DISCRETIONARY GRANT: TRAINING PROVIDER APPLICATION

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DISCRETIONARY GRANT: TRAINING PROVIDER APPLICATION Project Name Closing date for submission Please circle type of programme applying under: Learnerships, Skills Programmes or RPL

Guidelines: Applying for DG funding by private providers Any private provider (including public universities and TVET Colleges who is accredited for any of the learning programs advertised may apply. Each application should respond to the advertisement. Ensure that you are familiar with the NSDS111 document of the Department of Higher Education; the SASSETA Sector Skills Plan and SASSETA Discretionary Grants Policy. Completing the DG Application A separate application must be completed for each project being applied for. One Application per Project A project plan must be attached to this application Details of the key team who will be responsible for managing and implementing the learning must be supplied A detail line item budget must be attached to this application Accompanying supporting documents i.e. Certified Company registration documents, Original Valid Tax Clearance Certificate; Certified proof of accreditation for the learning program you want to train on; BEE Rating Certificate by an accredited institute; COID Certificate and proof of registration with PSIRA for training providers offering any Private Security Related Qualifications. All copies must be certified by a commissioner of oaths and not be older than three months. Proof of banking details in the form of a letter from the bank or a cancelled cheque. Ensure that each relevant field in the application is completed. Proof of % ownership of shares/members interest within the company (CC or PTY) Each application to be signed off by the employer and a labour /staff representative. Incomplete applications will be disqualified. Page 2

All submissions must either : - be hand delivered to the mailroom at the SASSETA Office: Riverview Office Park, Janadel Avenue (off Bekker Road) Halfway Gardens, Midrand; or - Posted to SASSETA at PO Box 7612 Halfway House 1685. Please indicate on the outside of the envelope,as indicated in the DG Advert, the following: - Funding Window - Chamber - Project Applied for Registered Name of Company: Trading as: Skills Development Levy (SDL) Number: (Where applicable) Accreditation Number: Quality Assuring Body: Date Stamp: Received by: Name: Signature: Reference Number Page 3

A1 Details of the Training Provider Company/Organization: Physical Address: Contact Person: Postal Code: Accreditation Number: Programme Approval Details (if applicable): Contact Person: Tel No: Cell: Fax No: E-mail: Bank Details Account Holder: Bank: Branch: Account Number: Branch Code: Type of Account: Please attach proof of bank details. Page 4

Please note that each application covers ONE project only Project Name, Chamber and the programme type: Eg. Policing ODETDP L/Ship, Skills Programme or RPL SAQA ID (where applicable) NQF level 18.1 (Employed) No of learners 18.2 (Unemployed) TOTAL COST Eg. 50334 Eg 5 Eg.125 Eg. 0 Eg. R2 500 000 Page 5

APPLICANT S DECLARATION I/We the undersigned hereby declare and certify that: The information provided in this application is factually correct in all material respects I/We are duly authorized to submit this application on behalf of (name of applying organization) Applicant s Representative Full Name: Designation: Signature: Date: Employee Representative: (Where applicable): Full Name: Position in Union: Signature: Date: Page 6

CHECKLIST BEFORE SENDING YOUR APPLICATION 1. We requested assistance from SASSETA where clarity was needed 2. The Discretionary Grant Policy was considered in completing this application. 3. Each relevant and required section of the application form has been duly completed. 4. Each supporting document is in line with the application requirements 5. The accreditation details requirements are in order. 6. Each of the legal compliance (Tax clearance / CIPRO) requirements is in order. 7. The certified documents are not older than three months. 8. The application is an original (not a copy of a copy) 9. Each relevant organisational party endorsed this application? 10. The application is signed and dated (where appropriate) by each relevant party 11. The coversheet template is pasted on the back of the envelope. 12. An independent person checked this application for compliance with each requirement. 13. The application is posted / hand delivered to reach SASSETA by the due date and time. 14. A separate application must be completed for each project being applied for Yes N/A No Page 7