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Student Application Form (SLP) - Full Stack Web Dev
Development Software iib (DSO23BT)
Tshwane University of Technology
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FOR OFFICE USE ONLY
2 0 2 3 Student number
2 2 0 - 2 0 0 3 5 3
TITLE (MR, MRS etc) M R INITIALS A L ID NUMBER 0 1 1 1 0 3 5 8 6 4 0 8 6
SURNAME M A L U L E K E
FIRST NAMES IN FULL A S H L E Y L O V E
MAIDEN NAME
DATE OF BIRTH DAY 0 3 MONTH 1 1 YEAR 2 0 0 1
GENDER
MALE x FEMALE
We need the following information for institutional statistics
PERMANENT POSTAL ADDRESS C E N T R A L S T R E E T
S O S H A N G U V E - V V
S O S H A N G U V E
POST CODE 0 1 6 4
HOME TELEPHONE NUMBER AREA CODE NUMBER 0 8 1 5 3 9 7 6 1 4
E-MAIL ADDRESS A S H L E Y L O V E 4 0 8 @ G M A I L. C O M
POPULATION GROUP WHITE COLOURED ASIAN BLACK X
We need the following information for government reporting purposes:
IF YOU ARE NOT A SOUTH AFRICAN CITIZEN, INDICATE IN THE APPROPRIATE BLOCK WHICH COUNTRY YOU COME FROM:
RSA X OTHER WITH PERMANENT RESIDENCE PERMIT FOR SOUTH AFRICA
OTHER WITHOUT PERMANENT RESIDENCE PERMIT
DIPLOMATIC
SPECIFY COUNTRY OF CITIZENSHIP
COUNTRY OF ORIGIN
CAMPUS
SOSHANGUVE
APPLICATION FOR ADMISSION TO A SHORT LEARNING PROGRAMME
CITIZENSHIP
ANGOLA NAMIBIA COUNTRIES IN ASIA
TO BE SUBMITTED WITH CERTIFIED COPY OF IDENTITY DOCUMENT
BOTSWANA
LESOTHO
MALAWI
MOZAMBIQUE
WRITE IN BLOCK LETTERS AND MARK BLOCKS WITH AN "X"
YEAR
Tshwane University of Technology
SLP NAME
FULL-STACK DEVELOPER FUND
COUNTRIES IN SOUTH AMERICA
COUNTRIES IN AUSTRALASIA
COUNTRIES IN EUROPE
COUNTRIES IN NORTH AMERICA
OTHER AFRICAN COUNTRY
ZIMBABWE
ZAMBIA
SWAZILAND
Should my application be successful -
I, declare that:
- All particulars given by me in this form are true and correct;
- I will acquaint myself with the rules and regulations of Tshwane University of Technology and will abide by them;
- I waive any claim against Tshwane University of Technology resulting from any act or omission on my part during tuition, sport tours, practical or in a institute residence;
- I will inform the Deputy Registrar (Academic) immediately, in writing, should I change my address or cancel or change my course or any subjects;
- I am aware that my enrolment is valid only if it complies with the relevant regulations of the Institute, notwithstanding provisional acceptance of this enrolment by the Institute;
- I am aware that fees and legal costs will be recovered from me should I fail to fulfil my financial commitments towards the Institute; 7.(a) I am capable of concluding an agreement and am legally competent to sign this application and may therefore enter unassisted into an agreement with Tshwane University of Technology; (b) I sign this application and enter into an agreement with Tshwane University of Technology with the permission of my parents/ guardian/ husband;
- I accepted full responsibility for the payment of all class fees as well as any other fees determined by Tshwane University of Technology.
Signature of applicant
Date
Herein assisted as far as may be necessary while the applicant or student is still under the age of twenty one years
.................................................................
I, the undersigned, in my ....................................................................... capacity of hereby acknowledge .......................................................................
myself to be jointly and separately responsible for monies which ....................................................................... the above applicant may at any stage owe to Tshwane University of Technology in terms of the agreement that he/she has ....................................................................... concluded with the Institute, as set out above, including any alterations to such agreement. I confirm that all the above information is correct.
Thus signed at .................................... on thisH O M E ....................... this day Signature of parent or legal guardian ....................... Day of ........................... 20....... 11 ........................................ JU LY ..........
Date ............................. ....................................... STUDENT PARENT / GUARDIAN
NB: IT IS COMPULSORY THAT THIS CONTRACT BE SIGNED BY
ALL PARTIES CONCERNED
Ashley Love Maluleke
11/7/
I, ........ Love Maluleke...........(full name), the undersigned hereby declare that I shall not institute any claim of any nature whatsoever against Tshwane University of Technology or any employee of Tshwane University of Technology, who is acting within his or her employment capacity, not shall I in any way whatsoever hold Tshwane University of Technology responsible for any loss or damage that I may suffer or in respect of any property of mine, or which may directly or indirectly arise from my commitment, as a registered learner, towards Tshwane University of Technology, with regard to the journey to and from the practical training camp and with regard to any activities at the camp, regardless of the way in which such loss or damage may occur and regardless of who or what may be responsible. I undertake to participate in any activity that I am expected to participate in, on my own responsiblity, voluntarily taking on any risk I expose myself to in connection with such activity. I hereby confirm that I have acquainted myself with all the information and rules in connection with the
practical training camp, and that I am, as a registered student of Tshwane University of Technology, bound to adhere to the General Rules and Regulations of Tshwane University of Technology. I furthermore declare that, in case I am injured and cannot personally give consent to medical treatment or any other essential medical intervention, the supervisory staff may sign the necessary letters of consent on my behalf. As far as I know, I do not suffer from any physical disability or illness that would make it inadvisable for me to attend the practical training camp. I do wish to bring the following to your attention, however:
(PARENT OR LEGAL GUARDIAN)
Ashley Love Maluleke
PRACTICAL TRAINING CAMP:
INDEMNITY FROM CLAIMS FOR DAMAGES
ENTERED BY LEARNERS AND/OR THEIR PARENTS
AND/OR THEIR GUARDIANS
MEMORANDUM OF AGREEMENT TSHWANE UNIVERSITY OF TECHNOLOGY
Student Application Form (SLP) - Full Stack Web Dev
Course: Development Software iib (DSO23BT)
University: Tshwane University of Technology
