SAS WFD QMS

SECTION 1 LEARNERSHIP DETAILS

1.1 Name of learnership:

1.2 Department of Labour registration number of
learnership:

1.3 Commencement date of learnership
agreement:

1.4 Termination date of learnership agreement:

1.5 Occupation that this learnership is related to
(as per the Organising Framework of
Occupations (OFO):

1.6 Name of the qualification:

1.7 SAQA Qualification ID number:

1.8 Elective Unit Standards Chosen

Elective Unit Credit value: SAQA ID:
Standard Credit value: SAQA ID:
Credit value: SAQA ID:
Elective Unit Credit value: SAQA ID:
Standard Credit value: SAQA ID:
Credit value: SAQA ID:
Elective Unit Credit value: SAQA ID:
Standard SAQA ID:

Elective Unit Page 8 of 16
Standard

Elective Unit
Standard

Elective Unit
Standard

Elective Unit
Standard

Elective Unit Credit value:
Standard

Initials

SECTION 2 LEARNER DETAILS

2.1 Title:

2.2 Full name:

2.3 Middle name:

2.4 Surname:

2.5 RSA ID No:

2.6 Alternative ID No:

2.7 Alternative ID Type:

2.8 Date of birth (dd/mm/ccyy):

2.9 Sex: Male Female
Indian
2.10 Race: African White

2.11 Do you have a disability Coloured No
as contemplated by the Other
Employment Equity Act 55 of (specify)
1998?1
Yes
2.12 If yes, specify:

2.13 Home address:

2.14 Municipality Code

2.15 Telephone number:

2.16 Postal address: (if
different from above)

Code

1 The Employment Equity Act defines a disability as a long-term recurring physical or mental impairment which substantially limits

prospects of entry into, or advancement in, employment.

Initials Page 9 of 16

2.17 E-mail address Yes No (specify and attach
documents indicating your
2.18 Are you a South African status, for example:
citizen? permanent residence,
study permit, etc)
2.19 Highest Level qualification NQF Level Tick Type of Qualification
(Tick the relevant box)
Post-doctoral research degrees
8 Doctoral degrees
Masters degrees
2.20 What is the title of your 7 Professional Qualifications
highest qualification? 6 Honours degrees
5 National first degrees
2.21 a) Have you previously 4 Higher diplomas
undertaken a learnership? 3 Higher diplomas
2 National diplomas
2.22 b) If yes, specify: 1 Grade 12, NTC 4
Grade 11, NTC 3
2.23 Were you employed by Yes Grade 10, NTC 2
your employer before Grade 9, NTC 1, ABET level 4
concluding this Agreement? Yes
No
2.24 If you were unemployed
before concluding this No
Agreement, state for how long:

2.25 If you are employed,
when did you start work with
your employer?

Initials Page 10 of 16

SECTION 3 PARENT OR GUARDIAN DETAILS

(To be completed if learner is a minor)

3.1 Surname:

3.2 Full names:

3.3 Identity number:

3.4 Home address:

3.5 Postal address: Code
(if different from 3.4 above) Code

3.6 Telephone number:
3.7 E-mail address:

SECTION 4 EMPLOYER DETAILS

4.1 Legal name of employer:

4.2 Trading name (if different from
above):

4.3 Are you liable for the skills L Yes No
development levy? Yes
If yes, what is your SDL number? No
Page 11 of 16
4.4 Name of SETA you are registered
with:

4.5 What is the Standard Industrial
Classification (SIC) code that applies to
your core business?

4.6 Are you acting as the Lead
Employer?

4.7 Business address:

Initials

4.8 Postal address (if different from 4.7): Code
Code
4.9 Name of contact person:
4.10 Contact person ID number:
4.11 Telephone number:
4.12 Fax number:
4.13 E-mail address:

SECTION 5 TRAINING PROVIDER DETAILS

5.1 Legal name of Training Provider:

5.2 Trading name (if different from
above):

5.3 Are you acting as the Lead Training Yes No
Provider? No

5.4 Are you liable for the skills Yes Page 12 of 16

development levy?

If yes, what is your SDL number? L

5.5 What is the Standard Industrial
Classification (SIC) code that applies to
your core business?

5.6 Name of ETQA that has accredited
your institution:

5.7 Accreditation number

and review date (ccyy/mm/dd):

Initials

5.8 Business address:

5.9 Postal address (if different from 5.8): Code
Code
5.10 Name of contact person:
5.11 Contact person ID number: Code
5.12 Telephone number: Page 13 of 16
5.13 Fax number:
5.14 E-mail address:

SECTION 6 ESDA DETAILS

( if applicable)

6.1 Legal name of ESDA:

6.2 Trading name (if different from
above):

6.3 Registration number:

6.4 Business address:

6.5 Postal address (if different from 6.4):
Initials

Code

6.6 Name of contact person:

6.7 Contact person ID number:

6.8 Telephone number:

6.9 Fax number:

6.10 E-mail address:

6.11 If the learner is a section 18(1) learner, list below the rights and duties of the employer in terms
of the learnership agreement, if any that are to be exercised by the ESDA as agreed by the employer
and the ESDA:2

6.12 If the learner is a section 18(2) learner, list below the rights and duties of the employer in terms
of the contract of employment or the learnership agreement, if any that will be within the responsibility
of the employer:3

6.13 Attach a copy of the agreement between the employer and the ESDA.

2 If the required information is set out clearly in the agreement concluded between the employer and the ESDA, reference can be made to

the relevant provisions in the agreement.

3 If the required information is set out clearly in the agreement concluded between the employer and the ESDA, reference can be made to

the relevant provisions in the agreement.

Initials Page 14 of 16

SECTION 7 TERMS AND CONDITIONS OF EMPLOYMENT

7.1 a) Are the learner’s terms of employment determined by a document of general application (for
example: sectoral determination, bargaining council agreement, collective agreement)

Yes No

7.1 b) If yes, specify:

7.2 Attach a copy of a document reflecting the learner’s condition of employment (for example:
contract of employment, written particulars of employment).

SECTION 8 SIGNATORIES

Learner’s signature: Parent or Guardian’s signature
___________________________________ (Only if the learner is a minor)
Date: ______________________________
___________________________________

Date: ______________________________

Witness signature: Witness signature:

___________________________________ ___________________________________

Date: ______________________________ Date: ______________________________
Initials Page 15 of 16

Employer or Lead Employer’s signature: Provider or Lead Provider’s signature

___________________________________ ___________________________________
Date: ______________________________ Date: ______________________________

Witness signature: Witness signature:

___________________________________ ___________________________________

Date: ______________________________ Date: ______________________________

CHECKLIST OF DOCUMENTS TO BE SUBMITTED

1 Certified copy of applicant’s Identity Document.
2 Certified copies of qualifications listed.
3 Contract of employment (for unemployed learner).

Initials Page 16 of 16

WFDSASSETA FUNDED LEARNERS FY ----------------------- FLOW OF TRAINING: DATED -----------------------------------
TSC LEARNERS COMMENCED TRAINING -------------------------------

Ser No FORCE NR RNK ID INT NAME TRADE GEN
1 05059282 MC
2 07039373 MC AB 8.91E+12 M.S. RIKHOTSO Fitter M
3 05058433 MC
4 06050769 MC AB 9.11E+12 F.M. MAPHANGUELleEctronic EMquipment Mechanician
5 06011217 MC
6 05058615 MC AB 8.91E+12 B.P.E. ZWANE Electronic EMquipment Mechanician
7 08489833 MC
8 05058524 MC AB 9.01E+12 P.P. SERWALA Electronic EFquipment Mechanician
9 05058482 MC
AB 9.01E+12 D.C.F. STRYDOM Electronic EMquipment Mechanician
10 08490054 MC
11 05058623 MC AB 8911245460T0.R8.4 BAMBANI Electronic EMquipment Mechanician
12 03056330 MC
13 06050645 MC AB 9.21E+12 M.G. GAENODE Electronic EFquipment Mechanician
14 04054409 MC
15 06050694 MC AB 8.91E+12 T.F. KGALEMA Electronic EMquipment Mechanician
16 04054474 MC
17 06047336 MC AB 8.91E+12 L.V. TSHABALALEAlectronic EFquipment Mechanician
18 08249146 MC
19 05058840 MC AB 9.21E+12 L.S. SHOBA Electronic EMquipment Mechanician
20 05058607 MC
21 06050637 MC AB 8.91E+12 T.P. MALELE Electronic EMquipment Mechanician
22 05031455 MC
23 084506678MC AB 8.71E+12 P.P. MOLEPO Electronic EMquipment Mechanician
24 09009499 MC
25 06050678 MC AB 9E+12 M. MAGOGODIElectronic EFquipment Mechanician
26 06050603 MC
27 02057420 MC AB 8.81E+12 T.K. TLHALE Electronic EMquipment Mechanician
28 06050686 MC
29 07041106 MC AB 9.01E+12 M. MAJIBA Electronic EMquipment Mechanician
30 07038904 MC
31 06051460 MC AB 8.81E+12 P. RAMUSHU Electronic EFquipment Mechanician
32 05057922 MC
33 04053856 MC AB 9.01E+12 L. MUFAMADIElectronic EMquipment Mechanician

AB 9.21E+12 V.M MOFOJANEFitter M

AB 8910016019T0.N8.7 MASOGA Electronic EMquipment Mechanician

AB 8.91E+12 L.I. LECHE Fitter F

AB 9E+12 M.R. SEBELEBELEElectronic EFquipment Mechanician

AB 8.91E+12 T.I. MOSIELELE Fitter M

AB 9.2E+12 E.J. MTSWENI Fitter M

AB 9.31E+12 D. NELWAMONElDeOctronic EFquipment Mechanician

AB 9.01E+12 N. MANGCUNYFAitNteAr F

AB 9.01E+12 M.J. MUTILENI Fitter M

AB 8.61E+12 P.N. NGCAMBA Electronic EFquipment Mechanician

AB 9.01E+12 Z. NOGUDULAElectronic EMquipment Mechanician

AB 9.1E+12 M. DLAMINI Electronic EFquipment Mechanician

AB 9.1E+12 F.P. BUDELI Electronic EMquipment Mechanician

AB 9.01E+12 R. SILIMA Fitter M

PO 8.9E+12 C.M. MANGANYEDiesel MechManic

PO 8.81E+12 N. MALIWA Diesel MechFanic

--------------------------

RACE Current on job trTnRgGunDitONE 1ST TRTRIMG 2D0O1N8E 2ND TTRRIGMD2O0N18E 3RDTTRRGIMDO2N01E81ST TRTIRMG2D0O1N9 E 2ND TRIM 2019
A
A SAS WFD(NorthlinPk0College/ CollegPe1of Cape Town)U1/U2 P4 EXP
A
A SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2
W
A SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegNe1of Cape Town)N2 PH2 N3
A
A SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2
A
A SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2
A
SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2

SAS WFD(NorthlinPk0College/ CollegPe1o+fNC1ape Town)U1/U2 P4 + N2 EXP

SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2

SAS WFD(NorthlinPk0College/ CollegPe1o+fNC1apDe Town)U1/U2 P4 + N2D EXP

SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2

SAS WFD(NorthlinPk0College/ CollegPe1o+fNC1ape Town)U1/U2 P4 + N2 EXP

SAS WFD(NorthlinPk0College/ CollegPe1of Cape Town)U1/U2 P4 EXP

SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2

SAS WFD(NorthlinPk0College/ CollegPe1of Cape Town)U1/U2 P4 EXP

SAS WFD(NorthlinPk0College/ CollegPe1o+fNC1ape Town)U1/U2 P4 + N2 EXP

SAS WFD(NorthlinPkHC1ollege/ CollegPeHo2f Cape Town)U1 PH3 U2

SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2

SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2

SAS WFD(NorthlinPkHC1ollege/ CollegNe2of Cape Town)CBMT1 PH2 CBMT2

SAS WFD(NorthlinPk0College/ CollegPe1of Cape Town)U1/U2 P4 EXP

SAS WFD(NorthlinMkACCo0ll/eWgeE/L0Co/lFleITgM0e/ADoCfTMCT2a-ApePMTo1wn)CBMT 1 CBMT 2 FITTING MODULAR

SAS WFD(NorthlinMkACCo0ll/eWgeE/L0Co/lFleITgM0e/ADoCfTMCT2a-ApePMTo1wn)CBMT 1 CBMT 2 FITTING MODULAR

TRG DONE 3TRDG TDROIMNE21T0SR1TG9TDROIMNE202T2NR0GD DTROINME23T0R2DG0 TDROIMNE21T0SR2TG0TDROIMNE2022N1D TRIM 2021

P3 U3 T.T

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

U1

FSG & TT

FSG & TT

FSG & TT

FSG & TT

FSG & TT

FSG & TT

FSG & TT

FSG & TT

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

P3 + N3 U3 T.T

FSG & TT

P3 + N3 D U3 T.T

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

P3 + N3 U3 T.T

P3 U3 T.T

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

P3 U3 T.T

P3 + N3 U3 T.T

FSG & TT

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

N3 PH3 CBMT3 CBMT4 TT Navy TT Merseta

P3 U3 T.T

DIESEL MODTURALADRE TEST DUE

DIESEL MODTURALADRE TEST DUE