434 Kirkness Street Sunnyside

Loftus Versfeld, South Pavilion

2nd Floor, Office no: 08
Pretoria, 0132
South Africa
Accreditation Number: 613/P/00175/2020

SIYAKHA ADVENTURE TEAM LEARNING INSTITUTE (PTY) LTD - NEW STUDENT APPLICATION FORM

Please select the course you wish to enrol in

Tick Qualification:

Further Education and Training Certificate: Community Recreation

Further Education and Training Certificate: Sport Coaching: Juniors/Beginners

Further Education and Training Certificate: Tourist Guiding

National Certificate: Sport Management

Further Education and Training Certificate: Fitness

APPLICATION FOR ADMISSION

PERSONAL DETAILS

Titles Mr Mrs Ms Dr

Initials

Full Names

Surname

Marital Status Single Married Divorced

Maiden Name

Date of Birth DD MM YYYY

Identity Number

Gender Male Female Other

Home Language

Church Affiliation

Non-South African Yes No

passport number

Disability Yes No

Reg No: 2015/276029/07 | SETA No: 613/P/00175/2020 | CSD: MAAA0597365

Cell: (+27) 82 043 8050| Tell: (+27) 12 065 0347/5 | | email: info@satli.co.za |
web: www.satli.co.za
 CONTACT DETAILS

Applicant's Postal
Address

Applicant's
Residential
Address

Applicant's Work
Postal Address

Telephone Number

Work Number

Cell phone Number

Email Address

Reg No: 2015/276029/07 | SETA No: 613/P/00175/2020 | CSD: MAAA0597365

Cell: (+27) 82 043 8050| Tell: (+27) 12 065 0347/5 | | email: info@satli.co.za |
web: www.satli.co.za
 By signing this application form, I confirm that the information provided is accurate and complete to the best of

my knowledge. I understand that any false information may result in the rejection of my application.

Applicant's Signature: ___________________________________ Date: ____________________

Please submit this completed application form by the registration closing date to: 27 October 2023

The registration fee should be deposited in order to confirm registration.

Kindly send your proof of payment along with the following essential documents to this email address,

admissions@satli.co.za, to complete your registration:

1. Certified copy of your ID or passport.

2. Proof of address.

3. CV.

4. Contract from your workplace.

Your prompt submission of these documents will facilitate the registration process.

The R1,800.00 registration fee can be made into the following bank account:

BANKING DETAILS
SIYAKHA ADVENTURE TEAM LEARNING INSTITUTE
Bank: First National Bank PLEASE USE YOUR ID NUMBER AS
Account No: 62813898197 REFERENCE WHEN MAKING
Branch Name: West End Pretoria PAYMENTS
Branch Code: 250454

Reg No: 2015/276029/07 | SETA No: 613/P/00175/2020 | CSD: MAAA0597365

Cell: (+27) 82 043 8050| Tell: (+27) 12 065 0347/5 | | email: info@satli.co.za |
web: www.satli.co.za