353 Festival Street, Hatfield, Pretoria, 0028 PO Box 11303, Hatfield, 0028 Tel: 012 423 5739 www.pseta.org.za 1. Learner Details Leaner Name: Surname: Tel Num (w): Fax Number: Cell Number: Email Address: Province: 2. GP MP WC EC Employment Details Institution Name Type of institution: FET College Accredited Provider Non accredited provider Cooperative Company Registration Number Tax Clearance Expiry Date 1 3. Capacity Building Area Please indicate which programme you would like to attend Assessor Training Moderator Training QMS Design Learning Programme Design 4. Subject Matter Expertise 4.1 Please indicate a qualification (s) which you have obtained that is linked to or has awarded you subject matter expertise in one of the PSETA qualifications. Qualification Obtained (Formal) 4.2 PSETA Qualification (please refer to list) If no formal qualification has been obtained please indicate areas of experience that have awarded you the subject matter expertise for any of the PSETA qualifications. Work Experience PSETA Qualification (please indicate Key Performance Areas) (please refer to list) 2 5. Declaration I Declare that the information provided is authentic. . _________________________ _____________________ Signature Date 3 ETQA Qual ID PSETA PSETA PSETA PSETA PSETA 48761 49055 49107 49196 49197 PSETA PSETA PSETA PSETA PSETA PSETA PSETA 49198 49257 50060 50583 50585 57804 57805 PSETA PSETA PSETA 57824 57827 57897 (67460) PSETA PSETA PSETA PSETA PSETA PSETA Qual Last Date for Enrolment Qual Last Date for Achievement Min Credits NQF Level Qual End Date National Certificate: Mission Administration National Certificate: Foreign Economic Representation National Certificate: Inspection and Enforcement Services National Certificate: Social Housing Property Development Further Education and Training Certificate: Social Housing Supervision 133 160 140 147 146 Level 5 Level 6 Level 5 Level 6 Level 4 26-Jun-13 30-Jun-12 30-Jun-12 30-Jun-12 30-Jun-12 26-Jun-14 30-Jun-13 30-Jun-13 30-Jun-13 30-Jun-13 26-Jun-17 30-Jun-16 30-Jun-16 30-Jun-16 30-Jun-16 National Certificate: Social Housing Property Management National Certificate: Conflict Management and Transformation National Certificate: Public Administration National Certificate: Public Service Communication National Certificate: Public Service Communication National Certificate: Public Administration National Certificate: Public Sector Employment and Skills Development Practices 121 124 141 120 129 157 160 Level 6 Level 5 Level 5 Level 5 Level 6 Level 3 Level 5 30-Jun-12 30-Jun-12 30-Jun-12 03-Nov-12 03-Nov-12 17-Nov-12 17-Nov-12 30-Jun-13 30-Jun-13 30-Jun-13 03-Nov-13 03-Nov-13 17-Nov-13 17-Nov-13 30-Jun-16 30-Jun-16 30-Jun-16 03-Nov-16 03-Nov-16 17-Nov-16 17-Nov-16 Further Education and Training Certificate: Public Administration National Diploma: Public Administration National Diploma: Public Administration 146 260 240 Level 4 Level 7 Level 6 17-Nov-12 09-Feb-13 09-Feb-13 17-Nov-13 09-Feb-14 09-Feb-14 17-Nov-16 09-Feb-18 09-Feb-18 58346 (57712) Further Education and Training Certificate: Public Administration Management 150 Level 4 06-Oct-12 06-Oct-13 06-Oct-16 64329 64670 65649 66869 64330 National Diploma: Diplomacy National Certificate: Public Financial Oversight and Accountability National Certificate: Official Statistics National Certificate: Home Affairs Services National Certificate: Mission Corporate Services Management (applied for extention of scope Feb 2011 - out for public comment) 240 128 120 120 120 Level 7 Level 6 Level 5 Level 5 Level 6 30-Jun-12 30-Jun-12 30-Jun-12 09-Sep-12 30-Jun-12 30-Jun-13 30-Jun-13 30-Jun-13 09-Sep-13 30-Jun-16 30-Jun-16 30-Jun-16 09-Sep-16 Qualification Title 4
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