REGISTRATION OF A LEARNER ON AN NQF REGISTERED QUALIFICATION (QA01) SECTION 1: LEARNER /PERSONAL INFORMATIONID NUMBER *NAME *MIDDLE NAMESURNAME *DATE OF BIRTH *GENDER *SelectMaleFemaleEQUITY *SelectAfricanColouredIndianWhiteDISABILITY STATUS *SelectNoneAlbinismCommunication (tailing/listening)Physical (moving, standing, grasping)PsychiatricSight (even with glasses)MultipleHOME LANGUAGE *SelectEnglishAfrikaansSepediSesothoSetswanasiSwatiTshivendaXitsongaisiNdebeleisiXhosaisiZuluSECTION 2: LEARNER CONTACT DETAILSYou MUST provide at least one phone number where you can be reached. Both Physical and postal address MUST be completed.TEL NO (WORK)MOBILE NUMBER *EMAIL ADDRESS *ADDRESS *TOWN/CITY *LOCAL/DISTRICT MUNICIPALITY *PROVINCE *CODE *SECTION 3: LEARNER GENERAL DETAILSSOCIO-ECONOMIC STATUS *SOCIO-ECONOMIC STATUSEmployedUnemployedHIGHEST SCHOOL QUALIFICATION *0 / 60NAME OF HIGH SCHOOL ATTENDED *0 / 60LAST SCHOOL YEAR *SECTION 4:EMPLOYER DETAILS (MUST BE COMPLETED FOR EMPLOYED LEARNERS)OCCUPATIONYEARS IN OCCUPATIONNAME OF EMPLOYER0 / 60ADDRESS OF EMPLOYERTOWN/CITYLOCAL/DISTRICT MUNICIPALITYPROVINCECODECONTACT PERSONTELEPHONE NUMBER OF CONTACT PERSONUPLOADSAll uploads MUST be recently certified.ATTACH CERTIFIED ID COPY *Choose FileNo file chosenDelete uploaded fileATTACH CERTIFIED COPIES OF HIGHEST QUALIFICATIONChoose FileNo file chosenDelete uploaded filePOPI ACT STATUS *SelectAgreeDisagreeSUBMITSave and Continue Later..
