Student Number:

Your contact number (Please provide at least 2 contact numbers)

Work: Fax:

Home: Cell:

Email Address: Skype Address:

Physical address Postal Address

Suburb: Suburb:

City: Postal Code: City: Postal Code:

Country: Country:

May we send you important information by e-mail or SMS? Yes No

Preferred Method of communication: e-mail SMS other

Title: Mr Mrs Ms Other

Name: Surname:

ID Number:

Passport Number:

Race: White African Coloured Indian Gender: Male Female

Please note that race and gender information is required by the Department of Education

Marital Status: Single Married Divorced Widowed

Home Language: English Other

Nationality: SA Other Date of Birth: Day Month Year

Institution Obtained from (year)

SECTION 2 – COMMUNICATION DETAILS

SECTION 1 – APPLICANT DETAILS

APPLICATION FOR SAPS RPL (SAPS Members only) (2016v1)

PAGE 1 / 10Applicants SignatureDate

NATIONAL CERTIFICATE: RESOLVING OF CRIME - Recognition of Prior Learning 4 SAPS

I HEREBY APPLY TO ENROL AS A STUDENT OF FORENSICS4AFRICA FOR THE FOLLOWING QUALIFICATION:

Choose an elective:

General Investigation (Policing):

SECTION 3 – PROGRAMME OPTIONS - Recognition of Prior Learning

SECTION 4 A – PAYMENT OPTIONS: Pay Full Study Fee in Advance

APPLICATION FOR ENROLMENT

PAGE 2 / 10

How did you hear about us?

OLM Website Forensics4Africa Website Word of Mouth Promotional SMS // E-mail

Printed Media Radio Interview Employer

Send Application to: Postal AddressPost Net Suite 90, Private Bag x 37Lynnwood Ridge 0040,Gauteng, South Africa

or

Applicants SignatureDate

Assessment of supporting documents will only commence after FULL payment was received. Certification will also onlytake place when we receive the necessary ORIGINAL DOCUMENTS (SPO1 form and Declaration of Authenticity).

Terms and Conditions Apply

PAYMENT IN FULL R 2 000 paid by EFT

CREDIT CARD

Choose only 1 Payment Method

Applicants must prove at least 4 years of experience as a detective to qualify for enrolment

Please attach copies of the following documents to this Application:

• Your ID / passport (• Y• Comprehensive Curriculum Vitae • Latest signed Performance Appraisal document (PEP) • Latest signed Job Discription document • SAPS 96

CASH DEPOSIT (Please note that cash deposits should be made at an FNB ATM and not a bank teller in order to avoid extra bank charges)

Post Net Suite 90, Physical AddressAdmin Building (Upper Level)269 Lancia StreetLynnwood RidgePretoria, 0081

PAGE 3 / 10Applicants SignatureDate

APPLICATION FOR ENROLMENTI AM PAYING BY:

Electronic Funds Transfer

If paying by Credit Card please complete the following details:

Please debit my: MasterCard: Visa: Other: If other

Expiry Date: Card No.

Cardholder’s Name:

Amount: Straight: Budget: Months:

Last 3 digits on back of card

Date Cardholder Signature

Credit Card

Only

Administrator Signature

All Documents received with application

Invoice Issued and Printed # __________

Receipts issued (where applicable)

Statement Printed

Cash Deposit (An Invoice with the bank details will be generated and sent to the applicant. Cash depositsto be made at an FNB ATM and not at a teller, in order to avoid bank charges)

(An Invoice with the bank details will be generated and sent to the applicant)

Ready for Assessment phase

IMPORTANT NOTES:

In order for your application to be processed and verified by SASSETA, the original completed and signed pages 5-10 must be submitted to Forensics4Africa. These pages can be sent via post or private courier. Your application will not be processed if we do not receive the original signed documents.

Please note the following: All forms must be completed using a black pen

The SPO1 form must be printed front to back (on 1 page, on the front and back side. This can be selected in your printing options)

ID’s must be certified no longer than 3 months ago. All text and pictures must be clearly visible

Original completed SPO1 and Declaration of Authenticity can be hand delivered/couriered to our offices (Admin Building Upper Level, 269 Lancia Street, LynnwoodS Ridge, Pretoria, 0081) or sent to our Postnet Address (Postnet suite 90, Private Bag x37, Lynnwood Ridge, Pretoria, 0040)

____

APPLICATION FOR ENROLMENT

PAGE 4 / 10

I, the undersigned declare that the information in this application is complete and correct.

I hereby accept that Outsourced Learner Management (OLM) and its education subsidiary, hereinafter referred to as Forensics-4Africa (F4A) have the right to cary the course syllabus at any time, without prior notification and withou furnishing reasons thereof.

I authorise F4A to verify information contained in this application form, and make any other enquiries that may be necessary. I understand that if any part of it is found to be incomplete, false or misleading, F4A may refuse this application or cancel any subse-quent registration.

Information, Credit and Personal Information, and Criminal Record for the prescribed purposes. I consent to the storage of my per-sonal data at Outsourced Learner Management (Pty) Ltd, or any of its subsidiaries.

application is grounds for denial or revocation of registration to these courses (Cancellation Policy will be applied). If this application is accepted, I agree to abide by the Standard Operating Procedures and Terms and Conditions of Outsourced Learner Management (Pty) Ltd or any of its subsidiaries. Acceptance of this enrolment is a privilege and not a right.

I take responsibility for the payment of all fees and other charges due to F4A. I agree to be liable for all costs of debt recovery,including professional fees and collection commission.

I hereby declare that there is no legal impediment to my concluding this agreement and that I am legally bound to this contract, and accept all the terms and conditions of the entire agreement.

I undertake to notify F4A in writing of any changes in my contact details, including but not limited to: my business, postal or residential addresses, my home, work or cellphone number(s), and my e-mail address, within7 (seven) days of such change.

I choose the address as disclosed herein as my domicilium citandi et executandi for all purposes arising from this agreement.

Person dealing with Forensics4Africa on the Applicant’s behalf

F4A will only correspond and deal with the applicant. F4A will not enter into correspondence with anybody or organisation representing the applicant, except for: the Ombudsman; a parent or guardian (only in the case where the applicant is a minor);a person representing a relevant accreditation body or institute; or the Applicant’s lawyer.

-tion process brings to an end the relationship between F4A and the applicant.

The contracting party (the applicant) hereby warrants to F4A that the signatory (representing the applicant) has the required legal capacity to enter into, and be bound by these terms and conditions. The contracting party accepts all the terms and conditions of the entire agreement.

Adhering to Entrance Criteria

The applicant is responsible to ensure that he/she is on the correct course and that he/she adheres to the latest and correct entrance criteria. F4A will not accept applicants who do not adhere to the entrance criteria for the course on which they register. F4A will cancel applicants who register without adhering to the entrance criteria for the course on which they register.

Study Material

, or the payment details herein not being in accordance with the requirements of F4A, then such incorrect information or payment details shall be deemed to have been amended so as to be in accordance with the requirements of F4A, without further notice. F4A will be deemed to include any subsidiary of OLM or any other juristic person to whom the rights and obligations of F4A, as contained herein may be ceded and/or assigned.

study material, F4A remains responsible for keeping that material up to date for a period of three months. If in that period there are will send the applicant updated study material at no cost.

Applicants Signature Date

SECTION 5 – TERMS AND CONDITIONS:

I consent to Outsourced Learner Management (Pty) Ltd and any of its subsidiaries, requesting and reporting Confidential

This form MUST be completed in full. Please PRINT in BLACK INK. INCOMPLETE OR ILLEGIBLEAPPLICATIONS WILL NOT BE PROCESSED.

A CERTIFIED COPY of the applicant's National ID Document (or acceptable alternative) MUST attached tothis application. COPIES OF CERTIFIED COPIES OR FAXED COPIES WILL NOT BE ACCEPTED.This form MAY NOT be used for Unit Standards 117705, 10748, 10750, 10754, 10756, 10757, or 10758.Please use Form FCA 01 for these Unit Standards.

This form should be duplicated back-to-back and not on separate pages.

Ui1.z 0i=2.

0 ::>0::3.

SECURITY

I-en~ 4.

REGISTRATION OF LEARNER ON A NQF REGISTERED QUALIFICATIONWHICH IS NOT A LEARNERSHIP

UizoUi~:::;:ell::>en

By mall:THESASSETASKILLS PROGRAMMESPO BOX 7612HALFWAY HOUSE1685

OR

Hand deliveries:THE SASSETASKILLS PROGRAMMESLEVEL 3 EAST, GALLAGHER HOUSEGALLAGHER ESTATEMIDRAND1685

SECTION 1'- LEARNER INFORMATION (MUST be completed)

1.1 PERSONAL DETAilS:

Titie: o Mr 0 Mrs 0 Miss o Other - (Specify):

Full Names:

National ID No:

If ID Type = Other,specify:

o RSA 0 Other (Specify):

o Yes (Specify):

o Other (Specify):

(ccyyjml7lldd)

(0

. "".

If OTHER, ~.ttach certified copies of documents indicaling"you~status e.g . .permanent residence, Studypermli,

Population Group':

Tel N<i(h):

Do you have a disability", as contemplatedin the Employment Equity Act 55 of 1998'?

Nationality:

Date of birth:

1.2

Cell phone No: (0 Fax No: (0

E-mail: @

Code:

Postal Address:

o Gauteng

o Free Sfate

o Western Cape

o NorthWest

o Mpumalanga

o KwaZulu-Natal

o Eastern Cape o Limpopo o Northern Cape

1 Required for statistical and reporting purposes.2 The Employment Equity Act, 55 of 1998, defines a disability as a long-term or recurring physical or mental impairment, which substantially limits prospects of entry into, or advancement in, employment.

Page 1 of 2 (see over)

NOTE:

Qualification Title:

Elective Unit Standald

. Elective Unit Standard

Elective Unil Standard

l=lective Uryil Slarydard

EleCtive

Elective Unit Standard

Credit value:

Credit value:

Credit value:

Credit value:

SAQAID:

SAQAID:

SAQAID:

SAQAID:

Elective Unit Standard Credit value: SAQAID:

.Enrolment. Date:

SECTION 3 - EMPLOYER DETAILS

(This Sectio,; MUSTb~ completed), .,.,.,., , ,- .. , .,

CONTACT PERSON:

Employers Trading Name:

Business Address:

SDL Number.

Titie:

Surname:

Tel No:

E-mail:

o Mr 0 Mrs 0 Miss

(0

o Olher - (Specify):

(0

@

Training Provider's Registered Name:

Otl1er ETQA Accredilalion

CONTACT PERSON:

Title:

(0

E-mail: @

DECLARATION BY APPLICANT (MUST be completed);;

________________________ (full names), declare, to the best of my knowledge, that all the information provided is

complete and correct. Signed at on this, the __ day of 20 .

Applicant Learner

for the Unitthe date

Pa e20f2

The learner must complete the rest of the form and return it with a clear ID copy.

Qualification Name

National Certificate: Resolving of Crime

Elective Unit standards

ID 120483: CONDUCT PRELIMINARY INVESTIGATIONS ID 253987: CONDUCT AN INQUEST INVESTIGATION ID 253992: PERFORM WITNESS SUPPORT ACTIVITIES ID 253981: INVESTIGATE A MISSING PERSONS CASE ID 120492: DEMONSTRATE THE APPLICATION OFPERFORMANCE MANAGEMENT ID 243934: APPLY VICTIM EMPOWERMENTKNOWLEDGE AND SKILLS FOR SERVICE DELIVERY

Course details Course no RPL ROC-PVT - 59989

Training provider Strategic Investigations and Seminars (Pty) Ltd

The learner must complete the following section and sign the form where indicated. All fields are mandatory. Please ensure that personal details are accurate and the spelling of name/s and last name clear, for this information will be used to register your training and the results with SAQA, and for certification purposes.

National ID number Alternative ID type (if applicable)

Alternative ID number (if applicable)

Learner Surname Title & initials Learner first name Middle name Previous surname (if applicable - for Females)

Learner birth date (yyyymmdd)

Nationality code Citizen/resident code Home language code

Socio-econ. Status

Equity code Gender code Disability status code

Province code

Residential address Postal address

Code Code Telephone number ( ) Fax number ( ) Cell phone number E-mail address Employer Occupation Employer postal Address

Telephone number ( ) Fax number ( ) E-mail address

Code Contact person

I, the undersigned, confirm that the above personal information is correct and I indemnify Strategic Investigations and Seminars (Pty) Ltd, its service providers or sub-contractors and the facilitator/assessor against any claim whatsoever, if the information provided is found to be incorrect in any aspect.

Signature (learner) Date

LEARNER REGISTRATION FORM Form TA5

ASSESSMENT INSTRUCTION

You as the learner are required to compile a Portfolio of Evidence to prove competency against each Unit Standard that forms part of the National Certificate Resolving of Crime (ID: 59989) as indicated in the Recognition of Prior Learning Orientation Documentation that was provided to you at the Orientation meeting or Portfolio Building Workshops or at any other appropriate occasion.

Specific Instructions

a) Learners must familiarise themselves with the Specific Outcomes of the UnitStandard and subsequent Assessment Criterions

b) Learners are required to compile Portfolios of Evidence that will form the basis ofassessment against Unit Standards by answering the relevant questions relating to the Specific Outcomes of the Unit Standard and subsequent Assessment Criterions

c) An accredited assessor will conduct assessment of the Portfolios of Evidenceand 10% of results submitted to SASSETA will be moderated.

d) Learners who are declared not yet competent will be: Provided feedback by the provider on the outcome of the assessment Requested (once) to submit additional evidence for the purpose of re-

assessment

e) Learners who are declared not yet competent may appeal to the Assessor’sjudgement by completing the prescribed Assessment Appeal Form: TA 14. Appeal forms can be requested from and must be submitted to Strategic Investigations and Seminars (Pty) Ltd through e-mail/fax or at workshops

f) Should the provider find any irregularities, such irregularities will be dealt withaccordance with our Quality Management System

g) The provider will forward the disputed Portfolio of Evidence to a moderator forconfirmation of the assessment decision. If the moderator confirms the judgment of the assessor:

Your learner data will be uploaded to the SASSETA for the issuing of thestatement of results

The SASSETA will forward the statement of results to StrategicInvestigations and Seminars (Pty) Ltd. Your statement of results and subsequent qualification certificate will be given to the learner at any appropriate event or be forwarded to the postal address provided upon registration (SP01-form) or at workshops

h) Each page of each Portfolio of Evidence must be signed and must indicate yourinitials, surname and ID number.

i) Any enquiries or should your postal address change, please inform StrategicInvestigations and Seminars (Pty) Ltd via e-mail/fax. Strategic Investigations and Seminars (Pty) Ltd take no responsibility should you not receive your statement of results if you did not inform Strategic Investigations and Seminars (Pty) Ltd of any change in your postal address.

CERTIFICATION (Indicate your choice with by writing Yes or No)

I understand the assessment instructions?

Learner indicated: Yes or No: __________

I understand the assessment appeals process, learner support process and process in the case of any irregularities?

Learner indicated: Yes or No: __________

I have no objection against the pre-scribed assessment, which must be conducted in order for me to proof competency for Unit Standards to obtain the National Certificate Resolving of Crime?

Learner indicated: Yes or No: __________

I will be able to complete and submit the Portfolio of Evidence as determined by the facilitator.

Learner indicated: Yes or No: __________

Signed on __________________________ (Date)

___________________ SIGNATURE: LEARNER

________________________________________________________ FULL NAMES AND SURNAME: LEARNER

DECLARATION OF AUTHENTICITY

Specific Instructions a) Complete this declaration in your own handwriting

b) Request a witness to sign the declaration

c) If this declaration has not been completed, the Assessor will not assess your

portfolios

I __________________________________________________________________

(Learner’s Full name and surname) declare that all Portfolios of Evidence submitted for

the purpose of obtaining the National Certificate Resolving of Crime is and will be my

own work except where expressly indicated that it is not or assumed to not be my own

work (e.g. attached legislation, policies, etc.)

Signed on __________________________ (Date)

_________________________

SIGNATURE: LEARNER

I, ____________________________________________________________

(Witness Full name and surname) declare that the above declaration was made

and sign by

________________________________________________________________

(Learner’s Full name and surname)

Signed on __________________________ (Date)

_________________________

SIGNATURE: WITNESS