical Sciences

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 REGISTRATION FORM FOR COMMUNITY EDUCATION AND TRAINING COLLEGES

Section F: OCCUPATIONAL OR PART-QUALIFICATIONS

Occupational Qualifications/Part-Qualification - The CET College must pre-populate the approved

TICK(√)
SAQA registered name offered by the college before printing the forms

Non-formal programmes - The CET College must pre-populate the programmes before printing the forms TICK(√)

SECTION G: SIGNATURES

In case the applicant is a minor, the parent's / guardian's agreement will be binding.

Signature:Parent/Guardian (If
Date:
applicable)

Signature: Student Date:

SECTION H: FOR OFFICE USE ONLY

Received by: Name and Surname

Admission date Y Y Y Y M M D D
Admission Number

Entered into database Yes No Date Y Y Y Y M M D D

Name of data capturer
Signature of approval

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