Registration Form REPORT 191 PROGRAMMES. Flavius Mareka TVET College INSTRUCTIONS FOR COMPLETING THE REGISTRATION FORM

Transcription

1 Registration Form REPORT 191 PROGRAMMES STUDENT SURNAME AND INITIALS STUDENT NUMBER COURSE TP: INSTRUCTIONS FOR COMPLETING THE REGISTRATION FORM Flavius Mareka TVET College Sasolburg Campus Cnr Hertzog Road and Fraser Streets Tel: /15 Fax: P/Bag X 2009 Sasolburg 1947 Kroonstad Campus Bukes Street Tel: Fax: P/Bag X 22 Kroonstad 9500 Mphohadi Campus Tang Street Tel: Fax: P/Bag X 66 Kroonstad VERY IMPORTANT: PLEASE READ THE INSTRUCTIONS VERY CAREFULLY AND COMPLETE ALL FIELDS. INCOMPLETE FORMS WILL NOT BE PROCESSED. NOTE: THE STUDENT IS TO COMPLETE AND SIGN SECTION I: PERSONAL INFORMATION ONLY AND ATTACH A SIGNATURE TO ALL THE OTHER PARTS OF THE FORM NOTE: ALL NEW STUDENTS ARE TO WRITE THE CAP TEST AND ATTACH THE RESULTS TO THIS FORM. 1. ADMISSION REQUIREMENTS Please consult the brochures and the disclaimer obtainable from the Student Admin and registration centre for full details of the admission requirements pertaining to the qualification/programme for which you intend to register 2. REGISTRATION FEE PAYMENTS MAY ONLY BE MADE BY: BANK GUARANTEED CHEQUE TO : Flavius Mareka TVET College BANK DEPOSITS : Deposit Slip should be attached ELECTRONIC PAYMENT: EFT Print-out should be attached Applicable Registration Fee for Full time Students Note: All Part-time students are to pay full amount upon registration NB: POSTAL ORDERS WILL NOT BE ACCEPTED (NEITHER FOREIGN NOR LOCAL) R 1

2 3. ACADEMIC DOCUMENTS (School Results are compulsory for first-time students) All documents must be certified copies (Only academic record may be original) All courses DOCUMENTS SA Citizens Final Grade 9/Grade10/Grade11 results Senior certificate (with exception for Bachelor s degree) or Senior certificate Vocational (with endorsement for e.g. Degree, Diploma or certificate) Cambridge School Certificate A/O Level IGCSE/HIGCSE NSSC Higher/Ordinary Level, IEB Conditional grade 12 exemption certificate N3/N4/N5/N6 results Original SAQA evaluation Certified copies of statement of results Academic record and certificate of conduct if registered at another higher education institution (original) Certified copies of ID document/birth certificate Certified copy of passport All courses International Students Certified copy of guardian/next of kin Study Permit *If Applicable 4. CHANGE OF PERSONAL DETAILS Should the personal details of the student change after registrations, the College must be notified in writing immediately. The learner is liable to visit Student Administration and notify the change. This will result in the change of the proof of registration and the student should sign in agreement to the change of his/her details. 5. CANCELLATION OF REGISTRATION Cancellation should be done in writing at the Student Administration office. In order to qualify for a refund, a student needs to cancel the course before or on the deadline date for cancellations (as indicated on the year plan). A R50 cancellation fee is payable. After the cancellation date, refundable class fees will be calculated on a pro rata basis and this should be finalised before the commencement of the examination. 6. SUBJECT CHANGES Subject changes will take place on the dates specified by the academic head (s, Time and Venue will be on notice boards). AFTER THESE DATES, NO SUBJECT CHANGES WILL BE DONE. All subject changes should be done in writing on the prescribed form. The Academic Head should sign the proposed subject change. The forms must be submitted to Student Administration. Handing in a subject change form does not mean the subjects are changed, Please ensure that the subjects are changed by signing a new proof of registration. STUDENTS MUST UNDERSTAND THAT IT IS THEIR RESPONSIBILITY TO ENSURE THAT THEIR REGISTRATIONS ARE DONE ON TIME AND CORRECTLY. 7. SUPPLEMENTARY EXAMINATIONS A student must obtain 30% or more in the external examination to be allowed to register for a supplementary examination. If less than 30% is obtained, the subject must be repeated. No more than TWO (2) subjects may be supplemented in an examination. Each student is allowed only two (2) supplementary examinations in a specific subject before the subject must be repeated on a full time or part time basis. Discount (10%) will be given on full course registrations (full time only - 4 subjects). 8. STUDENT DISCOUNT Discount (10% on class fees) will be given on full course registrations (full time only - 4 subjects). Discounts will be forfeited if full payment is not received by dates specified on registrations. 2

3 I PERSONAL INFORMATION STUDENT NUMBER PART I PERSONAL INFORMATION 1.1 Title 1.2 Surname Mr 1.3 Initials Ms 1.4 ID Number 1.5 First Names 1.6 of Birth D D M M Y Y Y Y 1.7 Nick Name 1.8 Cell Number 1.9 RSA Citizen Y N 1.10 Nationality 1.11 Immigration 1.12 Passport Number PART II SAPCE INFORMATION 2.1 Alternative ID 2.2 Gender Male Female 2.3 Foreign ID 2.4 Ethnic Group Black Asian 2.5 Marital Single Widow Coloured White Married Widower Indian Other Divorced Other 2.8 Maiden 2.9 Car Registration 2.10 Transport Private Car 2.11 Accommodation Private Bus Taxi Hostel 2.13 Highest Grade Year Endorsement Bachelor s N. Diploma Passed at school Passed on certificate N. Certificate None PART III DISABILITY Do you have a disability? Y N If yes, please provide evidence (A medical letter or certificate) Attention deficit disorder Autistic Spectrum disorder Behavioural/conduct disorder Blindness Cerebral palsy Deafness Deaf-blindness Epilepsy Hard of hearing Mild to moderate intellectual disability Partial sightedness / Low vision Physical disability Psychiatric disorder Specific learning disability 3

4 PART IV LANGUAGES Home Language English SeSotho IsiZulu SiTsonga Tshivenda Ndebele Afrikaans SePedi IsXhosa SeTswana SiSwati Other Mother Tongue English SeSotho IsiZulu SiTsonga Tshivenda Ndebele Afrikaans SePedi IsXhosa SeTswana SiSwati Other Exam Language English Afrikaans PART V ADDRESSES 4.1 ACADEMIC CONTACT PERSON (Student s details) Title Mr Initials Surname Ms Name ID Number Phone Home Phone Work Cell Address Town Code 4.2 FINANCIAL CONTACT PERSON (Individual Responsible for payments) Title Mr Initials Surname Ms Name ID Number Phone Home Phone Work Cell Address Town Code 4

5 4.1 GENERAL CONTACT PERSON (Parent or Guardian) Title Mr Initials Surname Ms Name ID Number Phone Home Cell Phone Work PART VI NEXT OF KIN (Emergency contact person) Title Mr Initials Surname Ms Name ID Number Phone Home Phone Work Cell Address Town Code Relationship to you Parent Aunt Sister Husband Uncle Brother Grandparent Guardian PART VI REGISTRATION INFORMATION PREVIOUS ACTION Learner at this TVET provider (College) Unemployed (What you were busy with last year) Secondary /High School Working in labour force Learner at other TVET provider (College) Other MEDICAL INFORMATION IN CASE OF EMERGENCY Contact Person Contact Number Relationship to this person Medical AID (If any) Medical Aid Number Primary Member (Name) Doctor Doctor s Number 5

6 PART VII SPORTS AND HOBBIES Indicate the sports and hobbies you would like to participate in: Rugby Netball Swimming Gymnastics Golf Hockey Soccer Karate Squash Cycling Judo Tennis Cricket Athletics Cross Country Table Tennis Volleyball Badminton PART VIII CONTRACTUAL UNDERTAKING BY STUDENT I, the undersigned (Full Names and Surname) (ID Number), Assisted by (Full Names and Surname of Parent/Guardian) 1. I hereby undertake towards Flavius Mareka TVET College 1.1 To subject myself to the rules and regulations of the College, and to any amendments thereof. To pay tuition fees for the course for which I have enrolled and understand that I shall not be entitled to a refund of any fees paid by me or to a remission of fees due by me, but that the College Council may consider the refund or remission of such fees on a basis determined by them in the following cases: On his/her death. If, as a result of his/her illness, he/she is unable to continue with or to complete the course, provided that such inability is confirmed by a medical certificate. If he/she is transferred to another centre through no fault of his/hers. If, for any reason, the College is unable to continue to provide the course 2. Endorse and confirm 2.1 That it is my duty to acquaint myself with the rules and general regulations applicable to the course that I am registered for 3. In addition agree as follows with the College 3.1 The College is indemnified against any claim that I may have in future arising from any injuries sustained and/or damage suffered as a result of any occurrence, event, accident, injury, illness or death, howsoever arising, or as a result of my participation in any tour, outing, excursion, visit or transport occurring during my period of study at the College. I accept that I participate in the activities above at my own risk and voluntarily accept the risk in this regard. 3.2 Accept full responsibility for the payment of all money claimed or levied by the College in connection with my studies and authorise the College to claim interest on all amounts not duly paid on the prescribed dates against the current prime bank rate on a fluctuating basis. I further confirm that, should I fail to pay any amount claimed from me timeously, all amounts owed to the College shall become payable immediately, and that the amount of my liability and the interest rate applicable thereto may be proved by means of a certificate signed by the Director or his representative. 3.3 In case of outstanding balances on my account, all results and certificates will be withheld by the College. 3.4 Further agree that, should it be necessary for the College to take legal action against me resulting from this agreement, I shall be liable for legal costs on the relevant scale as between attorney and client % class attendance is imperative for all students. 3.6 To notify the Debtor s Manager in writing, should I suspend my studies in whole. In absence of notification, I shall be liable for all fees due. SIGNATURE OF STUDENT / DATE REGISTERING LECTURER GUARDIAN (If Minor) 6

7 II ENGINEERING REGISTRATION AND ENROLMENT STUDENT NUMBER 02 Sasolburg 04 Mphohadi TIME PERIOD T CAMPUS 03 Kroonstad 07 Satellites PART I STUDENT INFORMATION Title PART II Mr Ms COURSE ENROLMENT Surname Initials ID Number COURSE Electrical Engineering LEVEL N1 N4 REGISTRATION V Full Time Chemical Engineering N2 N5 D Part-Time Mechanical Engineering N3 N6 S Exam Only Instrument Engineering K Correspondence INSPRO T TECHNISA MAY ENROL Y N HEAD COUNT Y N WORKSHOP STUDENT Y N NOTE: Please ensure that Subjects, the Registration Type and Exam Language are all correct before COLTECH Registration. PART III SUBJECT ALLOCATION N1-N3 SUBJECTS N-LEVEL REG. TYPE EXAM LANG Electrical Trade Theory V D S Eng Afr Electrotechnology V D S Eng Afr Engineering Drawing V D S Eng Afr Engineering Science V D S Eng Afr Fitting and Machining Theory V D S Eng Afr Industrial Electronics V D S Eng Afr Installation Rules Paper 1 V D S Eng Afr Installation Rules Paper 2 V D S Eng Afr Instrument Trade Theory V D S Eng Afr Mechanotechnology V D S Eng Afr Mathematics V D S Eng Afr Plant Operation Theory V D S Eng Afr Specialised Installation Codes V D S Eng Afr Supervision in Industry V D S Eng Afr STUDENT S SIGNATURE/ GUARDIAN (if Minor) SIGNATURE OF REG. LECTURER 7

8 PART IV SUBJECT ALLOCATION N4 N6 SUBJECTS N-LEVEL REG. TYPE EXAM LANG Chemical Plant Operation V D S Eng Afr Chemical Technology V D S Eng Afr Chemistry V D S Eng Afr Control Systems V D S Eng Afr Electrotechnics V D S Eng Afr Electrotechnology V D S Eng Afr Engineering Drawing V D S Eng Afr Engineering Physics V D S Eng Afr Engineering Science V D S Eng Afr Fitting and Turning Theory V D S Eng Afr Fluid Mechanics V D S Eng Afr Industrial Instruments V D S Eng Afr Industrial Electronics V D S Eng Afr Mathematics V D S Eng Afr Mechanical Draughting V D S Eng Afr Mechanotechnics V D S Eng Afr Power Machines V D S Eng Afr Strength of Materials & Structures V D S Eng Afr Supervisory Management V D S Eng Afr STUDENT S SIGNATURE/ GUARDIAN (if Minor) SIGNATURE OF REG. LECTURER PART V BURSARY APPLICATIONS BURSARY APPLICATION RECEIVED Y N Bursary requirements are explained to the student Terms and conditions are detailed Bursary form is issued to the student STUDENT S SIGNATURE/ GUARDIAN (if Minor) SIGNATURE OF BURSARY OFFICER 8

9 III BUSINESS STUDIES REGISTRATION & ENROLMENT STUDENT NUMBER 02 Sasolburg 04 Mphohadi TIME PERIOD S CAMPUS 03 Kroonstad 07 Satellites PART I STUDENT INFORMATION Title Mr Ms Surname Initials ID Number PART II COURSE ENROLMENT COURSE Business Management LEVEL INTRO REGISTRATION V Full Time Human Resource Management N4 D Part-Time Marketing Management N5 S Exam Only Management Assistant N6 K Correspondence University Preparation Programme T TECHNISA Educare INSPRO MAY ENROL Y N HEAD COUNT Y N WORKSHOP STUDENT Y N NOTE: Please ensure that Subjects, the Registration Type and Exam Language are all correct before COLTECH Registration. PART III SUBJECT ALLOCATION - INTRODUCTORY N4 SUBJECTS N-LEVEL REG. TYPE EXAM LANG Introductory Accounting V D S Eng Afr Introductory Communication V D S Eng Afr Introductory Computer Practice V D S Eng Afr Introductory Entrepreneurship V D S Eng Afr Introductory Marketing Management V D S Eng Afr Introductory Personnel Management V D S Eng Afr PART IV SUBJECT ALLOCATION - University Preparation Programme SUBJECTS N-LEVEL REG. TYPE EXAM LANG Academic Literacy Course V D S Eng Afr Chemistry V D S Eng Afr Communications V D S Eng Afr Computer Practice V D S Eng Afr English V D S Eng Afr Introductory Information Processing V D S Eng Afr Introductory Communication V D S Eng Afr Industrial Psychology V D S Eng Afr Mathematics /Basic Mathematics V D S Eng Afr Mathematics Literacy V D S Eng Afr Psychology V D S Eng Afr Skills and Competency for Lifelong Learning V D S Eng Afr Introductory Human Resource V D S Eng Afr Introductory Individual Differences V D S Eng Afr 9

10 PART V SUBJECT ALLOCATION N4 N6 SUBJECTS N-LEVEL REG. TYPE EXAM LANG Child Health V D S Eng Afr Communication V D S Eng Afr Computer Practice V D S Eng Afr Computerised Financial Systems V D S Eng Afr Day Care Communication V D S Eng Afr Day Care Management V D S Eng Afr Day Care Personnel Development V D S Eng Afr Educare Didactics Theory & Practice V D S Eng Afr Education V D S Eng Afr Educational Psychology V D S Eng Afr Entrepreneurship V D S Eng Afr Financial Accounting V D S Eng Afr Information Processing V D S Eng Afr Labour Relations V D S Eng Afr Management Communications V D S Eng Afr Marketing Management V D S Eng Afr Marketing Research V D S Eng Afr Marketing Communication V D S Eng Afr Office Practice V D S Eng Afr Personnel Management V D S Eng Afr Personnel Training V D S Eng Afr Sales Management V D S Eng Afr STUDENT S SIGNATURE/ GUARDIAN (if Minor) SIGNATURE OF REG. LECTURER PART VI BURSARY APPLICATIONS BURSARY APPLICATION RECEIVED Y N Bursary requirements are explained to the student Terms and conditions are detailed Bursary form is issued to the student STUDENT S SIGNATURE/ GUARDIAN (if Minor) SIGNATURE OF BURSARY OFFICER 10

11 PART VII CODE OF CONDUCT 1. A LEARNER AT THIS COLLEGE WILL REFRAIN FROM THE FOLLOWING OFFENCES:- a. Bribery, blackmail, fraud, dishonesty and theft or removal of College property. b. Damage to and tampering with or wasting of the property of the College, staff or fellow students. c. Failure to report an accident and/or damage to College property d. Being in possession of pornographic or repugnant literature. e. Assault or any attempts at assaulting another person. f. Engaging in dangerous games g. The unauthorised removal of safety shields or safety equipment and/or signs and not adhering to these in any way. h. Neglecting to observe safety precautions and/or wear protective clothing. i. Unauthorised learner action, boycott of lectures or learner activities. j. Victimisation and/or intimidation of fellow learners to commit any form of violence or disruption of classes. k. Unauthorised use of College transport or negligent use thereof. l. Unauthorised use of College property. m. Arrogant, aggressive and disrespectful behavior towards superiors and peers. n. Refusal to complete instructions o. Negligent or insufficient completion of assignments. p. Violation of College procedures and standing instructions. q. Loitering on College premises during lectures. r. Attending lectures without the prescribed textbooks, writing material and/or other equipment. s. Not being properly dressed in accordance to the dress code. t. Gambling or money lending for profit on College premises. u. Using vulgar, discriminatory and/or offensive language on College premises. 2. THE POSSESSION and USE OF THE FOLLOWING IS STRICTLY FORBIDDEN ON THE COLLEGE GROUNDS: a. Narcotic substances b. Liquor c. Dangerous weapons d. Being under the influence of Narcotic Substances and Liquor The college has the right to, at any time, without warning to order a search for illegal substances by the staff, security, police or the Narcotics Bureau of SA 3. PUNCTUAL ATTENDANCE OF THE FOLLOWING IS COMPULSORY: a. Theoretical classes, with relevant text books and writing equipment b. Practical classes. c. Placement/observation appointments. d. Remedial/referral appointments. 4. A year mark of not less than 40 % per subject before admission to the examination is compulsory. 5. Cellular phones must be switched off during classes/examinations. 6. Being convicted of any criminal offence in a Court of Law whilst enrolled as a student at this College might result in immediate suspension. 7. If a learner is found guilty of any of the above offences, he or she will be dealt with in terms of the College policy framework. 8. If a learner is found guilty of any examination irregularity, he/she will be dealt with according to the Departmental examination prescriptions 9. REMEMBER: When on campus all students must have their student cards available. SIGNATURE OF STUDENT DATE REGISTERING LECTURER 11

12 PART VIII CHECKLIST FOR DOCUMENTATION FOR OFFICE USE ONLY PLEASE ENSURE THE FOLLOWING SIGNATURES ON DETAILS Enrolment form (Page 7-10) Completed and signed Course form (Page 7-10) Subjects, Levels and REG type indicated on form Code of Conduct (Page 11) Signed and dated by student and REG Lecturer ATTACHMENTS Deposit Slip Identity Document Latest results CAP Test Results Insistence Form Letter from company Approved Bursary Letter DETAILS Bank stamped Certified copy of ID attached Certified copy of latest results attached Most recent CAP Results Signed by learner and staff member (if applicable) Original, signed letter stating that the company is liable of the fees A Letter from Bursary stating the bursary has been approved Controlled and checked by: STAFF MEMBER DATE SIGNATURE PART IX COLTECH REGISTRATION ENSURE THAT THE FOLLOWING ARE CORRECT Registered in the correct Time Period Verify the subjects and Levels Verify the Registration Type PRINT Proof of registration for the student Proof of registration for Student Admin and attach to registration form Proof is signed and dated by the student to ensure correctness Registered by: STAFF MEMBER DATE SIGNATURE PART X REGISTRAR S FINAL CHECK Checked for correctness and accuracy REGISTRAR DATE SIGNATURE 12