PDF Application Form
Transcription
PDF Application Form
ATTI APPLICATION FORM To register: Complete Section A, B, C, D and E Copy of your ID and a copy of the person who is paying for your studies Copy of your highest qualifications R600 registration to be paid @ registration Photos are not needed SECTION A: LEARNER DETAILS Surname Name Initials Title ID Number Passport Number Date of Birth Gender Race Home Language Disability Status Cell phone no Home Tel. no E-mail Postal Address Postal City Highest Education Student number: Xantium Trading 304 (PTY) Ltd: ATTI Bloemfontein is Accreditation by MICT SETA. Accreditation Number: ACC/2010/04/817. ATTI Bloemfontein FASSET SETA. Provider number: 585/01372/12. ICB Provider Accreditation number: 300726. Xantium Trading 304 (PTY) Ltd trading as ATTI Bloemfontein SECTION B: PARENT / GUARDIAN / SPONSOR INFORMATION (PERSON SIGNING THE PAYMENT CONTRACT Surname Name ID Number Passport Number Cell phone no Home Tel. no E-mail Street Address Postal Address Postal City Employer Name Work phone number SECTION C: RELATIVE INFORMATION (RELATED TO PERSON SIGNING CONTRACT BUT NOT LIVING WITH THE PERSON) Surname Name ID Number Passport Number Cell phone no Home Tel. no Work Tel. no E-mail Street Address Postal Address Postal City Xantium Trading 304 (PTY) Ltd: ATTI Bloemfontein is Accreditation by MICT SETA. Accreditation Number: ACC/2010/04/817. ATTI Bloemfontein FASSET SETA. Provider number: 585/01372/12. ICB Provider Accreditation number: 300726. Xantium Trading 304 (PTY) Ltd trading as ATTI Bloemfontein SECTION D: COURSE INFORMATION TECHNOLOGY OFFICE COURSES: 1 Year Office Application Specialist Skills Programme 6 Months Office Application Specialist Skills Programme 1 Week Office Application Specialist Skills Programme 2 Year National Certificate: Information Technology: End User Computing (NQF3) 2 Year National Certificate: Small Business Financial Management (NQF4) 1 Year Project Management Skills Programme INFORMATION TECHNOLOGY TECHNICAL COURSES: 1 Year PC Technician Skills Programme (1st Year SA) 1 Year Computer Professional Skills Programme (2nd Year SA) 1 Year Computer Administrator Skills Programme (3rd Year SA) 2 Year System Administrator Skills Programme 3 Year System Administrator Skills Programme 1 Year System Engineer Skills Programme (You must have completed System Administrator) 3 Year Further Education and Training: Information Technology: Technical Support (NQF4) INFORMATION TECHNOLOGY GRAPHIC DESIGN AND WEB PROGRAMMING COURSES 2 Year Graphic Design, Multimedia and Web Programming Skills Programme 3 Year E-Design and Solution Developer Skills Programme 3 Year Further Education and Training: Information Technology: System Development (NQF4) INFORMATION TECHNOLOGY COURSES IF YOU HAVE FORMALLY STUDIED MS OFFICE 6 Month Project Management Skills Programme 6 Month PC Technician Skills Programme 1.5 Year System Administrator Skills Programme 1.5 Year Graphic Design, Multimedia and Web Programming 1.5 Year National Certificate: Small Business Financial Management 1 Year Business Literacy for to obtain National Certificate: Information Technology: End User Computing (NQF3) INFORMATION TECHNOLOGY COURSES: Other: I, , ID Number hereby acknowledge: The registration fee is non-refundable The rulebook that governs ATTI Plagiarism Declaration: I, the undersigned, herewith declare that I have studied and understand the concept of Plagiarism, and that I will not make myself guilty of Plagiarism of any form and that all my work will be my own. I will not hand my work to another student to copy. If I use other resources, I will use the correct format as reference. Learner Signature Date Xantium Trading 304 (PTY) Ltd: ATTI Bloemfontein is Accreditation by MICT SETA. Accreditation Number: ACC/2010/04/817. ATTI Bloemfontein FASSET SETA. Provider number: 585/01372/12. ICB Provider Accreditation number: 300726. Xantium Trading 304 (PTY) Ltd trading as ATTI Bloemfontein