Learner Information Form

Learner Information Form – Skills Programmes

This form has been designed, according to SAQA specifications, to transmit basic information about learners, independent of enrolment, qualifications or completion data. Providers are requested to supply this information by completing the form below and then submit to the FREIGHT HANDLING CHAMBER of TETA, prior to requesting moderation on assessments. /

OFFICIAL USE ONLY

Date
Captured
Signature

National ID

/ Alternative ID type
Learner Alternate ID
Equity Code / Nationality Code / Gender Code
Citizen Resident Status Code
Home Language Code / Socio economic Status Code
Disability Status Code
Learner Last Name
Learner First Name
Learner Middle Name
Learner Title / Learner Birth Date / D / D / M / M / Y / Y / Y / Y
Learner Home Address
Learner Postal Address
Learner Home Address Postal Code / Learner Postal Address Post Code
Learner Phone number
Learner Cell Phone number
Learner Fax number
Learner Email Address
LearnerProvince Code
Provider ETQA ID
Provider Code
Learner Previous Last Name
U.S./Learning Programme/Course/Qualification Title
U.S./Qualification ID / NQF Level
Please indicate date when Summative Assessment will be completed / D / D / M / M / Y / Y / Y / Y
Assessor ID
Date Stamp / D / D / M / M / Y / Y / Y / Y

Please note: A CERTIFIED COPY of the Learner Identity Document must please be attached to this form.

Alternative ID Type / A unique (system generated) identifier for an alternative id type i.e., if you do not have a South African Identify document / 521SAQA Member Id
527Passport No.
529Driver’s Licence
531Temporary ID number
533 None
535 Unknown
537Student Number
538Work Permit Number
539Employee Number
540Birth Certificate Number
541HSRC Register Number
561ETQA Record Number
Equity Code / A code to identify all of the various racial groups that the system will need to track / BABlack: African
BCBlack: Coloured
BIBlack: Indian/Asian
UUnknown
WhWhite
Citizen Resident Status Code / A code indicating the residence status of an individual / UUnknown
SASouth Africa
OOther
DDual (SA plus other)
Nationality Code / A code identifying the nationality of an individual / UUnspecified
SA South Africa
SDCSADC except SA (i.e NAM to ZAI)
NAMNamibia
BOTBotswana
ZIMZimbabwe
ANGAngola
MOZMozambique
SWASwaziland
MALMalawi
ZAMZambia
MAUMauritius
TANTanzania
SEYSychelles
ZAIZaire
ROARest of Africa
EUREuropean countries / LESLesotho
ROARest of Africa
EUREuropean countries
AISAsian countries
NORNorth American countries
SOUCentral and South American countries
AUSAustralia and New Zealand
OOCOther and rest of Oceania
NOTN/A: Institution
Gender Code / A code to describe the gender (sex) of an individual. / MMale
FFemale
UUnknown
Home Language Code / An acronym reflecting the major official languages in South Africa. Currently it is anticipated that 11 will be captured / EngEnglish
AfrAfrikaans
OthOther
SepsePedi
SesseSotho
SetseTswana
SwasiSwati
TshtshiVenda
UUnknown
XhoisiXhosa
XitxiTsonga
ZulisiZulu
NdeisiNdebele
Socio-economic status code / A code indicating the (socio)economic status of an individual / UUnspecified
01Employed
02Unemployed, looking for work
03Nor working – not looking for work
04Not working – housewife / home-maker
06Not working – scholar / full-time student
07Not working – pensioner / retired person
08Not working – disabled person
09Not working – not wishing to work
10Not working – non of the above
97N/A: Aged <15
98N/A: Institution
Disability Status Code / A code indicating whether or not an individual is disabled / NNone
01Sight (even with glasses)
02Hearing (even with hearing aids)
03Communication (talking, listening
04Physical (moving, standing, grasping)
05Intellectual (difficulties in learning); retardation
06Emotional (behavioural or psychological)
07Multiple
08disabled but unspecified
UUnknown disability status
Province Code / A code referencing a particular South African province / 0Undefined
1Western Cape
2Eastern Cape
3Northern Cape
4Free State
5Kwazulu/Natal
6North West
7Gauteng
8Mpumalanga
9Limpopo