Student Enrollment Form 2025

CLASS / TRAINING REGISTRATION

Please complete the for and supply all required information. Most of the information here is required for SETA / QCTO LMIS Registration. As per the POPI Act, we respect your right to privacy, and will handle your information in such a way that it is confidential and is not distributed or circulated to any other party, except the ETQAs without your knowledge or consent.
I, First Nyeleti ChantelMthebule (amalefemale) with ID Number0411091423086 ID number, would like to register as a learner with OSHEMAC.
Email
Enter your email address.
Telephone number (Landline)
Only use a landline - not a cellphone number here. If you do not have a telephone, do not complete it.
Cellphone number
Please use a number we can access you on, or send SMSs to.
Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Postal Address (if different from residential)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Socio-economic staus

EmployedUnemployedStudying
Equity / Race

WhiteAfricanColouredIndian
Citizen Status

South AfricanOtherDual
Disability Status

DisabledNot Disabled
Nature of disability
If disabled / If you have indicated that you are disabled above.
Highest School Qualification
Please put a school qualification not tertiary qualifications.
Year of High School Qualification Completion
Please indicate the year that you completed your high school
Name of High School Attended
Geographical Location of High School
Name of town / city were the high school is located.
Area Code of High School
Postal code of school
Occupation of learner
If employed
Name of Company / Employer
If employed
Employer Telephone Number
Employer contact details / telephone number
Number of years in occupation
Total number of years in occupation not only at current company.
Please Upload your ID

Preferably a certified ID. SETA / QCTO prefer a certified ID
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Learner Signature

Clear
Should be Empty:

CLASS / TRAINING REGISTRATION