Project Name:
Graduate Placement : Work Experience & Employment Grant(WEEG) (Please tick the applicable box)
HET Degree Graduates @ R3500pm for 12 months
HET Diploma Graduates@R3000pm for 12 months
TVET (FET) N6 Diploma Graduates@R3000pm for 12 months
Internship: Work Integrated Learning (WIL) (Please insert the relevant information and tick the applicable box)
TVET (FET) N6 (requiring 18 months internship) @ R2500 for 18 months
TVET Graduates (NCV/N4/N5) @ R2000pm for 12 months
HETI Final Year Students( require specific period of internship in order to obtain a qualification @ R2500 for ……… months
This Agreement is entered into between:
Employer registered name
Hereafter referred to as the Employer
(Skills Development Levy Number ______)
and
Learner full name:
Hereafter referred to as the Learner
ID:
for the following period
Number of Months
From……………………………to……………………………….
Graduate/ Intern Qualification Name:
(Please provide official qualification name in full)
Institution Name:
Learner Placement Site:
(Compulsory)Supporting documents to be attached:
- Certified copy of ID (Not older than 3 months)
- Certified copy(Not older than 3 months) of Qualification (Certificate/Statement of Results)
- Fixed term contract of employment
NB: Please ensure that the learner agreement is completed fully and correctly. N/A should be inserted where information required is not applicable to you or your situation.
FOR SETA USE ONLY:
Graduate/Intern Details:
(Person on Indicium)
Identity Number:
Alternate ID Type:
Title:First Name:
Middle Name:
Surname: / Initials
Date of Birth:
Gender:
Race: / African Coloured Indian White Other (Specify ______)
Disability: / No Yes (Specify ______)
Home Language:
Nationality:
Citizen Residential Status (If not a South Africa citizen):
Socioeconomic Status (Employed/Unemployed): / Unemployed
Telephone Number:
Cell Phone Number:
Fax Number:
E Mail:
Physical Code
Physical Address 1
Physical Address 2
Physical Address 3
Physical Municipality:
Physical District:
Physical Urban Rural / Urban / Rural
Physical Province:
Postal Code:
Postal Address Line 1
Postal Address Line 2
Postal Address Line 3
Postal Municipality:
Postal District:
Postal Urban Rural / Urban / Rural
Postal Province:
GRADUATE PLACEMENT (Complete this section for Graduate Placements only)
Graduate/ Intern Qualification:
Placement Type:
Institution Name:
Employer Levy Number:
Employer Trade Name:
Employer Legal Name:
OFO Occupation:
NQF Level:
Duration of Placement:
Programme Level:
Socioeconomic Status (Employed/Unemployed): / Unemployed
Period Unemployed: / Weeks MonthsYear Years
Commencement Date:
Completion Date:
Sponsorship:
Project:
Financial Year
INTERNSHIPS (Complete this section for interns only)
Institution Name:
Institution Type: / Public / Private
Accreditation Number:
Contact Number:
Employer Levy Number:
Employer Trade Name:
Employer Legal Name:
Qualification Type:
Qualification Title:
OFO Occupation:
NQF Level:
Socioeconomic Status: / UNEMPLOYED
Commencement Date:
Completion Date:
Sponsorship
Project:
Financial Year
Amount Spent:
Date Certificate was issued:
Signed at on this day of 20……
Graduate/Intern Name / Signature / DateEmployer / Signature / Date
Witness 1 (Name) / Signature / Date
Witness 2 (Name) / Signature / Date
1 | Page (Graduate Intern Agreement)
InitialsEmployer
Graduate/Intern