South Cape College Application Form PDF Details

The journey to acquiring education at South Cape College begins with the intricate process of completing the application form, a crucial step for prospective students. This form serves as the primary interface between the student and the institution, capturing a plethora of vital details ranging from personal information to academic history, and choice of campus. Prospective students are guided to fill out sections meticulously in black ink, marking relevant options, and providing accurate and comprehensive personal details such as name, gender, nationality, and contact information. Furthermore, the form delves into the academic aspirations of the applicants by asking for their preferred courses, registration types, and educational backgrounds. Accommodation requirements are also addressed, underscoring the college’s holistic approach to student welfare. Payment methods and terms, alongside a declaration section requiring signatures, cement the commitment and understandings between the student and the college. With a clear insistence on the inclusion of certified documents and the completion of every section, the form embodies the college’s commitment to a structured and transparent admission process. Notably, this detailed document plays a pivotal role in setting the expectations and responsibilities of both the applicants and the institution, offering a structured pathway towards embarking on a potentially life-changing educational journey at one of the South Cape College campuses.

QuestionAnswer
Form NameSouth Cape College Application Form
Form Length4 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min
Other namessouth cape college online application 2021, south cape tvet college, southern cape college, south cape college online application for 2021

Form Preview Example

APPLICATION FORM

(Office use)

Receipt no. & Amount paid

Registered by

Data capturer

Student no. 2

Campuses:

 

Beaufort West

023 4143064

Bitou (Plettenberg Bay)

044 5336660

George

044 8742360

Hessequa (Riversdale)

028 7134775

Mossel Bay

044 6932613

Oudtshoorn

044 2722119

Outeniqua

044 8734903

Time Period

PLEASE PRINT AND USE A PEN WITH BLACK INK

Please mark relevant blocks with ‘x’

SHADED AREAS FOR OFFICE USE

CAMPUS AT WHICH YOU ARE APPLYING

BEAUFORT WEST

BITOU (PLET)

GEORGE

HESSEQUA

MOSSEL BAY

OUDTSHOORN

OUTENIQUA

A.1 STUDENT’S PERSONAL INFORMATION

Surname

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

Mr

 

Miss

 

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initials

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth

 

DD

 

MM

 

YYYY

 

Preferred Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YYYYYYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full Names

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Age

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RSA

 

Y

 

 

N

 

Nationality / Country

 

 

 

 

 

 

 

 

 

 

 

Immigration date if

 

DD

 

MM

 

 

 

YYYY

 

Passport

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Citizen?

 

 

 

 

 

 

 

of Citizenship

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

not RSA citizen

 

 

 

 

 

YYYYYYYY

 

 

 

No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you have a study permit if

 

 

Y

N

 

 

 

What is your Study

 

 

 

 

 

 

 

 

 

Expiry date of

 

 

 

DD

 

MM

 

YYYYYYYY

 

 

Gender

 

 

Female

 

Male

Other

you are not a RSA Citizen?

 

 

 

 

 

 

 

Permit Number?

 

 

 

 

 

 

 

 

 

permit?

 

 

 

 

 

 

 

 

 

 

YYYY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Ethnic Group (to enable the South Cape College and the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Black, e.g. Xhosa, Zulu, Tswana, Sotho, Venda (please circle)

Government to track transformation in the Further Education

 

Coloured

 

 

 

White

Indian

 

Asian

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (please specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

& Training Sector)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Marital

Single

 

Married

 

Divorced

 

 

 

 

Maiden Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Car Registration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Transport Type

 

Car

 

 

Taxi

 

 

Bus

 

 

Accommodation

 

Private

Hostel

 

Mother

Afr.

 

 

Eng.

 

 

 

Xhosa

 

Zulu

 

 

Sotho

 

 

 

Venda

 

 

Tswana

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tongue

 

 

 

 

Other (Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home

 

Afr.

 

Eng.

 

Xhosa

 

 

Zulu

 

Sotho

 

Venda

 

Tswana

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Religion

 

 

 

 

 

 

 

 

 

Language

 

 

 

 

 

 

 

 

(Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A.2 STUDENT’S CONTACT DETAILS (‘STUDENT SCREEN’) (Please enclose proof of residential address, e.g. a Municipal account))

Tel. No. (H)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tel. No. (W)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fax No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cell No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residental Address:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adress Line 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suburb

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Adress Line 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal Code

 

 

 

 

 

A.3 CONTACT DETAILS (GUARDIAN SCREEN’)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Person to whom the student’s report must be posted, e.g. Student /

 

 

 

 

 

Person liable for the payment of the student’s account, e.g. Student / Parent /

Parent / Guardian / Employer / CETA / Other (Underline relationship)

 

Guardian / Employer / CETA / Other (Underline relationship)

Surname

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Surname

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initials

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initials

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ID

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tel. No. (H)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tel. No. (H)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tel. No. (W)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tel. No. (W)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fax No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Fax No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cell No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cell No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

E-mail

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address Line1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address Line1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address Line 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Address Line 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suburb

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Suburb

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Town

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Student’s Province of

 

Eastern

 

Free

 

Gauteng

 

Kwa-Zulu

 

 

Mpumalanga

 

 

Northern

 

Northern

 

Western

 

 

 

 

 

Other (Specify)

Origin

 

Cape

 

State

 

 

Natal

 

 

 

 

Prov.

 

Cape

 

Cape

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2008-02-14

AD-TL-002

Revision 01

B. COURSE (REGISTRATION INFORMATION)

Student

 

Private

 

Employer (Specify)

Bursary

Ikapa

 

 

NCV

 

Registration

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type

 

 

 

 

 

 

 

 

 

 

Other (Specify)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Course

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NATED

 

 

 

 

 

 

 

 

 

 

 

 

Exam Language of

 

 

 

 

 

 

 

 

 

Subject(s) of intended course(s)

 

Level

 

 

Full-time

 

 

 

 

 

 

Subject

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1.

 

 

 

 

 

 

 

 

 

 

 

Afr.

 

 

Eng.

 

 

 

 

 

 

2.

 

 

 

 

 

 

 

 

 

 

 

Afr.

 

 

Eng.

 

 

 

 

 

 

3.

 

 

 

 

 

 

 

 

 

 

 

Afr.

 

 

Eng.

 

 

 

 

 

 

4.

 

 

 

 

 

 

 

 

 

 

 

Afr.

 

 

Eng.

 

 

 

 

 

 

5.

 

 

 

 

 

 

 

 

 

 

 

Afr.

 

 

Eng.

 

 

 

 

 

 

6.

 

 

 

 

 

 

 

 

 

 

 

Afr.

 

 

Eng.

 

 

 

 

 

 

7.

 

 

 

 

 

 

 

 

 

 

 

Afr.

 

 

Eng.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C. Please complete this section if you require accommodation in a College residence. A separate appli-

 

 

yourwasWhat

lastactivitymain

year?

cation process is followed for admission to the residences. Closing dates vary from campus to campus.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you require accommodation?

Y

N

 

 

If yes, indicate residence below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MC STANDER – GEORGE

MOSSEL BAY – LADIES & GENTS

 

 

HUIS SOMMERS -

 

 

 

 

 

 

 

 

 

 

 

 

 

OUDTSHOORN

 

 

 

 

 

 

LADIES ONLY

 

 

HOUSE

 

ROOM

 

 

 

 

 

 

 

 

 

 

 

 

 

LADIES & GENTS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full-

Part-

Correspondence

 

 

HEADCOUNT

 

 

 

 

 

 

 

 

 

 

 

time

time

(SC College)

 

 

Y

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Vocational

 

 

Occupational

 

 

Skills

 

 

Short Non-

 

 

 

 

 

 

 

 

 

Formal

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Part-time

 

Exam Only

 

 

 

Distance

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Learner9Grade

Learner12Grade

ForceLabour

Technical College

Other (specify)

Student - please

 

 

 

 

 

 

 

 

provide college name

 

 

 

 

and student no. below:

 

D.

Highest Level of Education (School)

Post School Training and Qualifications (Please Provide Proof)

 

 

 

 

 

Grade

Year

School/Institution

Matric

 

Aggregate

 

 

 

 

 

 

 

 

 

 

E. STUDENT SUPPORT AND MARKETING (For statistical purposes)

Designated Groups

 

 

 

Unemployed

 

Employed

 

 

YAR

 

 

 

SCL

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you have a medical

 

 

 

If Yes,

 

Learning (Specify below)

 

 

 

 

 

 

 

 

 

 

Y

 

N

 

 

 

Hearing

 

Speech

Psychological

Physical

 

Sight

 

Wheel chair

condition or disability?

 

Specify

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

F. MEDICAL INFORMATION (Only full-time students)

Contact person / Next of Kin

Relationship

Tel. No.

Medical Fund

Primary Member

Fund No

Blood Type

Doctor

Dr. Tel.

G. SPORT ACHIEVEMENTS (Only full-time learners)

WHICH SPORT

TEAM

YEAR

METHODS OF PAYMENT

For your information, please take note of the various payment options that are available once you have been accepted to study at the College. With registration, a specified amount (depending on the course) must be paid by students following the full-time or part-time courses. The balance of the fees may be paid according to the various options. Payment can be made in the following ways: Cheque (payable to the South Cape College with student number written on the back); cash to the campus cashier; bank deposit or electronic transfer. Always state your student number, ID, initials and surname for reference purposes. Each campus will provide their bank details.

H. DECLARATION AND UNDERTAKING (COMPULSORY)

Please read the following carefully before completing and signing the form. The term “College” refers to “South Cape College”.

1. ENTRANCE REQUIREMENTS

All Candidates who comply with the minimum requirements are still subject to placement assessments.

All candidates must note that the offering of a course is subject to a minimum enrolment. Any course that does not meet the minimum enrolment requirement will be cancelled. Any fees already paid will be reimbursed.

2. DOCUMENTS

A certified copy of the first page of your identity document (or certified copy of your passport) must accompany this application. A Certified copy of your Senior Certificate or equivalent qualification must be submitted with your application. If you are still in Grade 12, your marks obtained in Grade 11 together with your most recent Grade 12 marks must be submitted. If you attended any other tertiary institution, an original academic record and a certificate of conduct, or certified copies of other certificates / diplomas / degrees obtained previously, must also be submitted.

3. DEPOSIT

The deposit as prescribed for the course must be paid before your registration will be confirmed. Should you cancel your course before the commencement of classes, R100 of your deposit will be kept for handling fees and the remainder will be refunded.

4. GENERAL

This form must be completed by all students applying to the College for the first time. It is in your own interest to ensure that this form is completed in full and that certified copies of all supporting documents are enclosed. If any questions are left unanswered or certified documents are not enclosed, or the contract is not signed, it will cause a delay as the form will be returned to you for completion. Write only in black ink and block letters.

2008-02-14

AD-TL-002

Revision 01

CONTRACT

I, the undersigned student, hereby declare that the above particulars furnished by me in this application form, are true and correct;

(a)that I undertake to inform the Administrative Office immediately if I abandon my course or studies and/or change my address or any other personal details by completing the prescribed form available at the Administrative Department;

(b)that I fully understand that the College is entitled to cancel my registration immediately, should it become apparent that any of the particulars furnished above in this application form are false or incorrect;

(c)that I have acquainted myself, and in the future will keep myself acquainted with the College rules, Student Code of Conduct and Language Policy framed from time to time by the Council of the College or by any other competent body or person attached to the College;

(d)that I understand and agree that the College’s medium of tuition is both Afrikaans and English and I accept that lecturers may make use of both of the aforementioned languages in the lecturing situation. Furthermore I undertake not to make any claims against the College regarding the medium of tuition.

(e)that I undertake throughout all the years for which I am registered as student of the College, for whatever programme of study direction, to abide by all the rules and regulations referred to in (c) above, including any amendments thereof and any substitutions thereto;

(f)that I undertake not to bring any claim, of whatever kind against the College or any employee of the College nor in any way whatsoever to hold the College liable for any damage or loss whatever which I may incur or suffer personally or to property of mine and which directly or indirectly arises from my participation during my period of study at the College in any activity, of whatever kind, related to my studies or training or with sport or recreation of any kind whatsoever, however such damage or loss may come about, and that I will participate in any such activity on my own responsibility and will accept of my own free will the risk attached thereto;

(g)that I authorise the College in the event of my requiring urgent medical treatment to get appropriate medical assistance and that I accept responsibility for the payment of the costs thus incurred;

(h)that I will immediately get the necessary medical advice or treatment if I have reason to suspect that I have any contagious or infectious disease capable of creating a risk for other persons through my participation in any aspect of College activities, including, without restriction, residence in College accommodation, attendance of any instructional occasion, taking of examinations or tests or participation in College-related projects, sport or recreation; and that, if in terms of such medical advice it is desirable, I will withdraw from any such College activity; and that I indemnify the College against any liability of whatever nature that may directly or indirectly arise from the College in consequence of my failure to comply with this undertaking;

(i)that I undertake to pay punctually all such tuition, class, residence and other fees as the College may from time to time charge during the years for which I am registered as a student of the College;

(j)that I furthermore undertake to defray all legal costs arising for the College in the event of my failure to discharge any duty relating to the payments mentioned in (g) above;

(k)that I am liable for legal costs incurred if my account is handed over to debt collectors due to non-payment;

(l)that exam admission is subject to the guide-lines of the National Examination department;

(m)that, if I abandon or change my course of study after two weeks, no cancellation or reduction of fees will be considered and that I will remain liable for the payment of all fees in full, except in the event of serious illness, death or transfer to another college. Credits (if any) will be transferred to the other institution. Provide proof of registration and banking details of institution.

SIGNATURE OF STUDENT ____________________________________________ DATE _________________________________

I. DECLARATION BY PARENT / GUARDIAN / PERSON RESPONSIBLE FOR PAYMENT OF ACCOUNT (COMPULSORY)

SURNAME

FULL NAMES

ADDRESS

Prof

Dr

Rev

Mr

Mrs

Ms

I hereby declare

(a)that I have acquainted myself with the contents of, and consent to, the declaration by the applicant in F above and that the particulars furnished by him/her in this application form are true and correct;

(b)that I consent in particular to my minor child's / ward's / applicant’s undertaking throughout all his/her years of study to abide by the College code of conduct, rules and regulations as framed from time to time by the Council of the College or by any other competent body or person attached to the College;

(c)that I accept joint and several responsibility with my minor child / ward / the applicant for the payment of all fees referred to above which may become due and payable to the College during all the years for which he/she registers as a student of the College (including studies subsequent to his/her attainment of majority) and that I undertake to pay the said fees punctually;

(d)that I undertake not to bring any claim of whatever kind against the College or any employee of the College nor in any way to hold the College liable for any damage or loss whatever which he/she may incur or suffer personally or to property of mine and which directly or indirectly arises from my child's / ward's / the applicant’s participation during his/her period of study at the College in any activity, of whatever kind, having to do with his/her studies or training or with sport or recreation of whatever kind, however such damage or loss may come about, and that he/she will participate in any such activity on his/her own responsibility and will accept of his/her own free will the risk attaching thereto; and I furthermore undertake to indemnify the College or any employee of the College if my minor child / ward / the applicant with my assistance is on legally valid grounds unable to safeguard the College against liability as set forth hereinbefore.

Herein assisted as far as may be necessary while the applicant / student is still under the age of eighteen (18) years or not liable for the payment of own fees.

I, ________________________________________________________________________ the undersigned, hereby acknowledge myself

to be jointly and separately responsible for monies which the above-mentioned applicant may at any stage be owing to the College in terms of the agreement he/she concluded with the College, as set out above, including any change thereto.

SIGNATURE OF PARENT / LEGAL GUARDIAN __________________________________ DATE___________________________

ID OF PARENT / LEGAL GUARDIAN

IT IS COMPULSORY THAT THIS CONTRACT IS SIGNED BY ALL PARTIES CONCERNED.

2008-02-14

AD-TL-002

Revision 01

CHECKLIST

Please note that South Cape College will not consider incomplete applications. If any question is left unanswered or certified documents are not enclosed, proof of residential address not included, or the agreement is not signed, it will cause a delay as the form will be returned to you for completion. Before submitting your application, please complete the check list below. Please tick the box next to each bullet to indicate that you have checked it. (Yes, No, na – not applicable)

 

 

Item

 

 

Applicant

 

 

 

College

 

 

 

 

 

 

 

 

Controller

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Did you enclose a certified copy of your ID document?

 

Yes

No

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Did you enclose:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(a) a certified copy of your Senior Certificate or, (b)

a certified copy of your latest progress report if the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grade 12 results are not applicable or (c) an original Academic Record and a Certificate of Conduct, or

 

Yes

No

 

 

Yes

 

 

No

 

 

 

certified copies of other certificates if you studied at another academic institution other than a school,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(d) a certified or original copy of proof of your residential address?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Have you completed all the applicable sections on the application form?

 

Yes

No

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Did you sign the declaration of agreement?

 

 

Yes

No

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• If you are under 18 or not liable for the payment of your own fees: did your parents/guardian sign the

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

declaration?

 

 

Yes

No

 

 

Yes

 

 

No

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Have you included the required deposit for (a) your course and (b) residence (if applicable)?

 

Yes

No

 

na

 

Yes

 

 

No

 

 

na

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Did you indicate the name of the hostel on the application form If you wish to be considered for a

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

place in a residence? (NB: Application for accommodation in a residence does not guarantee

 

Yes

No

 

na

 

Yes

 

 

No

 

 

na

 

 

accommodation in the residence but is subject to availability and payment of a deposit.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• All international students: Have you applied for a study permit in your home country or are you in

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

possession of one? You are compelled to produce a valid study permit before you will be

 

Yes

No

 

na

 

Yes

 

 

No

 

 

na

 

 

allowed to register.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

International students, have you attached a certified copy of your passport or certificate of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

refugee status, and the SAQA evaluation of your school qualification?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

• Please note: RSA qualifications: The onus rest with all international applicants to have their

 

Yes

No

 

na

 

Yes

 

 

No

 

 

Na

 

 

school qualifications evaluated by SAQA before submitting this application form. SAQA can be

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

contacted at telephone number +27 +12 431 5000. Address: Postnet Suite 248, Private Bag X06,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Waterkloof 0145, South Africa

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

For office use

 

Name and surname of staff member (please print)

 

 

 

 

Signature

 

 

 

 

 

 

 

Control list and application form controlled by:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Means test done by (where applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Placement test done by (where applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2008-02-14

AD-TL-002

Revision 01