ONLINE APPLICATION Form
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Student Details
Select the course you are applying for
*
Architectural Draughtsmanship
Beauty and Wellness
Hairdresser
Electrician
Title
*
Please Select
Mr
Ms
Mrs
Names and Surname (as it appears on ID document/card)
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First Name
Middle Name
Surname Name
Name people call you
*
Gender (as on ID document/card)
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Male
Female
Maiden Name
The surname you had before you got married.
ID number
*
Nationality
*
Please Select
South African
Other
If you have indicated "Other", please specify which country
*
Passport Number
*
Only applicable if you selected "Other". If this is not applicable to you please indicate with n/a
Home Language
*
Please Select
Afrikaans
English
isiNdebele
isiXhosa
isiZulu
Sepedi
Sesotho
Setswana
siSwati
Tshivenda
Xitsonga
Other
Contact number 1
*
Format: (000) 000-0000.
Contact number 2
*
Please enter a valid phone number.
Format: (000) 000-0000.
E-mail Address
*
example@example.com
Postal Address (The following residential address is nominated for the serving of legal and formal notices (domicilium citandi et executandi)
*
Street Address
Street Address Line 2
City
Province
Postal Code
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Education
Last school attended
*
Highest grade completed
*
Please Select
Grade 9
Grade 10
Grade 11
Grade 12
Home school
Year achieved
*
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Additional Personal Information
Emergency Contact/Next of Kin
*
First Name
Surname
Relationship with Next of Kin
*
Contact details for Next of Kin
*
Please enter a valid phone number.
Format: (000) 000-0000.
Marital Status
*
Please Select
Single
Married
Divorced
Partner
Dependants
*
Please Select
0
1
2
3
4
5
6
Current employment status
*
Please Select
School leaver
Unemployed
Self-employed
Casual/Temporary Employment
Contract Employment
Employed (Part-time)
Employed (Full-time)
If you selected any form of employment, please indicate the name of the business
*
Name of employer
*
First Name
Surname
Employer Contact Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Payment Options
Select an option on how you will pay for your studies:
*
Self funded - Cash fee (pay full fee at once)
Self funded - Terms fee (pay deposit and monthly installments)
Bursary
Student Loan
Other
Upload Documents and Terms and Conditions
Copy of learner ID (front and back if ID card) and copy of learner's last school report or Grade 12 certificate/statement of results to be uploaded in PDF format
Upload documents: (PDF Upload: Please upload PDF files only. Maximum file size: 10 MB per file.)
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Browse Files
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Application Disclaimer
Please note that this is an application to study at Qualitas Career Academy in Bloemfontein and does not constitute acceptance, enrolment or registration. Once your application has been reviewed and approved, we will contact you to proceed to the final stages of the application process, namely enrolment, payment and registration. During these stages, all outstanding documentation, payment and enrolment requirements will be finalised. Once you have accepted the offer of admission and all enrolment requirements have been met, you will be enrolled as a student of Qualitas Career Academy in Bloemfontein. Your registration will only be finalised once the required deposit has been paid in full. Only registered students may commence with their studies/classes.
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