E-Learning Enrolment Form

You may use this form to enquire / enrol on the E-Learning programmes offered by South West Gauteng College.

Important Note:

There are three fields of study: Engineering Studies, Business Studies, and General Studies. To make your choice, please go to the Course Information page. When you have decided on the programme you want to study, make a note of its title, then click on the "Return" link to come back to this form.

Course Information Page

YOUR DETAILS
Date:
Are you a new student?:	Yes    No:
If not, insert your student number:	(10 digits)
Which campus are you enrolled at:	Please Choose: Not applicable Dobsonville George Tabor Molapo Roodepoort Roodepoort West Technisa
Title:	e.g. Mr, Ms, Mrs.
Initials:
First Names (same order as ID book):	e.g. Patience, Raymond, etc.
Surname:	e.g. Dlamini, Jones, etc.
ID Number:
Occupation:
Are you an RSA citizen?:	Yes    No
If not, indicate nationality:
Gender:	Male    Female
Ethnic Group:	Please choose: Black Coloured Indian Asian White
Marital status:	Single    Married
Mother tongue:	Please choose: English Afrikaans Sepedi Sesotho Setswana siSwati Tshivenda isiXhosa Xitsonga isiZulu Unknown/Other
Tel. no. (home):	e.g. 011 612 9944
Tel. no. (work):
Cell no. (mother):
Cell no. (father):
Cell no. (self):
Cell no. (supervisor):	(if working)
Fax no.:
E-mail address:	e.g. thato@abc.co.za
Internet access service provider:	e.g. Mweb, Polka, Telkom
PC type:
Level of computer literacy:	Please choose: Never used a computer Fairly computer literate Highly computer literate
Postal address:
Province you are from:	Please choose: Western Cape Eastern Cape Northern Cape Free State KwaZulu-Natal North West Gauteng Mpumalanga Limpopo
Any disabilities?:	Please Indicate: None Hearing impaired Physically impaired Sight impaired Speech impaired Unknown Other
Previous year activity:	Please choose: This Technical College Other Technical College School (Grade) Working Unemployed
Do you need academic support e.g. support with language?:	Yes  No
Preferred additional language, other than English:	Please choose: Afrikaans Sepedi Sesotho Setswana siSwati Tshivenda isiXhosa Xitsonga isiZulu Unknown/Other
Which sports are you interested in?:
Name of your family doctor:
Telephone number :
YOUR TRAINING REQUIREMENTS
In this section, you may choose the National Certificate programme you are interested in.
Engineering Studies:	Please choose: Civil & Building N4 Civil & Building N5 Civil & Building N6 Mechanical N4 Mechanical N5 Mechanical N6 Electrical/Electronics N4 Electrical/Electronics N5 Electrical/Electronics N6
Business Studies:	Please choose: Business Management N4 Business Management N5 Business Management N6 Financial Management N4 Financial Management N5 Financial Management N6 Human Resources Management N4 Human Resources Management N5 Human Resources Management N6 Legal Secretary N4 Legal Secretary N5 Legal Secretary N6 Management Assistant N4 Management Assistant N5 Management Assistant N6 Marketing Management N4 Marketing Management N5 Marketing Management N6 Public Management N4 Public Management N5 Public Management N6 Public Relations N4 Public Relations N5 Public Relations N6
General Studies:	Please choose: Educare N4 Educare N5 Educare N6 Tourism N4 Tourism N5 Tourism N6
If you would like to supply more information, you may do so here:
Please insert the code  on the right in the box below: