2022 Application Form

1 HEAD OFFICE NUMBER: 010 141 1000 SWGC-Marketing- Application Form - 02 2019/03/14 Page 1 of 2 Address all correspondence to Private Bag X33, Tshiawelo, 1817 / Distance Education correspondence to Private Bag X7, Pinegowrie, 2123 Head Office Tel: 010 141 1000 E-mail: 1822A Molele Street Molapo Dobsonville Campus Tel: 010 141 4000 E-mail: 5604 Van Onselen Road Dobsonville GeorgeTabor Campus Tel: 010 141 5000 E-mail: 1440 Mncube Drive Dube Molapo Campus Tel: 010 141 8000 E-mail: 1822B Molele Street Molapo Roodepoort Campus Tel: 010 141 2000 E-mail: 1 Webber avenue Horizon Roodepoort west Campus 010 141 3000 E-mail: 1 Lawson Street Roodepoort west Technisa Campus Tel: 010 141 1200/1 E-mail Cnr Main & Huguenot Blairgowrie 2022 Application Form (Please note that this is not a registration form, the registration forms will be made available to successful applicants) 2. Personal Details 3. Contact Details Tel No (H) Tel No (W) Guardian Cell No (Mother) Cell No (Father) Cell No (Student) E-Mail(Self and/or parent) Fax No Cell No (Other Relatives) Preferred method of communication (please tick) e-mail Cell/Mobile Post Fax Physical Address of Student Postal Address: (Company / Parent / Guardian) Postal Code Postal Code PROGRAMME: (refer to No.)

2 4 below) PREFFERED CAMPUS: (refer to No. 6 below) Full-time Part-time Surname Initials Title Mr Ms Mrs Full Name(s) SAME ORDER AS IN ID BOOK (DO NOT INCLUDE SURNAME) ID (Attached certified copy) Y Y M M D D Gender Male Female Ethic Group 1 African 2 Coloured 3 Indian 4 White 5 Other Mother Tongue ENGlish AFRikaans isiXHOSA SETswana isiSWATI XITsonga TSHivenda SEPedi SESotho isiZULU isiNDEBELE Unknown/Other Marital Status 1 Single 2 Married 3 Divorced 4 Other Highest qualification/Grade passed (Attached certified copies) RSA Citizen Y N Other Country CURRENT ACTIVITY This TVET College Other College School (Grade) Working Unemployed Name of Parent / Guardian Relationship to student HEAD OFFICE NUMBER: 010 141 1000 SWGC-Marketing- Application Form - 02 2019/03/14 Page 2 of 2 Address all correspondence to Private Bag X33, Tshiawelo, 1817 / Distance Education correspondence to Private Bag X7, Pinegowrie, 2123 Head Office Tel.

3 010 141 1000 E-mail: 1822A Molele Street Molapo Dobsonville Campus Tel: 010 141 4000 E-mail: 5604 Van Onselen Road Dobsonville GeorgeTabor Campus Tel: 010 141 5000 E-mail: 1440 Mncube Drive Dube Molapo Campus Tel: 010 141 8000 E-mail: 1822B Molele Street Molapo Roodepoort Campus Tel: 010 141 2000 E-mail: 1 Webber avenue Horizon Roodepoort west Campus 010 141 3000 E-mail: 1 Lawson Street Roodepoort west Technisa Campus Tel: 010 141 1200/1 E-mail Cnr Main & Huguenot Blairgowrie 4. Programmes REPORT 191 (NATED) Business Studies: N4 N6 Engineering Studies: N1 N6 Utility Studies: N4 N6 programmes Business Management Marketing Management Civil Engineering Mechanical Drawing Office Practice N4-N5 Water and Waste-Water Treatment Practice N1-N3 Introductory Clothing Construction Clothing Production Human Resource Management Public Management Chemical Engineering N4 N6 Mechanical Engineering Educare Hospitality and Catering Services Management Assistant Financial Management Electrical Engineering Multi - Disciplinary Drawing Office Practice N4 & N5 Popular Music.

4 (Composition, Studio Work and Performance National Certificate (Vocational) [NC (V)] Business Studies NC (V) Level 2 - 4 Engineering Studies NC (V) Level 2 - 4 Utility Studies NC (V) Level 2 - 4 programmes Finance, Economics & Accounting Management Civil Engineering & Building Construction Engineering and Related Design Education and Development Hospitality Primary Health Primary Agriculture Marketing Office Administration Electrical Infrastructure Construction Information Technology and Computer Science Safety in Society Mechatronics Tourism Transport and Logistics 5. Disability Disabilities (Please attach the medical certificate from doctor) Blindness Deafness Deaf-blindness Partial sightedness/ Low vision Hard of hearing None Cerebral Palsy Autistics Spectrum disorders Psychiatric disorder Epilepsy Physical Disability Learning Deficiencies that needs to be supported Specific learning disability Behavioural/ conduct disorder Attention to difficult disorders 6.)

5 Campuses Campuses Dobsonville Campus (Business Studies only) 5604 Van Onselen Road Dobsonville George Tabor (Utility Studies only) 1440 Mncube Drive Dube Village Molapo Campus (Engineering Studies only) 1822 A Molele Street C/o Koma Road Molapo, Soweto Roodepoort Campus (Business and Utility Studies) No. 3 Webber Street Horizon View Roodepoort Roodepoort west Campus (Engineering Studies only) No. 1 Hinda Road C/o Hinda & Lawson Street Roodepoort Technisa Campus (Business Studies [NC (V)] and Distance Learning) Cnr. Huguenot avenue & Main Street, Bordeaux, Randburg 7 NSFAS BURSARY REQUIRED? Yes No 9 I have previously studied with the college or any other Institution of higher learning Yes No 10 If so, which programme did you study for?

6 8 I have been granted Government Bursary for my previous studies Yes No 11 DISTANCE LEARNING Please refer to the college website for Distance Application Form: 9. DECLARATION 1. I hereby declare that the information above is accurate and correct and that should I, the applicant, be accepted as a student, I will unconditionally adhere to the rules and regulations of this College. I take note that I will occupy a high premium space, which could easily have been allocated to another deserving applicant. I undertake to utilize this space fully. I commit to stay in the programme for its total duration. Signed: Parent / Guardian (Where Applicable) Signed: Applicant .. Name of processing Officer Date: Signature of processing Officer In case the applicant is underage, the parent s/guardian s agreement will be binding.

7 Date: .. Date.