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    Learner Enrollment Form 2024 2025 Compressed

    Uploaded by

    jabulisiwemiss

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Learner Enrollment Form 2024 2025 Compressed

    Uploaded by

    jabulisiwemiss
    14 views3 pages

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    14 views3 pages

    Learner Enrollment Form 2024 2025 Compressed

    Uploaded by

    jabulisiwemiss

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    Page 1 of 3

    Gillooly’s View Office Park, 1 Osborne Lane, Bedfordview, 2007, PO Box 1964, Bedfordview 2008
    Telephone: 011-456-8579; Fax: 011-450-4948; Email [email protected]; Website: http://www.lgseta.org.za

    Bursaries Learner Registration Form for Unemployed Individual


    Print the form and Sign and initial (on every page)
    Section A: Particulars Learner

    Surname: Maiden surname (if applicable):

    First name: Title (Mr. Mrs. Ms.): Mr

    Date of birth: Identity Document number:

    Race: African / Black Disability: N/A

    Gender: Citizenship: South African

    Physical address

    Postal address

    Province:

    Municipality:

    Learner Residential Area:

    Tel number Fax number:

    Cell number

    Email address

    Highest level qualification completed:

    (Highest level school qualification completed e.g. grade 10 ,11,12):


    Page 2 of 3
    Section B: Particulars of Next of Kin

    Surname: First name: Revelation Title:

    Relationship: Tel number: Cell number:

    Address:

    Section C: Particulars of Study

    Institution Name: Campus:

    Student Number: Name of Qualification:

    Qualification ID number: NQF level:

    Specialisation: Year of studies (e.g. 1st year,2nd year):

    Start Date: End Date:

    Bursary amount (Subject to Bursary Conditions)

    Name of Institution

    Institution Type HET, Public

    Physical address

    Tel number Fax number:

    Email address
    Learner Declaration
    (Please note that the guardian signature is required if the learner is under 18 years)

    1. I declare to the best of my knowledge that all information on this form is true and correct and I understand that if it is not, I
    may be eliminated from consideration in the selection process. If after being granted a bursary, any falsehoods or omissions
    are discovered in my application, I understand that my bursary grant may be terminated.
    2. I undertake to avail myself for participation in all structured learning, practical workplace experience and assessment
    activities required by the bursary scheme.
    3. I Authorisation the LGSETA to deal directly with the Institute on my behalf and receive copies of my progress reports
    quarterly and results.

    Name and Surname of learner


    Signature of learner : Date:
    (Only applicable if the learner is a minor)
    Name and Surname of parent or guardian

    Parent of guardian’s signature: Date:


    Page 3 of 3

    NOTES AND INSTRUCTIONS FOR COMPLETION

    Read these notes carefully before completing the application form. Make sure that you read
    every section and that the information you provide is accurate.
    1. INCOMPLETE FORMS WILL NOT BE ACCEPTED (this includes forms with missing
    documents)
    2. The LGSETA does not take responsibility and will not be held liable for any forms which
    were undelivered or missing.
    3. Students who are granted a bursary from another organization/institution are obliged to
    inform the LGSETA. The LGSETA have the right to withdraw funding awarded if the
    student receives a bursary elsewhere.
    4. A bursary is awarded for one year only and students are required to apply annually to
    the LGSETA for a bursary.
    5. Non-South African students will not be considered.
    6. Employed Learners will not be considered.
    7. A senior student must have passed the previous year’s studies to qualify for an LGSETA
    bursary;
    8. The students must meet the entry requirements for the programme as required by the
    HET or TVET Institution.
    9. The qualification must be accredited on the NQF/N Levels.

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