CHIETA CRITERIA FOR TRADE TEST APPLICATION

January 2018 Physical: 141 Lamp Road, Wadeville, Germiston Tel: (011) 827 4113/6. Fax: (011) 827 4118 Postal: P 0 Box 7104, Albemarle, 1410 E-mail: info@pandttechnology.co.za www.pandttechnology.co.za Directors: NC Du Plessis (managing), ED Du Plessis CHIETA CRITERIA FOR TRADE TEST APPLICATION The Trade test criteria is as follows: 3 years relevant on-the-job experience with N2 or higher (with 4 subjects relevant to a trade) or CHIETA N2 Equivalent OR 3 years relevant working experience with relevant engineering NCV qualification at NQF Level 3 OR 18 Months relevant working experience plus completion of relevant working experience modules and relevant engineering NC(V) 4 OR 18 Months relevant working experience (directly related to the trade theory subjects) N6 Technical certificate or National Technical Diploma ( S or N stream) OR 3 years relevant working experience with technical Grade 12 with Maths, Engineering Science and related trade theory subjects OR 4 years relevant working experience with Grade 9 with Maths passed OR 80 weeks relevant on-the-job experience with Engineering Learnership, NQF levels 2,3 &4 related to the 9 trades listed above When the trade test application has been approved you will be required to do the following before you can do the Trade test: Trade test evaluation Gap training (if the evaluation shows that you have any) Trade test preparation Cost of the above are as follows: Trade Test R 3 170.00 incl. VAT (2days) Trade Test Evaluation R 4 197.00 incl. VAT (1 day) Trade Test GAP Training R 4 197.00 incl. VAT (per week) Trade Test Preparation R 11 655.00 incl. VAT (3 weeks full time) CHIETA TRADE TEST APPLICATION The following documents need to be submitted with the Trade Test application form. Completed Trade Test application forms (ARPL both application forms: Apprenticeships DHET application form only) Certified copy of ID Certified letter from you the Employer validating the years experience. Certified copies of certificates CV Certified copy of highest grade passed (e.g Matric/Grade 12) Apprenticeships only Certified copy of the log book. The log book also needs to be stamped by your company Please hand deliver or courier the application. We DO NOT accept any faxed / e-mail applications. The CHETA requires original certified stamps on the supporting documents and the certification stamp MAY NOT be older than 3 months before the application. If you are sending the application via courier or Fast mail, please ensure that you send it from COUNTER to DOOR in order for it to be delivered to our physical address. Applications sent to the Post Office will NOT be collected and will be sent back to you. Our Physical Address for delivery of documents is: 141 Lamp Road, Wadeville, Germiston, 1428 If you have any questions contact Janine Oliver Telephone: 011 827 4113 / 6 Fax: 011 827 4118 E-mail: janine@pandttechnology.co.za Web: www.pandttechnology.co.za CH-RPL-04-0003 REV B 27/09/2017 Page 0 of 18

APPLICATION FOR RPL TOWARDS TRADE TEST IN A LISTED TRADE PLEASE NOTE: 1.This RPL Application Form is to be used for RPL interim process towards a Trade Test until the Department Of Higher Education and Training (DHET) rolls out a National RPL Process 2. This RPL APPLICATION FORM must be submitted with the following documents ONLY after all documents are checked and found to be meeting RPL requirements in Section C, o RPL Pre-evaluation is conducted o the Pre-evaluation test sheets and Summary Report are to be attached in Section K,.4 of this form o the Application Form for Trade Test (DHET Form Trade Test must be conducted without approval and issue of candidate s serial number), o VERY IMPORTANT NOTE: o This form is an RPL Application only and not a trade test application. o For trade test please use the DHET trade test application form. o The Application Form will only be processed if all the fields are fully completed and relevant and legible supporting documents are attached. o The application Form must be fully and accurately completed and signed by the candidate/ relevant persons. o All the copies of the relevant supporting documents are legible, certified and attached behind the correct annexure. o The DTTC must ensure that the Application Form is fully and accurately completed and relevant supporting documents are attached. Failure to do so will result in the applications being returned or allocated to other DTTCs. o The Provider of Apprentice Training should be different from the DTTC selected, unless in specific situations with approval by the CHIETA. NOTE : It is the responsibility of the trade testing centres to verify and confirm the authenticity of attached ID Copies, Qualifications and service letters CH-RPL-04-0003 REV B 27/09/2017 Page 1 of 18

A. APPLICANT DETAILS TRADE TITLE OFO CODE TITLE SURNAME First Name Middle Name(s) MAIDEN NAME (If Applicable) PHONE NO. CONTACT DETAILS E-MAIL. Mr Mrs Miss. Dr Prof CELL NO. FAX NO. Other, Specify PHYSICAL ADDRESS STREET CITY/TOWN PO BOX POSTAL CODE. POSTAL ADDRESS CITY/TOWN LOCAL MUNICIPALITY POSTAL CODE. PROVINCE E Cape N Cape W Cape FS KZN Mpumalanga Limpopo Gauteng N West DATE OF BIRTH y y y y m m d d ID TYPE (attach certified copy) ID Book Passport IDENTIFICATION NUMBER GENDER Male Female RACE White Indian Coloured African Other, Specify DISABILITY STATUS ne Hearing Physically Sight Speech Other, Specify ARE YOU A SOUTH AFRICAN CITIZEN IF NO, SPECIFY AND ATTACH DOCUMENTS INDICATING YOUR STATUS (e.g. study permit, permanent residence) CH-RPL-04-0003 REV B 27/09/2017 Page 2 of 13

B. EMPLOYMENT DETAILS B.1 CURRENT EMPLOYMENT STATUS Please tick the correct status of employment Permanently Employed t Permanently Employed Self Employed Other, Please specify: CURRENT/MOST RESENT EMPLOYER NAME POSITION/JOB TITLE IN THE ORGANIZATION PERIOD OF SERVICE (ATTACH CERTIFIED COPY OF SERVICE LETTER) From: Till: EMPLOYER PHYSICAL ADDRESS POSTAL ADDRESS STREET CITY/TOWN MUNICIPALITY PO BOX CITY/TOWN POSTAL CODE POSTAL CODE PROVINCE E Cape N Cape W Cape FS KZN Mpumalanga Limpopo Gauteng N West CONTACT PERSON CONTACT DETAILS (REFERENCE) POSITION PHONE NO. E-MAIL CELL NO. FAX NO B.2 PREVIOUS EMPLOYER NAME POSITION/JOB TITLE IN THE ORGANIZATION PERIOD OF SERVICE (ATTACH CERTIFIED COPY OF SERVICE LETTER) CONTACT PERSON From: Till: CONTACT DETAILS OF MANAGER OR SUPERVISOR POSITION PHONE NO. E-MAIL CELL NO. FAX NO CH-RPL-04-0003 REV B 27/09/2017 Page 3 of 13

B.3 PREVIOUS EMPLOYER NAME POSITION/JOB TITLE IN THE ORGANIZATION PERIOD OF SERVICE (ATTACH CERTIFIED COPY OF SERVICE LETTER) CONTACT PERSON From: Till: CONTACT DETAILS OF MANAGER OR SUPERVISOR POSITION PHONE NO. E-MAIL CELL NO. FAX NO C.3 Summary Of On the Job Experience DURATION OF ON-THE-JOB EXPERIENCE RELEVANT TO THE TRADE COMPLETED (attach certified copy of Service Letter/s, CV and where relevant copy of Logbook) Years: Months: Weeks: C. CHECKLIST AND EVIDENCE FOR RELEVANT THEORETICAL AND WORK EXPERIENCE WITH SUPPORTING DOCUMENTATION PLEASE NOTE: o o o o You MUST tick the supporting documentation you attached as part of your Application. You MUST provide supporting documentation for the PRIMARY EVIDENCE. This evidence is COMPULSORY. You MUST provide documentation for the RPL Pre-Evaluation. This evidence is COMPULSORY. The supporting documentation for SECONDARY EVIDENCE is OPTIONAL. DOCUMENTATION ATTACHED (Please Tick) PRIMARY EVIDENCE 1. POSITIVE IDENTIFICATION: (Please tick relevant evidence you submitted) 1.1 CERTIFIED COPY OF VALID NATIONAL IDENTITY DOCUMENT; OR 1.2 CERTIFIED COPY OF VALID PASSPORT 2. THEORETICAL EVIDENCE ATTACHED 2.1 SECONDARY QUALIFICATION (attach certified copy) Grade 9/Std. 7 With Mathematics Other, Specify: 2.2 TECHNICAL QUALIFICATION RELEVANT TO THE TRADE (attach certified copy) N2 Other, Specify: 2.3 TERTIARY QUALIFICATION RELEVANT TO THE TRADE (attach certified copy) 2.4 ADDITIONAL TRAINING RELEVANT TO THE TRADE (attach certified copies of certificates e.g. safety) If YES, Specify: If YES, Specify: NO NO CH-RPL-04-0003 REV B 27/09/2017 Page 4 of 13

DOCUMENTATION ATTACHED (Please Tick) 3. WORKPLACE AND THEORETICAL EVIDENCE (ON-THE JOB) EXPERIENCE (Please tick relevant evidence you submitted) 3.1 3 YEARS RELEVANT ON-THE-JOB EXPERIENCE WITH CHIETA N2 EQUIVALENT: 3.2.1 CERTIFIED COPIES OF SERVICE LETTERS DEMONSTRATING A MINIMUM OF 3 YEAR RELEVANT ON-THE-JOB EXPERIENCE AND 3.2.2 CERTIFIED CHIETA N2 (4 SUBJECTS) EQUIVALENCE STATEMENT OF RESULTS; OR 3.2 3 YEARS RELEVANT ON-THE-JOB EXPERIENCE WITH FULL N2 CERTIFICATE(4 SUBJECTS) : 3.3.1 CERTIFIED COPIES OF SERVICE LETTERS DEMONSTRATING A MINIMUM OF 3 YEARS RELEVANT ON-THE-JOB EXPERIENCE AND 3.3.2 CERTIFIED COPY OF N2 (4 SUBJECTS) OR HIGHER RELEVANT TO THE TRADE; OR 3.4 3 YEARS RELEVANT WORKING EXPERIENCE WITH RELEVANT ENGINEERING NCV AT NQF LEVEL 3 3.4.1 CERTIFIED COPIES OF SERVICE LETTERS DEMONSTRATING A MINIMUM OF 3 YEARS RELEVANT ON-THE-JOB EXPERIENCE AND 3.4.2 CERTIFIED COPY OF NCV AT NQF LEVEL 3 TRADE RELATED QUALIFICATIONS; OR 3.5 18 MONTHS RELEVANT WORKING EXPERIENCE PLUS COMPLETION OF ALL RELEVANT WORK EXPERIENCE MODULES WITH A RELEVANT NC(V) 4 3.5.1 CERTIFIED COPIES OF SERVICE LETTERS DEMONSTRATING A MINIMUM OF 18 MONTHS RELEVANT ON-THE-JOB EXPERIENCE AND 3.5.2 CERTIFIED COPY OF NC (V) LEVEL 4 TRADE RELATED QUALIFICATION; OR 3.6 3 YEARS RELEVANT WORKING EXPERIENCE WITH TECHNICAL GRADE 12 WITH MATHS, ENGINEERING SCIENCE AND RELEVANT TRADE THEORY SUBJECT 3.6.1 CERTIFIED COPIES OF SERVICE LETTERS DEMONSTRATING A MINIMUM OF 3 OR MORE YEARS RELEVANT ON-THE-JOB EXPERIENCE AND 3.6.2 CERTIFIED COPY OF GRADE 12 REPORT OR CERTIFICATE WITH MATHS, ENGINEERING SCIENCE AND RELEVANT TRADE THEORY SUBJECT PASSED; OR 3.7 4 YEARS WORKING EXPERIENCE WITH GRADE 9 WITH MATHS : 3.7.1 CERTIFIED COPIES OF SERVICE LETTERS DEMONSTRATING A MINIMUM OF 4 OR MORE YEARS RELEVANT ON-THE-JOB EXPERIENCE AND 3.7.2 CERTIFIED COPY OF A GRADE 9 REPORT WITH MATHS PASSED; OR 3.8 18 MONTHS RELEVANT WORKING EXPERIENCE WITH RELEVANT N6 CERTIFICATE OR NATIONAL TECHNICAL DIPLOMA ( S OR N STREAM): 3.8.1 CERTIFIED COPIES OF SERVICE LETTERS DEMONSTRATING A MINIMUM OF 18 MONTHS RELEVANT ON-THE-JOB EXPERIENCE AND 3.8.2 CERTIFIED COPY OF A NATIONAL N6 CERTIFICATE OR NATIONAL TECHNICAL DIPLOMA (N OR S STREAM) ; OR 3.9 3 YEARS RELEVANT ON-THE-JOB EXPERIENCE WHERE THE CANDIDATE S HAS A FULL N2 AND HIS/ HER CONTRACT OF APPRENTICESHIP HAS EXPIRED: 3.9.1 CERTIFIED COPIES OF SERVICE LETTERS DEMONSTRATING A MINIMUM OF 3 YEARS RELEVANT ON-THE-JOB EXPERIENCE AND 3.9.2 COPY OF APPRENTICESHIP CONTRACT; OR CH-RPL-04-0003 REV B 27/09/2017 Page 5 of 13

DOCUMENTATION ATTACHED (Please Tick) 3.10 3 YEARS OR 80 WEEKS NQF LEVEL 2, LEVEL 3 AND LEVEL 4 LEARNERSHIP QUALIFICATION WITH NO N2: 3.10.1 CERTIFIED COPY OF CHIETA LEARNERSHIP QUALIFICATIONS: NQF LEVELS 2,3 AND 4 AND 3.10.2 CERTIFIED COPY OF SERVICE LETTER WITH EXACT DATES, LEAVE TAKEN DURING LEARNERSHIPS AND ALSO DEMONSTRATING THE PERIOD OF EXPERIENTIAL TRAINING AND INSTITUTIONAL TRAINING FOR LEARNERSHIPS FOR ALL NQF LEVELS 2, 3 AND 4. 3.10.3 WORK EXPERIENCE REQUIRED IS 80 WEEKS OR MORE, EXCLUDING LEAVE TAKEN. NOTE : NO STATUS FORM WILL BE ACCEPTED 4. SECONDARY EVIDENCE EXPERIENCE (Please tick relevant evidence you submitted) 4.1 SECONDARY QUALIFICATION 4.2 TERTIARY QUALIFICATION RELEVANT TO THE TRADE 4.3 LOGBOOK 4.4 PORTFOLIO OF EVIDENCE 4.5 PHOTOS 4.6 WORKPLACE TESTIMONIALS 4.7 ADDITIONAL TRAINING RELEVANT TO THE TRADE 4.8 GAP TRAINING REPORT (WHERE APPLICABLE) CH-RPL-04-0003 REV B 27/09/2017 Page 6 of 13

D. PAYMENT FOR THE RPL Please indicate your method of payment for the RPL by ticking the relevant box: If this section is not completed your application form will not be evaluated. te: This is not the actual payment BUT only the method of payment that will be used if your application is approved APPROVED FOR CHIETA RPL PROJECT ; OR DISCRETIONARY GRANT; OR OTHER PAYMENTS METHODS, PLEASE SPECIFY E. RPL EVALUATION - CHIETA ACCREDITED DECENTRALISED TRADE TEST CENTER (DTTC) Please provide the name of the DTTC where you will conduct the RPL pre-evaluation: NAME OF THE CHIETA ACCREDITED DECENTRALISED TRADE TEST CENTRE (DTTC) F. TRADE TEST PREPARATION - CHIETA ACCREDITED PROVIDER OF APPRENTICE TRAINING Please provide the name of the preferred Provider of Apprentice Training for the trade test preparation: PLEASE NOTE: RPL PRE-EVALUATION AND TRADE TEST PREPARATION MUST NOT BE CONDUCTED AT THE SAME CENTRE THAT IS CONDUCTING TRADE TEST. NAME OF THE CHIETA ACCREDITED PROVIDER OF APPRENTICE TRAINING G. DECLARATION BY APPLICANT (Please note if the Application Form is not signed, it WILL be returned) I HEREBY DECLARE THAT: The above details and attached supporting documents (ID Copy, Qualification and service letter) to the best of my knowledge and belief correct. o o o If I am supported through the CHIETA RPL Project, I will adhere to the CHIETA s ARPL Project requirements, which includes: Conducting the RPL evaluation at the allocated site, date and time. I will inform the CHIETA Evaluator 24 hours in advance if I cannot attend the RPL Evaluation. Failure which result in the CHIETA ETDQA taking me off the RPL Project. Thereafter the cost of RPL Application is for my own account. Attending the trade preparation at the allocated CHIETA Provider of Apprentice Training. The CHIETA Provider of Apprentice Training will inform the CHIETA ETDQA if I am not partaking in the required trade preparation activities, or where it is found that I will not be ready for the trade test within the time allocated for trade preparation. In such instances I will be taken off the RPL Project to either continue with the trade preparation at my own cost or to obtain the additional training and / or on-the-job experience. NOTE: if the ID Copy, Educational Qualification and service letter provided are found to be incorrect or falsified, the candidate will not be issued with certificate... CH-RPL-04-0003 REV B 27/09/2017 Page 7 of 13

Signature Of Candidate Date H. DECLARATION BY EMPLOYER IF EMPLOYED (Please note, if the candidate is employed and the Employer did not sign the Application Form, the application WILL be returned for signature) I HEREBY DECLARE THAT: The above details are, to the best of my knowledge and belief correct. o If the candidate is supported through the CHIETA RPL Project, I support and understand the RPL Project requirements, which I as the Employer will adhere to, which includes releasing the candidate in normal working hours for RPL evaluation and the trade test preparation...... Name of Employer Signature Of Employer Date I. CHECKLIST AND DECLARATION TO BE COMPLETED BY DECENTRALISED TRADE TEST CENTER WHERE THIS APPLICATION WAS SUBMITTED - This Section must be completed by the DTTC, otherwise the form will be returned PLEASE TICK THE RELEVANT COLUMN AND SIGN THE DECLARATION. The candidate has submitted a fully completed RPL Application Form as required by the CHIETA; The supporting documents have been evaluated and meet the CHIETA s RPL requirements; The theoretical and workplace experience as outlined in the application meet which RPL requirements from SECTION C? (Please insert the relevant evidence numbers in the columns on the right) The RPL pre-evaluation was conducted and the candidate was declared (this evidence to be attached behind.4 in Section K): Insert Applicable Evidence. from Section C Theoretical Evidence and Workplace Evidence Eligible for a Trade Test t eligible for a Trade Test NOTE: if the ID Copy, Educational Qualification and service letter provided are found to be incorrect or falsified, the candidate will not be issued with certificate. Name of DTTC: Date of declaration: I, hereby confirms that the above information was checked and found to be adequate and meeting the CHIETA RPL requirements outlined in Section C CH-RPL-04-0003 REV B 27/09/2017 Page 8 of 13

J. FOR OFFICE USE BY THE CHIETA ONLY DECLARATION BY THE CHIETA EVALUATOR: This form was evaluated: by: Date: My evaluation revealed that the following requirements are in order:. Requirements YES( ) NO (X) 1 2 3 4 ID Copy is certified and matches names used in this Form Copies of Educational Certificates are certified and are relevant for the requirements The Letter of Service was confirmed via the email with the contact person provided thereon (See attached Confirmation email).the declaration of correctness of the ID copy, Educational Qualification/s and Service letter/s was signed by both the candidate and the trade testing centre. CHIETA Pre - evaluation report declaring learner competent to proceed with ARPL trade test preparation Workplace Experience is (Please provide the number of weeks, months or years from the Service Letter) This application has met the requirements outlined/listed in Section C: 2 and 3 as follows: Theoretical Evidence and Workplace Evidence : VERIFY BY ETQA SPECIALIST: Signed by: Date: APPROVAL BY ETQA MANAGER: Signed by: Date: CH-RPL-04-0003 REV B 27/09/2017 Page 9 of 13

This application should be captured on the database and the approval letter submitted to the DTTC to initiate Trade Test Application process. K. PLEASE ATTACH SUPPORTING DOCUMENTS AS INDICATED IN THE NEXT PAGES 1.POSITIVE IDENTIFICATION Please Insert Certified Copy of Identification Document. Evidence as ticked in Section C:.1 Behind this Page CH-RPL-04-0003 REV B 27/09/2017 Page 10 of 13

2. THEORETICAL EVIDENCE: Please Insert Certified Copies of Theoretical Evidence as ticked in Section C:.2 Behind this Page CH-RPL-04-0003 REV B 27/09/2017 Page 11 of 13

3. WORKPLACE EVIDENCE: (ON-THE- JOB EXPERIENCE) Please Insert Certified Copy of Workplace (On-The- Job Experience) Evidence as ticked in Section C:.3 Behind this Page REQUIREMENTS FOR SERVICE LETTER OR A LETTER OF SERVICE. Requirements 1 Letter is on an organisation letterhead with a date 2 Letter has names and ID numbers of a candidate 3 Letter has the position occupied by the candidate 4 Letter listed tasks relevant to the trade performed by the candidate 5 Letter indicates exact dates of work experience (e.g. from 12.07.2000 to 13.07.2010) 6 Letter indicates the name and contact details of organisation 7 If less than 4 years letter indicates a number of days leave taken CH-RPL-04-0003 REV B 27/09/2017 Page 12 of 13

4. RPL PRE-EVALUATION MARKED SHEETS AND SUMMARY REPORT (COMPULSORY): Please Insert Signed Copies of Pre-evaluation mark sheets and Summary Report Behind this Page CH-RPL-04-0003 REV B 27/09/2017 Page 13 of 13

Trade Test Application Form APPLICATION FOR A TRADE TEST (This form should be completed in block letters) In terms of Section 26 D of the Skills Development Act Surname: First Names: Trade Test Centre: Race and Gender African Female Male Indian Female Male Coloured Female Male White Female Male Nationality: Province: Identity/passport number: Date of Birth: Educational Qualification: Foundational learning Competency: Residential Address: Version 2 of 2013 Doc Title Application for a Trade Test Date revised 02 10-2013 Signature

Trade Test Application Form Postal Address: Telephone (Home): Telephone (employer): Cell Phone number: E - mail address: Name and address of current employer: Current Occupation: OFO Code: Trade test applying for (trade title): Specialisation: Have you attempted a trade test previously if yes supply date and Centre name Centre Name: Date: Trade test attempt no: Version 2 of 2013 Doc Title Application for a Trade Test Date revised 02 10-2013 Signature

Trade Test Application Form Details of Experience: Attach appendix of outlining the scope of workplace: Evidence in the form of testimonials, certificates of the Skills development provider detailing technical training completed certificates of service by employers or other persons of standing substantiating the training and experience referred to above must accompany the application. Name and address of workplace From To Detail of practical tasks (a) (b) (c) (d) (e) Details of training (Knowledge and Skills training. ) Attach certified copies Original documentation must be provided with the application and the candidate must provide the centre with copies certified by a Commissioner of Oaths. Name of Skills development provider. From To Course (a) (b) (c) (d) te: Training and experience: (Give full details and exact dates) Are you currently bound by a learner agreement? Learner Agreement : Relevant SETA: Version 2 of 2013 Doc Title Application for a Trade Test Date revised 02 10-2013 Signature

Trade Test Application Form Additional Information (Compulsory) The purpose of this document is to make the artisan trade test assessor aware of any medical condition in order to ensure the safety of the Trade Test candidate and the people around him / her. MEDICAL INFORMATION Please indicate by means of a cross in the appropriate space, as to whether or not you suffer from any medical disorder or allergy, e.g. high / low blood pressure, epilepsy, etc. If YES, please state the nature; YES NO Please indicate if you have any disability YES NO If YES please state the nature: Applicant s Signature: Date: Version 2 of 2013 Doc Title Application for a Trade Test Date revised 02 10-2013 Signature

Trade Test Application Form For Official Use Recommended for the Trade Test YES NO Trade test Serial Number: Trade test date: Trade test Centre: Accreditation number: Receipt no: Comments: Delegated Person Name: Signature: Version 2 of 2013 Doc Title Application for a Trade Test Date revised 02 10-2013 Signature