COMPASS | LEARNER APPLICATION FORM | [Bookkeeping-CAPE TOWN METROPOLE ‘Surname Learner Full names ID Number Physical address Postal code’ Postal address Postal code! Telephone number Email address Gender Male Female Equity Code Aiean Coloured indian White Home language Disability Yes No List the disability (must be able to provide medical certificate) Highest qualification ‘Short motivation why you should be considered for this learnership SUPPORTING DOCUMENTATION REQUIREDCertified copy of ID Certified copy of highest qualification ov Medical certificate from doctor stating medical condition CRITERIA FOR LEARNERSHIP Minimum entry requirement Grade 12 South African Citizen Unemployed individuals ‘Aged between 18 and 35 years Previously disadvantaged Have not completed another learnership previously ‘You must be prepared to start on the dates given and be able to complete the whole 12 months DECLARATION & UNDERTAKINGS BY APPLICANT: |, the undersigned, declare that: SIGNED AT THIS. DAY OF 20. ‘the information provided by me in this application form is true and correct; understand that this is a 12 month commitment. | understand that | have a responsibility to cooperate and adhere to the requests made by Compass Consulting related to this training understand that | must attend all theoretical classroom training and be available for a Workplace Integrated learning |'understand that | must complete a PoE and submit this for assessment at the end of training. | understand that | will be mentored and should actively participate in this process | hereby indemnify Compass Consulting against any claims arising from injuries that | may sustain and/or damage that | may suffer due to any event, injury, illness or death, resulting in whatever way, or consequential to my involvement with my theoretical, practical and / or any other training and that | participate in any of the abovementioned activities on my own responsibility and voluntarily accept any risk involved, Signature of learner: Date: