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Learnership Application Form

Form: Learnership Application Form Manual: Learnership Policies and Procedures Manual

Please print and complete this form For Office Use Qualification__________ Description __________ Status Code__________ Please complete the application form as thoroughly as possible in BLACK INK and fax/email it to: Fax: 011 554 2632 Email: [email protected] If you have not received correspondence relating to this application from the NCR by 30 January 2011, you can assume that your application has been unsuccessful. NOTES AND INSTRUCTIONS (Read these notes carefully before you complete the application form) 1. Ensure that you read every section and that the information you provide is accurate. 2. INCOMPLETE APPLICATION FORMS WILL NOT BE CONSIDERED. 3. Your application will not be considered if you do not submit proof of your academic results and full details of your academic record. 4. Do not send original documents (e.g. certificates). Attach required certified copies to application. 5. Selection requirement: a) A University Degree/National Diploma completed in 2008 or 2009 as per the advertised requirements. b) A motivation as to why you have chosen your field of study.

October 2010

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Part A: Application Details State the career you wish to pursue (as advertised): _________________________________ Have you applied for a learnership before? Y N

If yes for above, state which discipline and when. __________________________________ Which company was this learnership with? _______________________________________ Part B: Personal Details Initials: ________________ Surname: ____________________________________________ First Names: __________________ I.D.No.: ________________________________________ Home Address: ______________________________________________________________ Contact Telephone Numbers: ___________________________________________________ Details of an alternative family member or friend that we can contact if we have difficulty reaching you directly: Name: ________________________ Tel. No.: _____________________ Part C: Education Highest Level of Education (Degree/diploma) _______________ Name of Qualification: _________________ Other Qualifications: ___________________ ___________________ ___________________ Year: ___________ Year: ___________ Year: ___________ Year: _________

Extra Curricular Activities at Tertiary Level 1. 2. 3. 4. 5. 6.

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Part C: Motivation Please give a brief motivation as to why you think you should be considered for this Learnership: _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________ _____________________________________________________________________________

(Please attach your motivation to this form should the space provided be insufficient)

I confirm that the information contained in this application is, to the best of my knowledge, correct and truthful and I understand that if it is not, I may be eliminated from consideration in the selection process. I understand that my Learnership agreement may be terminated If, after being admitted to the Learnership, any falsehoods or omissions are discovered in my application, 2. I understand that all statements in my application may be investigated and I authorise the organisation to contact the following persons who might be able to speak about my abilities and suitability for the Learnership for which I have applied: Name and Surname Relationship/position Contact Number

Signature of applicant ____________________

Date _____________________

Please ensure that the following documents are attached 1. Certified copies of ID and Qualifications 2. One page motivation on why you have chosen your field of study

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