Application for the evaluation of foreign qualifications

This document also serves as a pro forma invoice

Submission Number: Qualification Holder: ID / Passport number: Date of birth: Gender: Residential address: Purpose of application:

201310085065 Linda Ndaba 9412235566088 23 Dec 1994 Male 342 Cliff ave Waterkloof Pretoria General employment Higher education: career orientated University: postgraduate University: undergraduate; other than degree

Requested by:

Mr LN Ndaba (Self)

Telephone: Cell: e-Mail: Postal address: 0826598465 anonopswriter@live.com 342 Cliff Ave Waterkloof Pretoria 0181

Banking details: Account holder: Bank: Branch number: Account number:

Products / services required Certificate of evaluation, prepared within 30 working days To be posted by registered mail: South Africa

Number 1 1

Unit price R470.00 R50.00

Cost R470.00 R50.00 R520.00

NEXT STEPS 1 Sign below. 2 Make payment as indicated. 3 Put together qualification documents as indicated. 4 Submit a complete paper application, including this printout, proof of payment and qualification documents, to SAQA. Post to Postnet Suite 248, Private Bag X06, Waterkloof, 0145, or drop off at Ground Floor, SAQA House, 1067 Arcadia Street, Hatfield.

Declaration:

I have completed the application truthfully. The qualification documents enclosed in the application were issued to me according to the nationally prevailing regulations in the country of origin and were obtained by me at the institution(s) stated on the documents. On request I will submit the original documents. I am proficient in the English language and have understood the text. If not, I understand that the onus is on me to have the text translated / interpreted for me at my own cost so that I gain full understanding.

Signed on this day of at

LN Ndaba