Eisa Registration Template

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QCTO Learner Enrolment and Readiness for EISA File

Purpose of this Form


The Purpose of the form is for each accredited SDP or AC offering QCTO Full and Part Qualifications to provide vital learner information required by the QCTO to
perform its Quality Assurance Function for each learner that achieves a Full or Part Qualification. These Quality Assurance functions include QA Monitoring,
Assessment Assurance and Certification of each learner.

Format of this Form


The form contains Two (2) Sheets:

Sheet 1 This sheet is named "Instructions"


Sheet 2 This sheet is named "Learner Enrolment and EISA"

Instructions
FIRST SUBMISSION:
1. This form must be completed and submitted in two (2) stages per batch of learners per Full or Part Qual offered. Do not PDF this spread sheet at any time.

2. The first stage is to complete Collumns A -AJ as well as Date Stamp in Collumns AQ on Sheet 2 as per the QCTO Learner Enrolment Guideline Document and
submit to "Learnerenrolments@qcto.org.za" within 21 Days after the start date of training

SECOND SUBMISSION:
3. The second stage is to update Collumns AK -AP as well as Date Stamp and submit to "EISAreadiness@qcto.org.za" at least 3 months prior to anticipated EISA
date.

NAMING CONVENTION:
4. The Learner Enrolment and Readiness for EISA file must meet the following naming convention before submitting to the QCTO:
LEISAyyyymmdd-SDP/AC name
• The “LEISA” will always be the start of the naming convention
• The “yyyymmdd” will be the date that the file was updated
• The “SDP/AC name” will be the name of the institution as per the Accreditation letter and can be shortened/abbreviated where possible

DETAILS: (COMPULSORY INFORMATION)


Name and Surname of Compiler:
Email address:
Contact Number of Compiler:
Contact Number of Institution:
Name of Qualification:
Start Date:
Expected Completion Date:
Name of SDP:
Address of SDP:
Province:
A File
tion required by the QCTO to
s include QA Monitoring,

s spread sheet at any time.

nt Guideline Document and

nths prior to anticipated EISA

e possible
SDPCode QualificationId NationalId
LearnerAlternateID AlternativeIdType EquityCode NationalityCode
HomeLanguageCode GenderCode CitizenResidentStatusCode
SocioeconomicStatusCode DisabilityStatusCode DisabilityRating ImmigrantStatus
LearnerLastName LearnerFirstName LearnerMiddleName LearnerTitle
LearnerH LearnerH LearnerP LearnerP
LearnerHomeAddr omeAddr omeAddr ostalAddr ostalAddr LearnerPostalAd
LearnerBirthDate ess1 ess2 ess3 ess1 ess2 dress3
LearnerHomeAddressPos
talCode LearnerPostalAddressPostCode LearnerPhoneNumber
LearnerCellPhoneNu LearnerFa
mber xNumber LearnerEmailAddress ProvinceCode STATSSAAreaCode
POPIActA ExpectedTrainingCompletionDat
gree POPIActDate e StatementofResultsStatus
StatementofResultsIssueDate AssessmentCentreCode
FLCStatementofresultnumb
LearnerReadinessforEISATypeId FLC er DateStamp

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