Unit Standards (Complete When Doing Skills Programmes and Individual Unit Standards)

Unit Standards (CompleteLEARNER when doing REGISTRATION Skills Programmes andFORM individual Unit Standards)

*This form has been designed according to SAQA specifications, refer to look up table for codes **Please note: A copy of your ID or Drivers License must accompany this registration ***Attach List of Unit Standards for Skills Programmes 1. TRAINING PROVIDER DETAILS

Name of the Training Provider Provider Code / ETQA ID: Program Title & SAQA ID:

Assessor First Name: Assessor Last Name:

Assessor National ID: FP&M-SETA Assessor ID:

Course Dates From: (yyyymmdd) To: (yyyymmdd) 2. LEARNER DETAILS Learner National ID Number: Learner Birth Date:(yyyymmdd)

Learner Alternate ID No: Alternative ID Type:

Equity Code: Nationality Code:

Citizen Resident Status Code: Socio-economic Status Code:

Home Language Code: Gender Code:

Disability Status Code: Learner Title:

Learner Last Name: Learner First Name:

Learner Middle Name: Learner Previous Last Name:

Learner Home Address:

Postal Code:

Learner Postal Address:

Postal Code:

Learner Phone Number: Province Code:

Learner Cell Number: Learner Fax Number:

Learner E-Mail Address:

3. EMPLOYER DETAILS (Where Applicable) Occupation of Learner Company Name: Employer Code: Contact Person: Employer Phone Number: Employer Fax Number:

Employer Postal Address:

Postal Code:

(1)Training Provider Signature (2)Learner Signature (3)Employer Signature

of 3 LOOKUP TABLE

Alternative ID Home Language Code Alternative ID Type Code Explanation 521 SAQA Member ID Eng English 527 Passport No. Afr Afrikaans 529 Driver’s Licence Oth Other 531 Temporary ID Number Sep SePedi 533 None Ses SeSotho 535 Unknown Set SeTwana 537 Student Number Swa SiSwati 538 Work Permit Number Tsh TshiVenda 539 Employee Number U Unknown 540 Birth Certificate Number Xho IsXhosa 541 HSRC Registration Number Xit ZiTsonga 561 ETQA Record Number Zul IsiZulu Nde isiNdebele Citizen Resident Status Code Explanation Equity U Unknown Code Explanation SA South Africa BA Black: African O Other BC Black: Coloured D Dual (SA + Other) BL Black: Indian / Asian U Unknown Nationality Wh White Code Explanation U Unspecified Disability Status SA South Africa Code Explanation

of 3 SDC SADC Except (i.e. NA) N None NAM Namibia 01 Sight (even with glasses) BOT Botswana 02 Hearing (even with hearing aid)

ZIM Zimbabwe 03 Communication (talking, listening) ANG Angola 04 Physical (moving, standing, grasping) MOZ Mozambique 05 Intellectual (difficulties or psychological) LES Lesotho 06 Emotional (Behavioural) SWA Swaziland 07 Multiple MAL Malawi 09 Disable but unspecified ZAM Zambia U Unknown disability status MAU Mauritius TAN Tanzania Province SY Seychelles Code Explanation ZAI Zaire U Undefined ROA Rest of Africa 1 Western Cape EUR European Countries 2 Eastern Cape AIS Asian Countries 3 Northern Cape NOR North American Countries 4 Free State SOU Central and South America 5 Kwazulu / Natal AUS Australia and New Zealand 6 North West OOC Other and rest of Oceania 7 Gauteng NOT N/A: Institution 8 Mpumalanga 9 Limpopo

Gender Socioeconomic status Code Explanation Code Explanation M Male U Unspecified F Female 01 Employed U Unknown 02 Unemployed - looking for work 03 Not Working - not looking for work 04 Not Working – housewife/ Home maker 06 Not Working -scholar/ full time student 07 Not Working – pensioner / retired person 08 Not Working – disabled person 09 Not Working – not wishing to work 10 Not Working – none of the above 97 N/A: Aged >15 98 N/A: Institution