DISCRETIONARY GRANT APPLICATION (FW2)

1 Company Name: _____ FY2017-2018 FW2 Please complete DISCRETIONARY GRANT APPLICATION (FW2) 2017-2018 LEARNING PROGRAMMES APPLICATION FORM CLOSING DATE: 29 SEPTEMBER 2017 Applications are to be submitted to the FoodBev SETA OR Hand delivered Couriered for the attention of: DISCRETIONARY Grants Funding Window 2 Mr. Sibusiso Miya FOODBEV SETA 13 Autumn Street Rivonia Sandton 2128 THE APPLICATION MUST BE COMPLETED COMPREHENSIVELY THE PIVOTAL PLAN AND PIVOTAL REPORT (IN FORMAT OF WSP) NEEDS TO BE ATTACHED TOGETHER WITH THE APPLICATION FORM.

2 REQUESTED TO SUBMIT ONLY THE COMPLETED SECTIONS FOR OFFICE ONLY Date Received Reference Number DG17-18/FW2/ Date Evaluated Date approved FY17-18 DG APPLICATION (version ) FW2 Page 2 SECTION A: APPLICANT DETAILS Name of Applicant/ Organisation Organisation Category Levy Payer Non Levy payer Skills Development Levy Number (if levy payer) L Period Of Company Existence Less than 1 year 2-5 years 6-10 years > 10 years Company Registration Number (Cipro No.) Vat Registration Number Applicant/Organisation Contact Person Name Designation Telephone Number Mobile Number Fax Number Email Address Physical Address Of Applicant Municipality Province Code Postal Address Of Applicant (if not the same as above) Municipality Province Code Size of business and number of employees Business Size No.

3 Of permanent employees Specify exact number of permanent employees Micro 0 9 Small 10 49 Medium 50 149 Large +150 Main activities of business SIC CODE: Chamber Focus: BEVERAGES BCCS DAIRY FOODPREP PROCESSED Company Name: _____ FY2017-2018 FW2 Please complete FY17-18 DG APPLICATION (version ) FW2 Page 3 Summary of Learning Programmes applied for: Kindly indicate the training interventions that your organisation is applying for. SECTION A PIVOTAL GRANT Yes No Name of Learning Programmes Total number of learners SOURCE OF FUNDING SETA Funded Unfunded Learnerships GRANT (Unemployed) Learnerships GRANT (Employed) Skills Programmes Work Experience for Graduates (12 months) In-service (Internships) for University Students (6 months) In-service (Internships) for University Students (12 months) Company Name: _____ FY2017-2018 FW2 Please complete FY17-18 DG APPLICATION (version ) FW2 Page 4 SECTION B LEARNERSHIP DETAIL.

4 OFO CODE LEARNERSHIP TITLE REGISTRATION NUMBER TRAINING PROVIDER ACCREDITATION NUMBER NUMBER OF NUMBER OF START DATE END DATE TRAINING PROVIDER DETAILS: Name: Training Provider Accreditation Status Accreditation Body Qualifications (attach proof of accreditation letter per applied programme) Location / site for practical exposure Timeframe for Theory (duration) Timeframe for Practical (duration) Mentors details A DETAILED IMPLEMENTATION PLAN MUST ACCOMPANY THIS APPLICATIONC ompany Name: _____ FY2017-2018 FW2 Please complete FY17-18 DG APPLICATION (version ) FW2 Page 5 SECTION C SKILLS PROGRAMME DETAILS: OFO CODE SKILLS PROGRAMME TITLE REGISTRATION NUMBER TRAINING PROVIDER ACCREDITATION NUMBER NUMBER OF START DATE END DATE TRAINING PROVIDER DETAILS: Name.

5 Training Provider Accreditation Status Accreditation Body Qualifications (attach proof of accreditation letter per applied programme) Location / site for practical exposure Timeframe for Theory (duration) Timeframe for Practical (duration) Mentors details A DETAILED IMPLEMENTATION PLAN MUST ACCOMPANY THIS APPLICATIONC ompany Name: _____ FY2017-2018 FW2 Please complete FY17-18 DG APPLICATION (version ) FW2 Page 6 SECTION D WORK EXPERIENCE FOR UNIVERSITY GRADUATES OFO CODE QUALIFICATION/SCARCE SKILL DURATION (12 MONTHS) NUMBER OF LEARNERS START DATE END DATE NUMBERS TO ASSIST TO FIND EMPLOYMENT Physical location of site for practical workplace exposure Name and contact detail of workplace mentor/s Time to be spent on structured practical workplace exposure (number of days) Company Name.

6 _____ FY2017-2018 FW2 Please complete FY17-18 DG APPLICATION (version ) FW2 Page 7 SECTION E IN-SERVICE (INTERNSHIP) FOR UNIVERSITY STUDENTS OFO CODE QUALIFICATION/SCARCE SKILL DURATION (6 MONTHS) DURATION (12 MONTHS) TOTAL NUMBER OF LEARNERS START DATE END DATE NUMBERS TO ASSIST TO FIND EMPLOYMENT Physical location of site for practical workplace exposure Name and contact detail of workplace mentor/s Time to be spent on structured practical workplace exposure (number of days) Company Name: _____ FY2017-2018 FW2 Please complete FY17-18 DG APPLICATION (version ) FW2 Page 8 SECTION F TVET PLACEMENT DETAILS OFO CODE QUALIFICATION/SCARCE SKILL DURATION (6 MONTHS): NUMBER DURATION (12 MONTHS): NUMBER DURATION (18 MONTHS).

7 NUMBER TOTAL NUMBER OF LEARNERS START DATE END DATE NUMBERS TO ASSIST TO FIND EMPLOYMENT Physical location of site for practical workplace exposure Name and contact detail of workplace mentor/s Time to be spent on structured practical workplace exposure (number of days) Company Name: _____ FY2017-2018 FW2 Please complete FY17-18 DG APPLICATION (version ) FW2 Page 9 Annexure A PIVOTAL REPORT SECTION - ACTUAL PIVOTAL TRAINING OFO Code Occupational Category Socio Economic Status (Employed or Unemployed) PIVOTAL Programmes NQF Level Indicate the NUMBER trained at Total Duration of Learning Programme Total Actual Cost Basic Entry (NQF Levels 1-3), Intermediate (NQF Levels 4-5) Advanced Level.

8 NQF Level 6 -10 Start date Finish Date Total REPORT ON PREVIOUS FINANCIAL YEAR COMPLETED TRAININGS THAT WERE NOT REPORTED Company Name: _____ FY2017-2018 FW2 Please complete FY17-18 DG APPLICATION (version ) FW2 Page 10 SECTION - PLANNED PIVOTAL TRAINING OFO Code OCCUPATIONAL CATEGORY Socio Economic Status (Employed or Unemployed) PIVOTAL Programmes NQF Level Indicate the NUMBER OF EMPLOYEES to be trained: Total Estimated Start Date Estimated End Date Total Budgeted Cost Basic Entry (NQF Levels 1-3), Intermediate (NQF Levels 4-5) Advanced Level.

9 NQF Level 6 -10 Total FY17-18 DG APPLICATION (version ) FW2 Page 11 SCARCE SKILLS IDENTIFIED IN THE SECTOR - Management - Mechanical Engineering - Electrical Engineering - Electronic Engineering - Engineering: Technician - Accountant/Management Accountant - Chief Engineering(Fishing) - On-board Fish Handling and Fishing Safety (Quality Sustaining) - Skipper - Fitter and Turner - Seafood Processing Machine Operator - Production/Operations Management (Manufacturing) - Quality Assurance Management - Food Technologist/Scientist - Sales and Marketing Management - Personnel / Human Resources Management - Supply and Distribution Management - Skipper and Desk Officer(Fishing) - Deck and Engine Room Ratings(fishing) - Dairy Processor - Distiller or Winemaker UNDERGRADUATE.

10 LIST OF APPLICABLE PROGRAMMES - BSc Mechanical Engineering - BSc Electrical Engineering - BSc Electronics Engineering - Diploma in Production Management - Diploma in Packaging Management - Degree in Environmental Health Science - BCom - B Compt. - BSc Chemistry / Biochemistry / Biotechnology / Microbiology / Food Science - B Bus Sc. Marketing - Degree in Consumer Science POST-GRADUATE: LIST OF APPLICABLE PROGRAMMES - Post Graduate Diploma in Production Management - Post Graduate Diploma in Packaging Management - Post Graduate Degree in Finance - Post Graduate Degree in Accounting - Post Graduate Degree in Operations Management - B.