ATTI APPLICATION FORM
To register:





Complete Section A, B, C, D and E
Copy of your ID and a copy of the person who is paying for your studies
Copy of your highest qualifications
R600 registration to be paid @ registration
Photos are not needed
SECTION A: LEARNER DETAILS
Surname
Name
Initials
Title
ID Number
Passport Number
Date of Birth
Gender
Race
Home Language
Disability Status
Cell phone no
Home Tel. no
E-mail
Postal Address
Postal City
Highest Education
Student number:
Xantium Trading 304 (PTY) Ltd: ATTI Bloemfontein is Accreditation by MICT SETA. Accreditation Number: ACC/2010/04/817. ATTI
Bloemfontein FASSET SETA. Provider number: 585/01372/12. ICB Provider Accreditation number: 300726. Xantium Trading 304
(PTY) Ltd trading as ATTI Bloemfontein
SECTION B: PARENT / GUARDIAN / SPONSOR INFORMATION (PERSON SIGNING THE PAYMENT
CONTRACT
Surname
Name
ID Number
Passport Number
Cell phone no
Home Tel. no
E-mail
Street Address
Postal Address
Postal City
Employer Name
Work phone number
SECTION C: RELATIVE INFORMATION (RELATED TO PERSON SIGNING CONTRACT BUT NOT LIVING
WITH THE PERSON)
Surname
Name
ID Number
Passport Number
Cell phone no
Home Tel. no
Work Tel. no
E-mail
Street Address
Postal Address
Postal City
Xantium Trading 304 (PTY) Ltd: ATTI Bloemfontein is Accreditation by MICT SETA. Accreditation Number: ACC/2010/04/817. ATTI
Bloemfontein FASSET SETA. Provider number: 585/01372/12. ICB Provider Accreditation number: 300726. Xantium Trading 304
(PTY) Ltd trading as ATTI Bloemfontein
SECTION D: COURSE
INFORMATION TECHNOLOGY OFFICE COURSES:
1 Year Office Application Specialist Skills Programme
6 Months Office Application Specialist Skills Programme
1 Week Office Application Specialist Skills Programme
2 Year National Certificate: Information Technology: End User Computing (NQF3)
2 Year National Certificate: Small Business Financial Management (NQF4)
1 Year Project Management Skills Programme
INFORMATION TECHNOLOGY TECHNICAL COURSES:
1 Year PC Technician Skills Programme (1st Year SA)
1 Year Computer Professional Skills Programme (2nd Year SA)
1 Year Computer Administrator Skills Programme (3rd Year SA)
2 Year System Administrator Skills Programme
3 Year System Administrator Skills Programme
1 Year System Engineer Skills Programme (You must have completed System Administrator)
3 Year Further Education and Training: Information Technology: Technical Support (NQF4)
INFORMATION TECHNOLOGY GRAPHIC DESIGN AND WEB PROGRAMMING COURSES
2 Year Graphic Design, Multimedia and Web Programming Skills Programme
3 Year E-Design and Solution Developer Skills Programme
3 Year Further Education and Training: Information Technology: System Development (NQF4)
INFORMATION TECHNOLOGY COURSES IF YOU HAVE FORMALLY STUDIED MS OFFICE
6 Month Project Management Skills Programme
6 Month PC Technician Skills Programme
1.5 Year System Administrator Skills Programme
1.5 Year Graphic Design, Multimedia and Web Programming
1.5 Year National Certificate: Small Business Financial Management
1 Year Business Literacy for to obtain National Certificate: Information Technology: End User
Computing (NQF3)
INFORMATION TECHNOLOGY COURSES:
Other:
I,
, ID Number
hereby acknowledge:



The registration fee is non-refundable
The rulebook that governs ATTI
Plagiarism Declaration: I, the undersigned, herewith declare that I have studied and understand the
concept of Plagiarism, and that I will not make myself guilty of Plagiarism of any form and that all my
work will be my own. I will not hand my work to another student to copy. If I use other resources, I
will use the correct format as reference.
Learner Signature
Date
Xantium Trading 304 (PTY) Ltd: ATTI Bloemfontein is Accreditation by MICT SETA. Accreditation Number: ACC/2010/04/817. ATTI
Bloemfontein FASSET SETA. Provider number: 585/01372/12. ICB Provider Accreditation number: 300726. Xantium Trading 304
(PTY) Ltd trading as ATTI Bloemfontein