INTERNSHIP PROGRAMME APPLICATION FORM

PURPOSE
The purpose of this application form is to assist the mersETA in selecting, interviewing and placing the

applicant for an advertised internship programme,The applicants must fill the form fuly, accurately as
mersETA
4NUTACTUSENG INCINN possible and legibly. Failure to do so will lead to disqualification

1. ADVERTISED POST
Unit: Reference Number
the unt in which the position (As stated in the advery
slocate)

E astern Cape lof. INT 24]D32

2. PERSONAL DETAILS Moase complete or tick therelevant bo

Title Ms Surname
DILIMA First NamesNGcWELEKAZI
ldentity Number O 2 OS I8 O720 O83 Gender M

Race African Coloured Indian White

No
Yes Pease provide detailsi
Do you have a Physical Disability?

Yes No
Are you a South African Citizen?
t no, what is your nationality)

Yes No
Do you have a valid work permit?

Yes No
been convicted of a criminal offence?
Have you ever

Yes
No Yes Pease yrovide detail

Have you ever been employed before?

3. CONTACT DETAILS

Postal address NU3 82bb MDANTS ANE. 5219

Email address ngcwelekaz dilimnagmaul

Telephone number )9044 7494 Cellphone number 49 044 4fb

LEADERS IN CLOSING THE SKILLS GAP

4.QUALIFICATIONS
Year Graduated School/Institution/College/University Highest Qualification Obtained
(grade degees(diplomascertificates

2024 Uovercity of Fort Har Communi caton duen

5. REFERENCES (Please provide names of three contactable references)

Name Tel. No. (office hours)

Relationship to you

040 602 2S O

Dr Metula Noluthango
Lecturer

Dr Ongene kenya Keun Head of Department 0uo b022 b4q

Lecturer D 82 4t 444 3
M, Tebid
6. FAMILY DECLARATION
Do you have a relative working for the merSETA? Yes No
yes state the name and relationship)
(lf
Name Relationship to you

IMPORTANT INFORMATION:
and inaccurate applications will be disqualified
> Incomplete, illegible
CVs and be ignored
be considered. Other documentation such as letters will
> Only applications forms will

BE DISQUALIFIED.
7. APPLICATIONS WITHOUT THE REQUIRED DOCUMENTATION WILL

SELECT YOU, ABOVE ALL OTHER APPLICANTS?

8. WHY SHOULD WE
I beleve I < tand out among other appliants, F an
and 1'm e0ge to Lean from the prrgramue
quick Learner,

9. APPLICANT'S DECLARATION
of my knowledge, correct and complete. understand that anv false
have prqvided in this application form to the best
I
that the information
is,
l declare I

ad

|
iníormation will to my application being disqualified.
or willfully suppressed

Signature
Date 2 June 20y

LEADERS INCLOSING THESKILLS GAP