LEARNERSHIP AGREEMENT CLOSURE REPORT

L / G / A

Name of Company:

Training Provider:

For Official Use Only:

Date Received by INSETA / Evaluated
Date:
Name:
Signature:
Position:

Section A

LEARNERSHIP INFORMATION

Title of Learnership:

Qualification it leads to:

DHET Registration Number:

Learnership Start Date:

Learnership End Date:

Name of Learnership Co-ordinator:

Contact Number:

Section B

LEARNER INFORMATION

Completed / Placed
Name / ID No / Contact No / Started / Terminated / Completed
Successful / Completed
Unsuccessful / Not
Placed / Intern / Fixed
Term
Contract / Permanent

Please Note:

For the Closure Report to be deemed as complete and for your future Learnerships funding by INSETA, it is important that you provide the details of Previously Unemployed Learners who successfully completed the Learnership(s) and were given employment and those that were not given employment on completion of the Learnership(s).

Learnership Agreement Closure Report - 1 -

Section C

LEARNERSHIP SIGN-OFF

Name / Signature of Learner / Date

Note:

  • By signing the above, the Learner acknowledges that all the rights and obligations with regard to this Learnership have been terminated.
  • The Learnerships Coordinator must, under no circumstance, sign on behalf of the Learner.

Learnership Co-ordinator Sign-off (Employer)
Name:
Signature:
Date:
Learnership Co-ordinator Sign-off (Training Provider)
Name:
Signature:
Date:

Please Note:

By signing the above, the Learnership Co-ordinators acknowledge that all rights and obligations with regards to this Learnership will have terminated on the receipt of the final Learnership payment (where applicable) by the applicant and no further actions will be considered by INSETA.

Under no circumstance must the employer/Learnership Coordinator sign on behalf of a learner.

Section D

LEARNERSHIP NOTES

  • INSETA ETQA reserves the right to conduct a site visit to verify Learner achievement of the qualification, in line with its Assessment and Moderation policy.
  • A logbook must be compiled for each Learner and made available for inspection by INSETA should this be required.
  • A portfolio of evidence should be compiled for each Learner and made available for inspection by INSQA on the day of Verification visit.
  • You are required to submit proof of payment of stipends payments made to the learners, preferably, electronic payments method.
  • If the required information is not provided, your report will be regarded as incomplete.

Note further that for payment to be made by INSETA:

  • The reports must be submitted to INSETA in the prescribed format.
  • The reports submitted must be complete.
  • The learner placement reportmust be submitted to INSETA.
  • Learner credits must be loaded on the Seta Management System for certification purposes.

Learnership Agreement Closure Report - 1 -