Social Auxiliary Work Form – Fill Out and Use This PDF

1.

FORM R.2.SW.2 needs to be completed

by a social auxiliary worker who was

registered with the SACSSP and

who’s name was removed from the

Register for Social Auxiliary Workers as

contemplated in section 20 of the Social

Service Professions Act 110 of 1978.

2.

IMPORTANT: Persons who register

for the FIRST time as a social auxiliary

worker should complete FORM R.1.SW.2

3.

FORM R.2.SW.2 must be completed

personally by the applicant - in print

or typed.

4.

Study FORM R.2.SW.2 carefully before

completing it.

5.

Read the instructions with each section

and answer all questions fully, clearly and

correctly.

6.

Fields that do not apply to you must

be clearly deleted. Draw a line through

SACSSP Registration as social auxiliary worker

5 0 -

Title*R

(mark ONE only with X)

Prof

Dr

Rev

Mr

Mrs

Ms

Miss

ID number*

Passport No1 (if applicable)

Country of origin

Date of birth* (YYYY/MM/DD)

y

y

y

y

-

m

m

-

d

d

2

Home language

Gender *R (mark with X)

Male

Female

2

Never

Marital status * (mark with X)

married

Married

Divorced

Widow

Widower

Population group2 (mark with X)

African

Coloured

Indian

White

Other

Disability2 (mark with X)

Yes

No

If YES, specify

such field.

7.

If you have to make any corrections

to your answers - initial next to the

correction made in the right margin.

8.

Incomplete and/or non-compliant

applications will not be processed and

will be referred back to the applicant.

Therefore, make sure that the application

is completed correctly and submitted with

all the required supporting documents.

9.

See Section H for the documents that

must accompany FORM R.2.SW.2.

•

Must be completed by all applicants in

order to be re-entered into the Register.

•

Mark in the box for each year you have

taken a subject e.g. if you took a subject

for 2 years then mark the first 2 boxes or if

Telephone (work)

-

Country (If not in South Africa)

Academic information of applicant (mark with X)

Qualification

Degree

Diploma

Certificate in Social Auxiliary

Work

Duration of course

1 year

2 years

3 years

Name of qualificationR

e.g. Certificate in Social Auxiliary Work

Date on which you initially registered as a student for this qualification

y

y

y

y

-

m

m

-

d

d

Date on which this qualification was/will be conferred upon you:

y

y

y

y

-

m

m

-

d

d

C-2. ONLY applicable to persons with a 3 + 1 year qualification: (mark with X)

Qualification

Degree

Diploma

SW Certificate (NDP)

Duration of course

1 year

2 years

2 years

Name of qualification*R

e.g. BSocSc Hons(SW)

Date on which this qualification was/will be conferred upon you:

y

y

y

y

-

m

m

-

d

d

C-3.

Subjects related to qualification* (COMPULSARY to complete by all applicants) (mark with X)

Subject

Year courses

you have taken a subject only for one year

then only mark box 1.

• Indicate the subjects/modules in the

appropriate spaces.

• IMPORTANT: The SACSSP may request

that you submit the original (not copy) of

documentary proof issued by the training

institution, if this is not on record with the

SACSSP, in which an indication is given of

ALL the subjects you have passed during

all years of study and the duration of the

course in each subject if the subjects and

the duration of the course in each subject

have not been stated on the certificate, in

order to be re-entered into the Register.