HUMAN RESOURCE DEVELOPMENT

TRAINING REGISTRATION FORM

PART A: Personal Details

ED
Title Initials
MISS
Surname
MAHLAELA
First Name Gender M F
EVAH
Identification Number (ID) 7404050966081 Persal Number 22839321
Job Title
ASSISTANT COMMUNICATIONS OFFICER
Salary Level Employment Status Permanent Contract
6
dikeledima@statssa.gov.za
e-mail Address Ext / Tel 3141
STATISTICAL SUPPORT AND INFORMATICS
Branch

Chief Directorate
ADVOCACY AND DISSEMINATION
Directorate
MEDIA AND PUBLIC RELATIONS
Supervisor:
(Name & Surname) GERALD WHITE
If yes, please indicate the type.
Do you have a disability? No Yes N/A

Course Details (Only one course per form)

Course Name (one course per
form) Emerging Management Development Programme (EMDP)
NQF Level (only for external
courses)
Preferred date(s) to attend the
course
Training Facilitator

Have you completed the prerequisites for the course?

Yes No Not Applicable
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Course Specification (Complete where applicable) Not Applicable for internal courses.

Objectives of the training course

Specific outcomes of the course

PART B: To be completed by the Direct Manager

1. How is the course going to assist the employee to perform his/her daily activities as
per performance agreement/plan? (Personal Development Plan)

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2. Rate the challenges which are hampering the performance of the employee in
delivering his/her duties according to the performance agreement/plan.

Scale:

Neither
Strongly Strongly
Disagree disagree Agree
disagree Agree
nor agree
1 2 3 4 5

a) Absenteeism of employee is high 1 2 3 4 5

b) Employee can work independently 1 2 3 4 5

c) Employee is able to meet performance deadlines 1 2 3 4 5

d) Employee works effectively in a team 1 2 3 4 5

3. List other challenges which are hampering the performance of the employee in
delivering according to his/her performance agreement/plan

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PART C: To be completed by the Candidate

FINANCIAL RESPONSIBILITY IN THE CASE OF NON-ATTENDANCE OR NON-

COMPLETION OF THE COURSE

NAME: EVAH DIKELEDI MAHLAELA

PERSAL NUMBER: 22839321

RANK: ASSISTANT COMMUNICATIONS OFFICER

COURSE: Emerging Management Development Programme (EMDP)

DATE/S OF COURSE: …………………………………………………………………………………

I, the undersigned, hereby declare that I will be attending the above-mentioned course on
the said date/s, and also understand that I will be held responsible for any costs which may
arise out of my non-attendance, or non-completion of the course due to plagiarism, non-
submission of Portfolio of Evidence or submitting a Portfolio of Evidence which does not
meet the required standard. I consent that such costs may be deducted from my salary.

PART D: Signature/s

Name Signature Recommendation Date

Applicant EVAH MAHLAELA
28/07/2022
Direct SIVUYILE Yes No
Manager MANGXAMBA

Chief Director TREVOR Yes No

OOSTERWYK

PART E: Guidelines
IN-HOUSE COURSES:
 All nominees will receive a course confirmation via e-mail; this correspondence will contain the relevant
course dates, venues and times.
 Once nominees are scheduled they must be prepared to attend the course on the prescribed dates as
indicated on the email.
 Nominees must be prepared to complete a pre-assessment, this is an assessment written before
attending the course. This may not be necessary for all courses.
 Staff will not be allowed to attend a course without having completed a training registration form and
have received a confirmation email.
 No individual can attend as substitute for another person without prior arrangement. A fully completed
and signed registration form for the new candidate should be submitted as well.

CANCELLATION- (Only apply to courses which do not have any cost implications)
 Once a nominee has been registered to attend a course, only their direct Manager can cancel or change
the nomination. This should be done in writing two days prior to the commencement of the course.
 Cancellations and/or changes must be done by completing the cancellation form and be signed by the
direct Manager.
 No staff member can attend as a replacement for another person unless it has been arranged by his
Supervisor/Manager with the relevant Facilitator and the training registration form for the candidate is
submitted and approved.

FORMS
 Please ensure that your training registration form has been signed (by all relevant parties) and
completed in full before submitting it.
 All registration and cancellation forms should be submitted to the relevant training officer/administrator.