APPLICATION FORM
2023
NEW STUDENTS ONLY
Please complete the entire form in print and black ink.
National Certificate Vocational (NCV) Report 191 Business Studies Report 191 Engineering Studies PLP
At which campus would you like to study?
Maluti Mt Fletcher Mt Frere Campus Ngqungqushe Campus Siteto
Campus Campus Campus
Capture student number below
National Certificate Vocational (NCV) REPORT 191
Level 2 Level 3 Level 4 N N2 N3 N4 N5 N6
1
Civil Engineering & Building Construction Business Management
Electrical Infrastructure Construction Civil Engineering
Engineering & Related Design Electrical Engineering
Finance, Economics & Accounting Financial Management
Generic Management Human Resources Management
Information Technology & Computer Science Legal Secretary
Marketing Management Assistant
Office Administration Marketing Management
Mechanical Engineering
Public Management
Farming Management
PROGRAMME: PRE-VOCATIONAL
LEARNING
Foundational English
Foundational Maths
Foundational Science
Foundational Life Skills and Technology
Have you been enrolled in a PLP before YE NO
S
SECTION A: PERSONAL DETAILS
ID Number Date of birth
Title Mr Ms Other Specify Initials
Surname Maiden Name, if
applicable
Full Names
Home Tel
Cell
Email address
Bursary assistance required Yes No
SECTION B: BIOLOGICAL INFORMATION
Nationality
Home IsiXhosa English IsiZulu Afrikaans Other
Language ( specify)
Preferred Language
Gender Male Female
Ethnic Black White Coloured Indian Other
Group African (specify)
Marital Status Single Married Divorced Widowed
Citizenship
South African Permanent resident
If you are not a South African citizen please indicate
Study permit ____________________________________
Passport number_________________________________ Expiry date
SECTION C: EMPLOYMENT DETAILS (IF APPLICABLE)
Name of Employer/
Business
Account to Employer Yes No
Postal Code
Employer’s/
Business Address
Postal Code
Employer’s/
Business Postal Address
ADDITIONAL COMMENTS
________________________________________________________________________________________________
________________________________________________________________________________________________
__________________________________________________________________________
Occupation Work Telephone Number
SECTION D: SCHOOL LEAVING DETAILS
Last School attended Examination Date
Matric Date Grade 9 Grade 10 Grade 11 Grade 12
NB: Please attach a copy of your academic results or school report and I.D. Copy
Please tick
Previous Year Activity
At this College Other College
University Technical College
Technikon Higher Education
Unemployed Secondary School
Foreign Education Working
SECTION E: STUDENT ADDRESS
Physical Address Postal Address
Postal Code Postal Code
SECTION F: DISABILITIES/SPECIAL NEEDS
Please tick where applicable.
Blindness or Special Sighted Low Vision
Deafness Hearing (Even with hearing aid)
Epilepsy Intellectually disabled
Psychiatric disorder Physically challenged
Cerebral Palsy Other Specify
Allergies/ Health Problems
Contact Person Contact No
Dr Name Dr Tel
SECTION G: INFORMATION OF PERSON(S) RESPONSIBLE FOR PAYMENT OF ACCOUNT
(PARENT/GUARDIAN/EMPLOYER/INSTIUTION)
Parent/ Guardian Relationship
Physical Address Postal
Address
Postal Code Postal Code
Occupation
Work Tel
Home Tel
Cell
Please attach a certified ID copy of parent or guardian
Accommodation needed Yes No
If yes, please request hostel application form
SECTION H: TERMS AND CONDITIONS
A student may not damage or interfere with the property of the College and others including students, staff and
members of the public on the College premises;
In that case the student will be held liable for any damage
A student is responsible for the care and safe keeping of all the resources
Equipment’s that are issued to students should be returned back to the College including textbooks etc.
No firearms, traditional weapons of any kind of dangerous weapons allowed on the College premises.
A student’s general behaviour should at all times not discredit the College reputation.
The College has a right to do a random searching at any time, without warning; order a search for illegal
substances by the staff, security, police or a relevant section at the South African Police Services.
A student has to inform the Campus Management/ registration unit in writing of any change in residential or
postal addresses.
Students will obey all reasonable instructions given to him/her by any member of the academic or administrative
staff of the College.
All cellular phones must be switched off during lecturing hours.
The College is not responsible for stolen goods.
Smoking is prohibited inside and at the premises of the College buildings, it is only allowed to designated areas.
Right of Admission to the College is reserved.
SECTION I: DECLARATIONS
I HEREBY DECLARE:
That the particulars furnished by me above in this application form are true and correct;
That I undertake as a registered student of the College to abide by all the rules and regulations of the INGWE
TVET College, including any amendments thereto and any substitutions
thereof; that I undertake to pay all class and other fees punctually;
That 80% class attendance in all subjects is required at INGWE TVET College for admission to exams and a
term mark of 40% for Report 191 subject & for NCV subjects as per DoE Policies;
That I undertake to let the College know of any changes to the information above, within 14 days after
registration;
That it is my responsibility to confirm exam dates;
That it is my responsibility to make enquiries about my results (when it is available).
Signature --------------------------------------- Date-------------------------------------------
Student
Signature---------------------------------------- Date--------------------------------------------
Parent/Guardian
SECTION J: CHECKLIST(OFFICE USE ONLY)
LECTURER USE ONLY
Please write the student subject to be enrolled for:
NCV COLLEGE ACCOUNT DETAILS
Account Name: Ingwe TVET College
Bank Name: Standard Bank
Account Number: 082097097
Reference: Student Number/ ID Number
REPORT 191 PROGRAMME: PRE-VOCATIONAL
LEARNING
Signature Date
Form Checked
Student accepted
Student not accepted
Student number captured
Comments
IMPORTANT
This form should be accompanied by
_____________________
Certified copy of school leaving results
Signature: HOD
Certified copy of identity document
Certified copy of parent or legal guardian ID
_____________________ ________________________
Signature: Data Capturer Date
