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registrasie vir die 2013 nasionale seniorsertifikaat (nss) - sacai

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Section 21 Company / Artikel 21 Maatskappy Reg No: 2011/100445/08<br />

REGISTRASIE VIR DIE <strong>2013</strong> NASIONALE SENIORSERTIFIKAAT (NSS)<br />

ASSESSERINGSPROGRAM<br />

1 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

BELANGRIK<br />

278 Serene Street/Straat 278<br />

GARSFONTEIN 0042<br />

PO Box 90120<br />

GARSFONTEIN 0042<br />

T: 012 348 4650/5650/0501<br />

F: 012 348 0393<br />

E: info@<strong>sacai</strong>.org.za<br />

Website: www.<strong>sacai</strong>.org.za<br />

1. „n Individu word as „n reël nie toegelaat om direk by SACAI <strong>vir</strong> <strong>die</strong> NSS te registreer nie. Hy/sy moet<br />

eers by „n SACAI-geaffilieerde instansie wat onderwys<strong>die</strong>nste verskaf registreer en dan <strong>die</strong> voltooide<br />

<strong>registrasie</strong>vorm (in hier<strong>die</strong> pak ingesluit) by <strong>die</strong> instansie in<strong>die</strong>n. Die instansie sal sy/haar gegewens in<br />

sy stelsel insleutel en dan <strong>die</strong> vorm aan SACAI deurgee. By Bylaag A tot hier<strong>die</strong> dokument is „n lys van<br />

instansies wat tans by SACAI geaffilieer is.<br />

2. Die <strong>registrasie</strong>gelde is by <strong>die</strong> instansie betaalbaar en sal as deel van <strong>die</strong> instansie se eie<br />

<strong>registrasie</strong>gelde of bykomend tot <strong>die</strong> <strong>registrasie</strong>gelde gehef word.<br />

3. Die <strong>registrasie</strong> met SACAI sal in werking tree sodra <strong>die</strong> <strong>registrasie</strong>vorm en gelde van <strong>die</strong> instansie wat<br />

<strong>die</strong> kandidaat as student geregistreer het, ontvang is.<br />

4. Die <strong>registrasie</strong>vorm is ook by <strong>die</strong> SACAI-geaffilieerde instansies beskikbaar.<br />

5. Individue wat vanweë hul omstandighede nie by „n <strong>die</strong>nsverskaffende instansie kan registreer nie kan<br />

SACAI by <strong>die</strong> nommers of e-posadres soos hierbo aangedui kontak.<br />

HOE OM TE REGISTREER<br />

Die voornemende kandidaat kan hier<strong>die</strong> dokument aflaai of ‘n kopie by <strong>die</strong> SACAI-geaffilieerde instansie van sy/haar<br />

keuse bekom (kyk Bylaag A). Doen dan <strong>die</strong> volgende :<br />

1. Bestudeer Bylaag B deeglik. Die dokument verskaf belangrike inligting rakende <strong>die</strong> Nasionale Seniorsertifikaat<br />

(NSS) wat <strong>die</strong> kandidaat sal help by <strong>die</strong> invul van <strong>die</strong> <strong>registrasie</strong>vorm.<br />

2. Voltooi <strong>die</strong> <strong>registrasie</strong>vorm by Bylaag C. Gebruik <strong>die</strong> lys van vakke en hul alfakodes by Bylaag D waar nodig.<br />

3. In<strong>die</strong>n jy ‘n leerhindernis ervaar en <strong>vir</strong> ‘n konsessie wil aansoek doen, voltooi ook Bylaag E.<br />

4. In<strong>die</strong>n jy Dans of Musiek as vak(ke) gaan aanbied, voltooi ook Bylaag F.<br />

5. Dien <strong>die</strong> voltooide vorm by <strong>die</strong> instansie in waar jy as student geregistreer het of gaan registreer.<br />

6. Slegs <strong>die</strong> oorspronklikes sal aanvaar word. Kopieë word nie aanvaar nie.<br />

7. Voltooide vorms moet deur <strong>die</strong> volgende vergesel word:<br />

Wettige Gr 10 en 11 sertifikate wat aandui dat <strong>die</strong> kandidaat <strong>die</strong> twee grade voltooi en geslaag het, of ‘n<br />

Gr 12 toelatingseksamen van ‘n skool geslaag het.<br />

Alternatiewelik ‘n gedeeltelik of volledig voltooide NSS (matrieksertifikaat) of ‘n puntestaat in <strong>die</strong> geval van<br />

‘n kandidaat wat <strong>die</strong> NSS-eksamens al vantevore geskryf het.<br />

‘n Gesertifiseerde kopie van <strong>die</strong> kandidaat se ID of paspoort dokument.<br />

‘n Konsessieverslag in<strong>die</strong>n van toepassing met ‘n onlangse (<strong>2013</strong>) aanbeveling van ‘n dokter/spesialis


PROVINSIE<br />

GAUTENG<br />

Section 21 Company / Artikel 21 Maatskappy Reg No: 2011/100445/08<br />

SACAI GEAFFILIEERDE INSTANSIES<br />

2 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

278 Serene Street/Straat 278<br />

GARSFONTEIN 0042<br />

PO Box 90120<br />

GARSFONTEIN 0042<br />

T: 012 348 4650/5650/0501<br />

F: 012 348 0393<br />

E: info@<strong>sacai</strong>.org.za<br />

Website: www.<strong>sacai</strong>.org.za<br />

SENTRUM HOOF VAN SENTRUM TEL NO FAKS E-MAIL FISIESE ADRES<br />

KRUGERSDORP EPSILON ACADEMIC SUPPORT<br />

CENTRE<br />

GAUTENG WORD IN TRUTH (PVT SCHOOL) PRETORIA NOORD<br />

Helene Constanti 011 954 2822 086 564 7110 hconstanti@global.co.za<br />

George Clifford<br />

van Diggelen<br />

012 546 3893 086 525 9311<br />

adres.school@wordintruth.org.za<br />

info@wordintruth.org.za<br />

GAUTENG IMPAK HOME AND SUPPORT CENTRE Pieter Botha 087 150 2233 086 505 3050 info@impakonderwys.co.za<br />

BYLAAG A<br />

68 Amajubastraat Noordheuwel<br />

Krugersdorp 1739<br />

115 Normed Building, 260 Burger<br />

Street Preroria North<br />

116 Witch Hazel Lane, Highveld<br />

Techno Park, Centurion, 0169<br />

GAUTENG ANCOR CHRISTIAN ACADEMY - EAST LYNNE Sharon Broli 012 800 2387 012 800 1869 anchorchristianacademy@gmail.com 69 Swaan Street, East Lynne, 0186<br />

GAUTENG CROSSROAD CHRISTIAN ACADEMY Rene Pero 079 203 2086 086 602 5776 renepero@mweb.co.za<br />

GAUTENG ELROI ACADEMY<br />

Pieter Jacobus<br />

Rousseau<br />

011 431 2246<br />

info@elroiacademy.org.za<br />

pieter@elroiacademy.org<br />

pieter@nextgenerationacademy.co.za<br />

GAUTENG GEREFORMEERDE SKOOL DIRK POSTMA Louis van Wyk 012 332 3222 086 567 5729 hsadmin@gsdp.org.za<br />

GAUTENG ZWARTKOP CHRISTIAN SCHOOL Daniël Kamp 012 654 0579 012 654 2482 daniel@zwartkopcs.co.za<br />

GAUTENG HARVEY JUNIOR EDUCATION Nyasha Chiefamba 012 333 1150 0<br />

KZN BETESDA ONAFHANKLIKE SKOOL<br />

Yvonne Lynette<br />

Maree<br />

hje@mweb.co.za<br />

vickyvdw21@gmail.com<br />

Plot 121 Second Road,<br />

Brentwoodpark AH, Kempton Park<br />

1619<br />

Willowbrook Office Park Unit A07, Van<br />

der Kloofstaat<br />

Dickensonlaan 1174<br />

Waverley, Pretoria<br />

142 Pine Avenue, Bronberrik,<br />

Centurion<br />

14 Bloubokkie street, Koedoespoort<br />

035 797 3413 035 797 3792 yvonnemaree@ymail.com Canta Park, ZCBF, Alton, 3901<br />

KZN BRAINWAVES EDU CENTRE EMPANGENI Renette Stroebel zeldastroeb@hotmail.com 7 Nerinastraat, Empangeni, 3880


PROVINSIE<br />

KZN TRIDEL STUDY& EDUC CEN. PIETERMARITZBURG<br />

3 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

SENTRUM HOOF VAN SENTRUM TEL NO FAKS E-MAIL FISIESE ADRES<br />

Patricia Molly<br />

Delport<br />

033 342 8293 086 525 6549 tridelpmb@mweb.co.za<br />

LIMPOPO FREE2BME POLOKWANE PIETERSBURG Cloete Petitt 015 298 8233 086 618 5999 free2bme@telkomsa.net<br />

MPUMALANGA COSMOS PRIVATE ACADEMY Sanet van Rooyen 017 714 1760 086 652 0874 admin@cosmosacademy.org.za<br />

15 Connaught Road, Scottsville,<br />

Pietermaritzburg, 3201<br />

108 Die Meer Street, Welgelegen,<br />

Polokwane, 0699<br />

19 Waterkloof Street<br />

Cosmos Park, Sanderton, 2430<br />

NORTH WEST STAR ACADEMY - RUSTENBURG Sandra Viljoen 014 592 6120 staracademy@telkomsa.net 24 Landros Street, Rustenburg, 0299<br />

WEST CAPE MORESTER VAN RHYNSDORP Amanda Botha 027 219 1217 027 219 1217 moresterskool@telkomsa.net<br />

Morester Akademie, Troe-Troestraat,<br />

Vanrhynsdorp, 8170<br />

WEST CAPE KINGSWAY COLLEGE Kobus van Vuuren 021 859 5022 086 695 3553 kingswaycol@telkomsa.net Forrest Drive, Grabouw, 7160


4 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

BYLAAG B<br />

Hier<strong>die</strong> dokument is slegs in Engels beskikbaar aangesien <strong>die</strong> amptelike dokumente waarop dit<br />

gebaseer is ook slegs in Engels beskikbaar is.<br />

IMPORTANT INFORMATION CONCERNING THE <strong>2013</strong> GRADE 12 ASSESSMENT PROGRAMME<br />

1. Legislative and Policy Framework<br />

The assessment programme is conducted in terms of the regulations, policy and guidelines contained in<br />

the following documents released by the Minister of Basic Education or Department of Basic Education:<br />

National Policy pertaining to the Programme and Promotion Requirements of the National<br />

Curriculum Statement Grades R-12 (2011)<br />

National Curriculum Statements Grades 10-12 (General) for the respective subjects (2008)<br />

National Curriculum Statement Grades 10-12 (General) Subject Assessment Guidelines (2008) as<br />

amended by Circulars from the Department of Basic Education (2008-2012)<br />

National Examination Guidelines 2009<br />

Regulations pertaining to the Conduct, Administration and Management of Assessment for the<br />

National Senior Certificate (Aug 2008)(Government Gazette No. 31337) as amended by<br />

Government Gazette No. 32678 of 3 November 2009)<br />

2. Part-time candidates<br />

Candidates registered with SACAI will do SACAI’s school based assessment (SBA) programme which<br />

includes a national external preliminary examination and will write the Department of Basic Education’s<br />

final NSC examination in October <strong>2013</strong> as part-time candidates. A part-time candidate is a candidate<br />

who does not receive full-time tuition in all seven subjects at a school registered with a department of<br />

education.<br />

Part-time candidates may register for any number of subjects for the NSC in a single examination<br />

sitting. A part-time candidate must comply with all the assessment requirements. A part-time candidate<br />

may register for less than the minimum subjects required during the first examination sitting but must<br />

write the minimum number of subjects required in subsequent examination sittings in order to achieve<br />

for the National Senior Certificate (NSC).<br />

A part-time candidate can either repeat a subject already completed or enter for a maximum of two<br />

new subjects.<br />

Please note that part-time candidates are in no way whatsoever regarded as inferior to full-time<br />

candidates. They have the same status but are categorised as part-time because of the nature and<br />

structure of their programme.


3. Grade 10 and 11 requirements<br />

Candidates must have complied with the internal assessment requirements for Grades 10 and 11 in order<br />

to register for the Grade 12 assessment programme and must be able to submit proof to this effect.<br />

4. Repeat Candidates<br />

A candidate who did not comply with all the requirements for the NSC as full-time candidate and enters<br />

for a subsequent examination other than a supplementary examination in order to fulfil the outstanding<br />

requirements will for all purposes be regarded as a repeat candidate.<br />

A repeat candidate may enter for any number of subjects that were resulted in a previous exam cycle.<br />

The candidate will have the option of re-doing the SBA of the subject(s), or to retain the previous SBA<br />

mark, SBAs from previous years are valid for 5 years. The candidate’s decision must be clearly<br />

indicated on the registration form.<br />

A repeat candidate who has already obtained the NSC may enter for a maximum of two (2) subjects not<br />

previously offered. In this case the candidate must comply with all the internal assessment<br />

requirements for the subject(s) in Grades 10 and 11.<br />

Candidates who repeat one or more subjects will be allowed to combine their results based on the<br />

current National Senior Certificate requirements to obtain a National Senior Certificate, if the combined<br />

results change the status of the certificate, for example, from Diploma to Bachelors, from fail to Higher<br />

Certificate etc.<br />

5. Programme and promotion requirements<br />

In order to obtain the National Senior Certificate the candidate must offer seven subjects as follows:<br />

An official Language on Home Language Level<br />

An official Language on at 1st Additional Language Level<br />

Mathematics or Mathematical Literacy<br />

Life Orientation<br />

Three other subjects with the following provisos:<br />

Not more than one language from the same group (isiXhosa, isiZulu, SiSwati and isiNdebele<br />

form one group and Sepedi, Sesotho and Setswana the other)<br />

The same language may not be offered at more than one level<br />

Mathematics and Mathematical Literacy may not be offered together<br />

Computer Applications Technology and Information Technology may not be offered together<br />

Note: The two subjects can from <strong>2013</strong> onwards be taken together by Gr 10 learners which,<br />

means that from 2015 onwards Gr 12 candidates will be able to register for both.<br />

Consumer Stu<strong>die</strong>s and Hospitality Stu<strong>die</strong>s may not be offered together<br />

One subject developed and assessed by a body other than the Department of Basic Education<br />

may be offered as one of the three subjects.<br />

A learner may offer more than the required 7 subjects on condition that the additional subject(s) was<br />

(were) offered for all three years (Gr 10-12) and all the internal assessment requirements for the<br />

subject(s) were met. Applications in this regard have to be submitted to SACAI accompanied by the<br />

relevant evidence for approval.<br />

5 <strong>2013</strong> SACAI NSC REGISTRATION FORM


The candidate must achieve the following minimum results to qualify for the NSC:<br />

40% in three of the seven subjects, one of which must be an official language at Home Language<br />

Level;<br />

30% in three other subjects<br />

A complete portfolio of evidence of the school based assessment in the seventh subject<br />

If a learner has offered a Practical Music subject of one of the Music examination bo<strong>die</strong>s, it counts<br />

as an eighth subject and cannot enable the learner to comply with the promotion<br />

6. Requirements for the endorsed National Senior Certificate<br />

A National Senior Certificate shall be issued to a candidate who has complied with the following<br />

requirements:<br />

6.1 Offered and completed the internal and external assessment requirements in no fewer than<br />

five (5) subjects selected as from Annexure B in this document:<br />

7. Subject changes<br />

(a) Three subjects selected from Group A as follows:<br />

(i) One official language selected from Table A1, provided that it is offered on at<br />

least First Additional Language Level and provided that the language is a<br />

LOLT;<br />

(ii) Mathematics or Mathematical Literacy selected from Table A2.<br />

(iii) Life Orientation in Annexure A, Table A3.<br />

(b) A minimum of any two subjects selected from Group B, Tables B1 - B8.<br />

A learner may change a maximum of two subjects in Grade 10 subject to the approval of the Head<br />

of the Institution or the Principal of the school where the learner is registered; and<br />

A learner may change two subjects in Grade 11 subject to the approval of the Head of the Institution<br />

or the Principal of the school where the learner is registered.<br />

A learner may in exceptional cases, change one subject in Grade 12 if the school deems it in the<br />

best interests of the learner to change a subject and provided it is done before 31 January of the<br />

Grade 12 year. The institution may take such a decision only after consultation with the Head of the<br />

Assessment Body (SACAI) and the submission must be accompanied by the following documents:<br />

A letter from the learner’s parent or guardian providing reasons for the request;<br />

a letter from the Principal, either supporting or providing reasons for not supporting the request;<br />

a letter from the subject teacher/advisor outlining the programme to be followed to assist the<br />

learner in covering those aspects of the curriculum statements for Grades 10 and 11 that were<br />

not covered<br />

6 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

and


8. Immigrant candidates<br />

An immigrant candidate is:<br />

(a) A child or a dependent of a diplomatic representative of a Foreign Government accredited in South<br />

Africa or a person who first enrolled at and entered a South African school in Grade 7 or a more<br />

senior grade.<br />

(b) A learner who began his or her schooling at a school in South Africa and has attended school<br />

outside South Africa for two or more consecutive years after Grade 6 or its equivalent.<br />

(c) An immigrant candidate as contemplated above may offer only one official language on at least First<br />

Additional Language Level and obtain a rating of 30% in that language, provided that:<br />

Another subject from Group B is offered in lieu of the one official language that is not offered;<br />

The immigrant candidate complies with the promotion requirements as stipulated in paragraph<br />

33(1)(a) of the policy document.<br />

To be classified as an immigrant candidate, such a candidate must be in possession of:<br />

(a) The relevant official documents issued by the Department of Home Affairs; and<br />

(b) the relevant official documents issued by the school where the candidate entered the South African<br />

school system for the first time.<br />

9. Admission requirements to higher education<br />

9.1. Categories of NSC subjects in terms of which the admission requirements are stated<br />

(a) Recognised 20-credit subjects<br />

All the subjects in the National Curriculum Statement for Gr 10 – 12 are recognised 20credit<br />

subjects, except for Life Orientation which is a 10-credit subject.<br />

(b) Designated subjects<br />

Most of the subjects in the NCS for Grades 10 – 12 are designated subjects for university<br />

admission purposes. These subjects are indicated on the registration form.<br />

9.2. Minimum requirements for admission<br />

(a) Minimum requirements for certificate stu<strong>die</strong>s at universities<br />

− A National Senior Certificate (NSC) as certified by UMALUSI<br />

− Minimum 30% in the language of learning and teaching of the higher education<br />

Institution<br />

(b) Requirements for diploma stu<strong>die</strong>s at universities. A NSC as certified by UMALUSI<br />

− Minimum 30% in the language of learning and teaching of the higher education<br />

institution<br />

− 40-49% (Rating of 3) or better in four recognised NSC 20-credit subjects<br />

7 <strong>2013</strong> SACAI NSC REGISTRATION FORM


(c) Requirements for degree stu<strong>die</strong>s at universities<br />

− An NSC as certified by UMALUSI<br />

− Minimum 30% in the language of learning and teaching of the higher education<br />

institution<br />

− 50-59% (Rating 4) or better in four designated subjects<br />

10. Registration fees for <strong>2013</strong><br />

The following registration fees for SACAI’s NSC assessment programme are payable at the institution<br />

at which the candidate registers as student.<br />

Full registration fees for 6 or 7 subjects R3 500,00<br />

Registration fees per subject if you enrol for less than 6<br />

subjects<br />

Registration fees for every subject more than 7 subjects<br />

Mathematics Paper 3 – Optional extra subject<br />

Visual Art Practical (6 -18 hours)<br />

8 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

R 650,00<br />

R 650,00


9 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

BYLAAG C<br />

REGISTRASIEVORM VIR <strong>2013</strong> GRAAD 12 ASSESSERINGSPROGRAM<br />

A. ALGEMENE INLIGTING<br />

1. Graad<br />

2. Registrasietipe (merk met X)<br />

2a. Registreer as „n herhaler (RP)<br />

3. Vir amptelike gebruik alleenlik: Reeksno.<br />

4. Vir amptelike gebruik alleenlik: Sentrumno.<br />

5. Vir amptelike gebruik alleenlik: Sentrumnaam _____________________________________<br />

5.1 Skryf <strong>die</strong> naam van <strong>die</strong> SACAI ge-affilieerde instansie neer waar u geregistreer is as kandidaat of nog gaan<br />

registreer (sien Bylaag A)<br />

___________________________________________________________________________<br />

B. PERSOONLIKE INLIGTING<br />

6. Geboortedatum<br />

J J J J M M D D<br />

7. Dui aan in watter taal u, u eksamenvraestelle wil skryf<br />

8. Geslag<br />

Manlik<br />

M<br />

12<br />

Vroulik<br />

F<br />

VOLTYDS<br />

FT<br />

DEELTYDS<br />

PT<br />

JA NEE<br />

Afrikaans<br />

A<br />

English<br />

E


9. Identiteitsnommer \ Paspoortnommer<br />

10. Immigrantstatus (heg ondersteunende dokumentasie aan)<br />

11. Kandidaat se van: __________________________________________________________<br />

12. Volle name van <strong>die</strong> kandidaat: __________________________________________________________<br />

10 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

__________________________________________________________<br />

13. Ras: A = Asiër B = Afrikaan C = Kleurling I = Indiër W = Blank<br />

14. Leerhindernisse (in<strong>die</strong>n van toepassing voltooi Bylaag E en <strong>die</strong>n saam met u <strong>registrasie</strong>vorm in)<br />

(Merk <strong>die</strong> toepaslike blok met ‘n X).<br />

Geen -<br />

N<br />

14a. “Dyscalculua”<br />

(Wiskunde leerhindernis)<br />

Doof –<br />

D<br />

14b. Vyf vakke spesiale kwalifikasie (<strong>vir</strong> leerders<br />

met spesiale behoeftes)<br />

15. Huistaal (Merk <strong>die</strong> toepaslike blok met ‘n X)<br />

Afrikaans<br />

A<br />

Xitsonga<br />

T<br />

Siswati<br />

I<br />

Tshivenda<br />

V<br />

Engels<br />

E<br />

Setswana<br />

W<br />

Blind-<br />

B<br />

16. Die taal waarin Umalusi u matrieksertifikaat uitreik<br />

SLEGS IN ENGELS<br />

JA NEE<br />

IsiNdebele<br />

N<br />

IsiXhosa<br />

X<br />

Ja<br />

Y<br />

Afasie/<br />

Disleksies<br />

A<br />

JA NEE<br />

IsiZulu<br />

Z<br />

Sepedi<br />

P<br />

Nee<br />

N<br />

Ander -<br />

O<br />

Sesotho<br />

S


17. Merk <strong>die</strong> taal waarin u leer en ondderig ontvang by <strong>die</strong> skool/ instansie waar u geregistreer is.<br />

Afrikaans –<br />

A<br />

18. Skryf <strong>die</strong> getal vakke neer waarvoor u in <strong>2013</strong> inskryf<br />

11 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Engels –<br />

E<br />

19. Lys <strong>die</strong> vakke waarvoor u inskryf maar let asseblief op <strong>die</strong> volgende belangrike inligting:<br />

Die vakke se beskrywings en alfakodes is te kry in Bylae D.<br />

Dit is uiters noodsaaklik dat <strong>die</strong> korrekte beskrywings van vakke en hul alfakodes in <strong>die</strong> tabel<br />

hieronder geskryf word <strong>vir</strong> datavaslegging deur SACAI.<br />

No. Alfa kodes <strong>vir</strong> vakke<br />

(bv. MLIT, LFSC)<br />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

7.<br />

Beskrywing van vakke (bv. Wiskunde)<br />

Alleenlik van toepassing<br />

op herhalers (sien <strong>die</strong><br />

Oordoen<br />

van<br />

SBA<br />

nota hieronder)<br />

Oordoen<br />

van<br />

Mondeling<br />

Nota: Herhalers moet deur middel van ‘n X aandui of hulle hul SBA, Mondeling en PAT onderskeidelik wil oordoen.<br />

In<strong>die</strong>n niks hierbo gemerk is nie word aanvaar dat <strong>die</strong> vorige punte gebruik moet word. (Vorige punte is geldig<br />

<strong>vir</strong> vyf jaar).<br />

Oordoen<br />

van<br />

PAT<br />

20. VORIGE REKORDS (slegs <strong>vir</strong> herhalers of deeltydse kandidate wat al voorheen <strong>die</strong> NSS –eksamen geskryf<br />

het)<br />

Eksamennommer Jaar Naam van sentrum Provinsie


In<strong>die</strong>n van toepassing dui aan of u gedurende Januarie <strong>2013</strong> „n vak verander het.<br />

Vak voor 31 Januarie <strong>2013</strong><br />

12 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Vak na 31 Januarie <strong>2013</strong><br />

21. DOKUMENTE WAT BY U REGISTRASIEVORM AANGEHEG MOET WORD<br />

Voltooide vorms moet deur <strong>die</strong> volgende vergesel word:<br />

Wettige Gr 10 en 11 sertifikate wat aandui dat <strong>die</strong> kandidaat <strong>die</strong> twee grade voltooi en geslaag het, of ‘n<br />

Gr 12 toelatingseksamen van ‘n skool geslaag het.<br />

Alternatiewelik ‘n gedeeltelik of volledig voltooide NSS (matrieksertifikaat) of ‘n puntestaat in <strong>die</strong> geval van<br />

‘n kandidaat wat <strong>die</strong> NSS-eksamens al vantevore geskryf het.<br />

‘n Gesertifiseerde kopie van <strong>die</strong> kandidaat se ID of paspoort dokument.<br />

‘n Konsessieverslag in<strong>die</strong>n van toepassing met ‘n onlangse (<strong>2013</strong>) aanbeveling van ‘n dokter/spesialis<br />

22. PERSOONLIKE INLIGTING (<strong>vir</strong> SACAI se eksklusiewe gebruik om <strong>die</strong> eksamensentrum naaste<br />

aan <strong>die</strong> kandidaat se woonadres te identifiseer)<br />

Kandidaat se van:<br />

Kandidaat se volle name:<br />

SACAI geafflieerde instansie: Provinsie:<br />

Geboortedatum: Jaar: Maand: Dag:<br />

Posadres: Posbus:<br />

Dorp/voorstad: Kode:<br />

Woonadres :<br />

Kode:<br />

Telefoonnommer (Huis): Selfoonnommer:<br />

E-posadres: Faksnommer:<br />

23. VERKLARING<br />

EK, DIE ONDERGETEKENDE VERKLAAR HIERMEE DAT DIE INLIGTING OP HIERDIE VORM<br />

(BYLAE C) WEERGEGEE KORREK IS IN ALLE OPSIGTE.<br />

____________________ _____________ ___________________ ____________<br />

Handtekening: Kandidaat Datum Handtekening: Hoof Datum<br />

van skool of instansie<br />

___________________ ____________<br />

Handtekening van ouer / Datum<br />

Voog<br />

STAMP OF INSTITUTION<br />

IF AVAILABLE


13 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

VIR AMPTELIKE GEBRUIK DEUR SACAI<br />

Gegewens ingesleutel op ______________________________ 201__<br />

Handtekening: _______________________


VAKKELYS MET ALFAKODES VIR DIE NASIONALE SENIORSERTIFIKAAT (NSS)<br />

Engelse beskrywing<br />

14 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Afrikaanse beskrywing<br />

Tabel<br />

Afrikaans Home Language Afrikaans Huistaal A1 AFRHL<br />

Afrikaans First Additional Language Afrikaans Eerste Addisionele Taal A1 AFRFA<br />

English Home Language Engels Huistaal A1 ENGHL<br />

English First Additional Language Engels Eerste Addisionele Taal A1 ENGFA<br />

IsiNdebele Home Language IsiNdebele Huistaal A1 NDBHL<br />

IsiNdebele First Additional Language IsiNdebele Eerste Addisionele Taal A1 NDBFA<br />

IsiXhosa Home Language IsiXhosa Huistaal A1 XHOHL<br />

IsiXhosa First Additional Language IsiXhosa Eerste Addisionele Taal A1 XHOFA<br />

IsiZulu Home Language IsiZulu Huistaal A1 ZULHL<br />

IsiZulu First Additional Language IsiZulu Eerste Addisionele Taal A1 ZULFA<br />

Sepedi Home Language Sepedi Huistaal A1 SEPHL<br />

Sepedi First Additional Language Sepedi Eerste Addisionele Taal A1 SEPFA<br />

Sesotho Home Language Sesotho Huistaal A1 SESHL<br />

Sesotho First Additional Language Sesotho Eerste Addisionele Taal A1 SESFA<br />

Setswana Home Language Setswana Huistaal A1 SETHL<br />

Setswana First Additional Language Setswana Eerste Addisionele Taal A1 SETFA<br />

SiSwati Home Language SiSwati Huistaal A1 SWAHL<br />

SiSwati First Additional Language SiSwati Eerste Addisionele Taal A1 SWAFA<br />

Tshivenda Home Language Tshivenda Huistaal A1 TSVHL<br />

Tshivenda First Additional Language Tshivenda Eerste Addisionele Taal A1 TSVFA<br />

Xitsonga Home Language Xitsonga Huistaal A1 XITHL<br />

Xitsonga First Additional Language Xitsonga Eerste Addisionele Taal A1 XITFA<br />

Mathematical Literacy Wiskundige Geletterdheid A2 MLIT<br />

Mathematics Wiskunde A2 MATH<br />

Life Orientation Lewensoriëntering A3 LIFE<br />

Agricultural Management Practices Landboubestuurspraktyke B1 AGRM<br />

Agricultural Science Landbouwetenskappe B1 AGRS<br />

Agricultural Technology Landboutegnologie B1 AGRT<br />

Dance Stu<strong>die</strong>s Da<strong>nss</strong>tu<strong>die</strong>s B2 DNCE<br />

BYLAAG D<br />

Vak-alfakode


Engelse beskrywing<br />

15 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Afrikaanse beskrywing<br />

Tabel<br />

Design Ontwerp B2 DSGN<br />

Dramatic Arts Dramatiese Kunste B2 DRMA<br />

Music Musiek B2 MUSC<br />

Visual Arts Visuele Kunste B2 VSLA<br />

Accounting Rekeningkunde B3 ACCN<br />

Business Stu<strong>die</strong>s Besigheidstu<strong>die</strong>s B3 BSTD<br />

Economics Ekonomie B3 ECON<br />

Afrikaans Second Additional Language Afrikaans Tweede Addisionele Taal B4 AFRSA<br />

English Second Additional Language Engels Tweede Addisionele Taal B4 ENGSA<br />

IsiNdebele Second Additional Language IsiNdebele Tweede Addisionele Taal B4 NDBSA<br />

IsiXhosa Second Additional Language IsiXhosa Tweede Addisionele Taal B4 XHOSA<br />

IsiZulu Second Additional Language IsiZulu Tweede Addisionele Taal B4 ZULSA<br />

Sepedi Second Additional Language Sepedi Tweede Addisionele Taal B4 SEPSA<br />

Sesotho Second Additional Language Sesotho Tweede Addisionele Taal B4 SESSA<br />

Setswana Second Additional Language Setswana Tweede Addisionele Taal B4 SETSA<br />

SiSwati Second Additional Language SiSwati Tweede Addisionele Taal B4 SWASA<br />

Tshivenda Second Additional Language Tshivenda Tweede Addisionele Taal B4 TSVSA<br />

Xitsonga Second Additional Language Xitsonga Tweede Addisionele Taal B4 XITSA<br />

Arabic Second Additional Language Arabies Tweede Addisionele Taal B4 ARBSA<br />

French Second Additional Language Frans Tweede Addisionele Taal B4 FRHSA<br />

German Home Language Duits Huistaal B4 GRMHL<br />

German Second Additional Language Duits Tweede Addisionele Taal B4 GRMSA<br />

Gujarati Home Language Gujarati Huistaal B4 GUJHL<br />

Gujarati First Additional Language Gujarati Eerste Addisionele Taal B4 GUJFA<br />

Gujarati Second Additional Language Gujarati Tweede Addisionele Taal B4 GUJSA<br />

Hebrew Second Additional Language Hebreeus Tweede Addisionele Taal B4 HBRSA<br />

Hindi Home Language Hindi Huistaal B4 HNDHL<br />

Hindi First Additional Language Hindi Eerste Addisionele Taal B4 HNDFA<br />

Hindi Second Additional Language Hindi Tweede Addisionele Taal B4 HNDSA<br />

Italian Second Additional Language Italiaans Tweede Addisionele Taal B4 ITLSA<br />

Latin Second Additional Language Latyn Tweede Addisionele Taal B4 LTNSA<br />

Portuguese Home Language Portugees Huistaal B4 PRGHL<br />

Portuguese First Additional Language Portugees Eerste Addisionele Taal B4 PRGFA<br />

Portuguese Second Additional Language Portugees Tweede Addisionele Taal B4 PRGSA<br />

Spanish Second Additional Language Spaans Tweede Addisionele Taal B4 SPNSA<br />

Tamil Home Language Tamil Huistaal B4 TMLHL<br />

Vak-alfakode


Engelse beskrywing<br />

16 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Afrikaanse beskrywing<br />

Tabel<br />

Tamil First Additional Language Tamil Eerste Addisionele Taal B4 TMLFA<br />

Tamil Second Additional Language Tamil Tweede Addisionele Taal B4 TMLSA<br />

Telegu Home Language Telegu Huistaal B4 TLGHL<br />

Telegu First Additional Language Telegu Eerste Addisionele Taal B4 TLGFA<br />

Telegu Second Additional Language Telegu Tweede Addisionele Taal B4 TLGSA<br />

Urdu Home Language Urdu Huistaal B4 URDHL<br />

Urdu First Additional Language Urdu Eerste Addisionele Taal B4 URDFA<br />

Urdu Second Additional Language Urdu Tweede Addisionele Taal B4 URDSA<br />

Civil Technology Siviele Tegnologie B5 CVLT<br />

Electrical Technology Elektriese Tegnologie B5 ELTT<br />

Mechanical Technology Meganiese Tegnologie B5 MCHT<br />

Engineering Graphics and Design Ingenieursgrafika en –ontwerp B5 GRDS<br />

Geography Geografie B6 GEOG<br />

History Geskiedenis B6 HIST<br />

Religion Stu<strong>die</strong>s Religiestu<strong>die</strong>s B6 RLGS<br />

Computer Applications Technology Rekenaartoepassingstegnologie B7 CATN<br />

Information Technology Inligtingstegnologie B7 INFT<br />

Life Sciences Lewenswetenskappe B7 LFSC<br />

Physical Sciences Fisiese Wetenskappe B7 PHSC<br />

Consumer Stu<strong>die</strong>s Verbruikerstu<strong>die</strong>s B8 CNST<br />

Hospitality Stu<strong>die</strong>s Gasvryheidstu<strong>die</strong>s B8 HOSP<br />

Tourism Toerisme B8 TRSM<br />

Equine Stu<strong>die</strong>s Perdestu<strong>die</strong>s C1 EQNS<br />

Maritime Economics Maritieme Ekonomie C3 MRTE<br />

Modern Greek Second Additional<br />

Moderne Grieks Tweede Addisionele C4 MGRSA<br />

Language<br />

Taal<br />

Nautical Science Seevaartkunde C5 NTSC<br />

Sports and Exercise Science<br />

Associated Board of Royal Schools of<br />

Music Agriculture: Equine<br />

Associated Board Stu<strong>die</strong>s of Royal Schools of<br />

Music<br />

Associated Board of Royal Schools of<br />

Music<br />

Associated Board of Royal Schools of<br />

Music<br />

Associated Board of Royal Schools of<br />

Music<br />

Sport en Oefenkunde C6 SPES<br />

Associated Board of Royal Schools of<br />

Music<br />

Associated Board of Royal Schools of<br />

Music<br />

Associated Board of Royal Schools of<br />

Music<br />

Associated Board of Royal Schools of<br />

Music<br />

Associated Board of Royal Schools of<br />

Music<br />

B2 ASSLT<br />

B2 ASSP4<br />

B2 ASSP5<br />

B2 ASSP6<br />

B2 ASSP7<br />

Vak-alfakode


Engelse beskrywing<br />

17 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Afrikaanse beskrywing<br />

Tabel<br />

Associated Board of Royal Schools of Associated Board of Royal Schools of B2 ASSP8<br />

Music<br />

Associated Board of the Royal Schools of<br />

Music<br />

Associated Board of the Royal<br />

B2 ASSPD<br />

Music<br />

Trinity College of London Associate<br />

Perfomer’s Licentiate in Music<br />

Schools of Music<br />

Trinity College of London (TCL) B2 TRNAL<br />

Trinity College of London Perfomer’s<br />

Certificate<br />

Trinity College of London (TCL) B2 TRNPD<br />

Trinity College of London Perfomer’s Trinity College of London<br />

B2 TRNPL<br />

Licentiate in Music<br />

Trinity College of London Practical Music<br />

Voordraerslisensiaat in Musiek<br />

Trinity College of London Praktiese B2 TRNP4<br />

Examination<br />

Trinity College of London Practical Music<br />

Musiek-eksamen<br />

Trinity College of London Praktiese B2 TRNP5<br />

Examination<br />

Trinity College of London Practical Music<br />

Musiek<br />

Trinity College of London Praktiese B2 TRNP6<br />

Examination<br />

Trinity College of London Practical Music<br />

Musiek<br />

Trinity College of London Praktiese B2 TRNP7<br />

Examination<br />

Trinity College of London Practical Music<br />

Musiek<br />

Trinity College of London Praktiese B2 TRNP8<br />

Examination<br />

UNISA Performer’s Licentiate in Music<br />

Musiek<br />

UNISA Voordraerslisensiaat in<br />

Musiek<br />

B2 UNIPL<br />

UNISA Practical Music Examination Grade UNISA Praktiese Musiekeksamen<br />

B2 UNIP4<br />

4<br />

UNISA Practical Music Examination Grade<br />

Graad 4<br />

UNISA Praktiese Musiekeksamen<br />

B2 UNIP5<br />

5<br />

UNISA Practical Music Examination Grade<br />

Graad 5<br />

UNISA Praktiese Musiekeksamen<br />

B2 UNIP6<br />

6<br />

UNISA Practical Music Examination Grade<br />

Graad 6<br />

UNISA Praktiese Musiekeksamen<br />

B2 UNIP7<br />

7<br />

UNISA Practical Music Examination Grade<br />

8<br />

Chinese A-Level<br />

Graad 7<br />

UNISA Praktiese Musiekeksamen<br />

Graad 8<br />

Chinees A-vlak<br />

B2<br />

B4<br />

UNIP8<br />

CHNSA<br />

Czech A-Level Tsjeggies A-vlak B4 CZCHA<br />

Dutch A-Level Nederlands A-vlak B4 DTCHA<br />

French A-Level Frans A-vlak B4 FRNHA<br />

Hindi A-Level Hindi A-vlak B4 HINDA<br />

Japanese A-Level Japannees A-vlak B4 JPNSA<br />

Modern Greek A-Level Moderne Grieks A-vlak B4 MGRKA<br />

Portuguese A-Level Portugees A-vlak B4 PRTGA<br />

Russian A-Level Russies A-vlak B4 RSSNA<br />

Serbian A-Level Serwies A-vlak B4 SRBNA<br />

Spanish A-Level Spaans A-vlak B4 SPNSA<br />

Swahili A-Level Swahili A-vlak B4 SWAHA<br />

Turkish A-Level Turks A-vlak B4 TRKSA<br />

Urdu A-Level Oerdoe A-vlak B4 URDUA<br />

Vak-alfakode


18 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

BYLAAG E<br />

Hier<strong>die</strong> dokument is tans slegs in Engels beskikbaar omdat dit in <strong>2013</strong> onveranderd na <strong>die</strong><br />

provinsiale departemente deurgegee gaan word.<br />

REGISTRATION FOR <strong>2013</strong> GRADE 12 ASSESSMENT PROGRAMME<br />

APPLICATION BY LEARNER WITH BARRIERS TO LEARNING FOR A CONCESSION<br />

A special concession is primarily meant to assist learners who are experiencing barriers to learning and are<br />

unable to write an examination under normal examination conditions or within the time allowed for learners<br />

who are not experiencing any barriers.<br />

Special concessions will ONLY be granted to learners who are experiencing barriers to learning and can<br />

submit evidence to prove that concessions were granted to them in the course of the past two years.<br />

This application form must be attached to the cover of documentation relating to the<br />

candidate concerned.<br />

DATE SUBMITTED (closing date 26 July <strong>2013</strong>):<br />

ID No.<br />

SECTION A<br />

1. PERSONAL INFORMATION<br />

Candidate‟s surname:<br />

Candidate‟s full names:<br />

SACAI affiliated Institution Province<br />

Date of Birth: Year Month: Date<br />

Postal address: P O Box:<br />

City/Town: Code:<br />

Physical address:<br />

Code:<br />

Telephone number (Home): Cell number:<br />

E-mail address: Fax number:


SECTION B<br />

B1. BARRIERS TO LEARNING / DISABILITY<br />

Kindly indicate with a circle in the applicable block.<br />

Is the learner following the NSC curriculum (7 subjects) Y N<br />

When applying for a special concession, it is important to clarify the candidate’s barrier or challenge<br />

as accurately as possible. The following questionnaire may be useful in identifying the candidate’s<br />

barrier. Please indicate with an X the appropriate box and, where a short explanation is given, how<br />

the challenge can be best addressed.<br />

For<br />

school to<br />

indicate<br />

Please indicate with an “X” the barrier and how the candidate can be<br />

supported best<br />

Barrier<br />

Code<br />

BARRIER<br />

1 Visually impaired: How would this barrier best be addressed?<br />

Allowing extra time to<br />

process the visual material<br />

Large print (Font size) Both<br />

2 Partially sighted: How would limited vision best be addressed?<br />

Allowing extra time<br />

to process the<br />

visual material<br />

Large print Both Font size<br />

3 Blindness: How would this barrier best be addressed?<br />

Braille Amanuensis Other<br />

4 Deafness: How would this barrier best be addressed?<br />

5 Deaf /Blind / Barrier: How would this barrier best be addressed?<br />

6 Hard of hearing: How would this barrier best be addressed? Does the<br />

candidate wear a hearing aid? Yes / No<br />

(Indicate one or more of the following options.)<br />

Amanuensis Extra time Interpreter<br />

Dictionary<br />

Language concession Other<br />

7 Reading problem: How would this barrier best be addressed?<br />

Learner cannot<br />

read: Read paper<br />

to candidate<br />

19 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Severe reading<br />

problem: Amanuensis<br />

to the candidate<br />

Mild reading problem:<br />

Extra time


For<br />

school to<br />

indicate<br />

Barrier<br />

Code<br />

Please indicate with an “X” the barrier and how the candidate can be<br />

supported best<br />

BARRIER<br />

8 Writing problem: How would a problem with handwriting best be addressed?<br />

Amanuensis (The<br />

candidate cannot<br />

write due to an<br />

accident or other<br />

physical disability or<br />

writing is eligible)<br />

Use of computer. The learner must<br />

be computer literate (adhere to<br />

requirements)<br />

Use of computer with extra<br />

time. (Indicate time<br />

requested.)<br />

20 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Extra time 15 minutes<br />

per hour (The candidate<br />

writes extremely<br />

slowly.)<br />

9 Attention deficit problem: Does the candidate have a history of<br />

attention deficit problems? (Yes / No). How would this barrier<br />

best be addressed?<br />

Extra time (indicate<br />

time requested.)<br />

Planning aid and<br />

extra time<br />

10 Dyscalcula is the inability to deal with simple mathematics<br />

concepts. Apply separately for exemption with relevant<br />

documentation at District prior to Gr 10 – (Gr 9)<br />

11 Aphasia: Aphasia is a language problem on receptive and<br />

expressive level. Evidence by means of professional reports<br />

required, for example, speech, therapy, and neurologist reports.<br />

The candidate cannot<br />

speak and would<br />

require alternative<br />

assessment<br />

The candidate would<br />

require extra time in<br />

processing both oral<br />

and written<br />

examinations.<br />

Amanuensis<br />

12 Speech disorder: Does the candidate have a speech disorder<br />

that would be a barrier in oral examinations for example disatria,<br />

stuttering etc ? How would this barrier be addressed?<br />

13 Cerebral palsy: Is the candidate cerebral palsied or physically<br />

unable to cope with the examinations? (Yes / No). Give a short<br />

explanation of how this barrier affects the learner during<br />

examinations. How would<br />

this barrier be addressed? (refer to Section C)


For<br />

school to<br />

indicate<br />

Barrier<br />

Code<br />

Please indicate with an “X” the barrier and how the<br />

candidate can be supported best<br />

BARRIER<br />

14 Epilepsy: Give a short description of how this condition affects<br />

the candidate during examinations. How would this barrier best<br />

be addressed? Indicate one or more of the options.<br />

Planning aid Amanuensis + 15<br />

minutes<br />

15 Multiple barriers: If a candidate has multiple disabilities, give a<br />

short explanation of the barriers that the candidate faces during<br />

examinations and how best to overcome them by means of (a)<br />

concession(s). Provide all medical reports.<br />

16 Psychological Condition: How would this barrier best be<br />

addressed? Indicate one or more options.<br />

Planning aid Amanuensis Extra time Separate<br />

venue<br />

17 Mild behaviour disorder: Provide evidence and / or medical or<br />

psychological reports of oppositional defiance disorder or a<br />

conduct disorder. How would this barrier best be addressed?<br />

Indicate one or more options.<br />

Writing in a<br />

separate venue<br />

(alone)<br />

21 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Planning aid Other<br />

18 Insufficient Attention Span: If the candidate finds it<br />

difficult to concentrate for extended periods of time and is<br />

distracted during examinations, how would this barrier best<br />

be addressed? Provide all medical reports<br />

Planning aid Extra time: Separate venue<br />

19 Physical challenge: Give a short description of the<br />

challenge and indicate how the barrier would best be<br />

addressed. Indicate one or more options.<br />

Amanuensis Extra time: minutes<br />

per hour<br />

Other<br />

Special Aids


For<br />

school to<br />

indicate<br />

Barrier<br />

Code<br />

Please indicate with an “X” the barrier and how the candidate can be<br />

supported best<br />

BARRIER<br />

20 Limitation in working tempo: If the candidate’s work tempo<br />

is limited due to injury, illness of innate disability, indicate<br />

how the barrier would best be addressed. Give a short<br />

description of the barrier.<br />

Amanuensis Extra time: minutes<br />

per hour<br />

Other<br />

22 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

Special Aids<br />

21 Mild or moderate intellectual challenge: Indicate how a<br />

concession would assist the learner to reach his /her best<br />

performance in examinations.<br />

22 Severe behaviour disorder: Provide evidence and / or<br />

medical or psychological reports of oppositional defiance<br />

disorder or a conduct disorder. How would this barrier best<br />

be addressed? Indicate one or more options.<br />

Writing in a<br />

separate<br />

venue<br />

Planning aid Other<br />

(alone)<br />

23 Specific learning challenge: Indicate whether the learner<br />

has attended / is attending a remedial or a special school.<br />

Give details of the learning challenge and how this<br />

currently affects the candidate’s performance in the<br />

24 Trauma: examinations. If the Indicate learner has the recently suitable been concession(s) exposed for to this<br />

candidate. trauma, give a short description of the incident and how it<br />

affects the learner in examinations.<br />

25 Other challenges: (Extraordinary concessions) Please<br />

indicate challenge and how it will be best addressed, for<br />

example, diabetes.


1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

B2: HISTORY / BACKGROUND RELEVANT TO BARRIER (If not<br />

included, application will not be processed)<br />

B3: STATE NATURE OF PREVIOUS CONCESSIONS<br />

GRANTED BY THE SCHOOL<br />

Description:<br />

B4: Latest available examinations marks obtained in Grade:<br />

SECTION C<br />

1. CONCESSION APPLIED FOR AND MOTIVATION FOR REQUEST(S)<br />

Description and motivation<br />

23 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

SUPPORTING DOCUMENTS<br />

ATTACHED<br />

YES NO<br />

SUBJECT / LEARNING AREA MARKS % GRADE<br />

AVERAGE<br />

%


2. SPECIAL CONCESSION RECOMMENDATIONS (The institution concerned must make a<br />

recommendation by circling the appropriate code(s) in the table below).<br />

RECOMMENDATION / CONCESSION CONCESSION CODE<br />

Rest Break A<br />

Additional time - 05 minutes per hour B<br />

Additional time - 10 minutes per hour C<br />

Additional time - 15 minutes per hour D<br />

Alternative questions E<br />

Amanuensis F<br />

Braille G<br />

Computer H<br />

Interpreter I<br />

Large Print J<br />

Planning aid K<br />

Reading to candidate L<br />

Rephrasing M<br />

Separate venue N<br />

Special aids (specify) O<br />

*Dictionary P<br />

Other recommendations (Specify) Q<br />

QUERIES: CONTACT SACAI<br />

* Please note that no programmable dictionary will be allowed for immigrant<br />

candidates.<br />

3. COPIES OF DOCUMENTS TO BE ATTACHED TO THIS APPLICATION<br />

The following must accompany this application:<br />

SECTION D<br />

a. Evidence of previously granted concessions (In terms of the information provided at Par. 2)<br />

b. Reports from one or more specialists (medical doctor, clinical psychologist)<br />

c. A copy of the candidate's previous school records, present achievement, and psychometrical<br />

test results if available.<br />

1. RECOMMENDATIONS/COMMENTS/DECISION BY MEDICAL PRACTITIONER OR OTHER<br />

SPECIALIST<br />

1.1 The application should be supported<br />

2.2 Type of concession recommends<br />

(eg. Braille or large print, Tapes, Lastron apparatus, Amanuensis)<br />

…………………………………………………………………………………………………………….<br />

3.3 lf an extra time concession is proposed, how much additional time?<br />

5 MIN PER HOUR: 10 MIN PER HOUR: 15 MIN PER HOUR:<br />

24 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

YES<br />

NO


I, declare that the above information, in my professional opinion, is correct and that the concession<br />

requested is justified.<br />

………………………………………………………………………………. …………………………<br />

SIGNATURE OF MEDICAL PRACTITIONER/ SPECIALIST DATE<br />

2. DECLARATION BY HEAD OF INSTITUTION<br />

I declare that the above information, in my professional opinion, is correct and that the<br />

selected concession requested is justified.<br />

________________________________ ______________________<br />

PRINCIPAL / DATE<br />

HEAD OF INSTITUTION<br />

3. RECOMMENDATIONS AND/OR COMMENTS BY SACAI CONCESSION COMMITTEE<br />

3.1 The application is supported<br />

YES NO<br />

3.2 If no under par. 1.1 state reason(s)<br />

____________________________________________________________<br />

____________________________________________________________<br />

3.3 If yes under par. 1.1 approval is requested for the following concession(s)<br />

Type of concession requested as defined in Section D Concession code<br />

25 <strong>2013</strong> SACAI NSC REGISTRATION FORM


4. DECISION BY THE CHIEF EXECUTIVE OFFICER OF SACAI<br />

5.1 Concession approved<br />

YES NO<br />

4.2 If not approved, state reason(s):<br />

4.3 Type of concession(s) approved<br />

Type of concession approved as defined in Section C Concession code<br />

____________________________________ __________________<br />

SIGNATURE: CHIEF EXECUTIVE OFFICER OF DATE<br />

SACAI<br />

26 <strong>2013</strong> SACAI NSC REGISTRATION FORM


27 <strong>2013</strong> SACAI NSC REGISTRATION FORM<br />

BYLAAG F<br />

Hier<strong>die</strong> dokument is tans slegs in Engels beskikbaar omdat dit in <strong>2013</strong> ook deur <strong>die</strong> provinsiale departemente<br />

gebruik gaan word<br />

ENTRY FORM – GRADE 12 DANCE STUDIES AND MUSIC<br />

Surname and Initials<br />

Van en Voorletters<br />

Centre Number<br />

Sentrumnommer<br />

N Name of Centre<br />

Naam van Sentrum<br />

Telephone Number<br />

Telefoonnommer<br />

SUBJECT / VAK<br />

1. MUSIC / MUSIEK<br />

A. NCS Major:<br />

Other:<br />

B. Outside Bo<strong>die</strong>s<br />

Unisa<br />

Trinity<br />

Royal<br />

Schools<br />

2. DANCE STUDIES<br />

DANSSTUDIES<br />

Major:<br />

Other:<br />

Name of Dance / Music Educator<br />

Naam van Dans- / Musiekopvoeder<br />

Telephone number / Cell<br />

Telefoonnommer / Sel<br />

Signature of Candidate<br />

Handtekening van Kandidaat<br />

Date / Datum<br />

INSTRUMENT (SEE ATTACHED LIST)<br />

Grade<br />

Graad<br />

INSTRUMENT (SEE LIST AT BACK) GRADE<br />

THEORY<br />

DANCE FORM / DANSVORM (i.e. ballet, jazz, etc.)<br />

12<br />

GRADE<br />

PRACTICAL


PRACTICAL INSTRUMENTS: GRADE 12 NSC MUSIC<br />

Please choose a specific item from the categories i.e. Voice/singing: Soprano or<br />

Percussion: Timpani<br />

1. VOICE: Soprano, Mezzo Soprano, Contralto, Tenor, Baritone, Bass<br />

2. ORCHESTRAL INSTRUMENTS:<br />

2.1 Woodwind: Flute, Oboe, Clarinet, Bassoon<br />

Brass:sd 2.2 Brass: Trumpet, French Horn, Trombone, Tuba<br />

2.3 Percussion: Timpani, Marimba, Snare Drum,<br />

Xylophone, Metalophone, Vibraphone,<br />

Bass Drum<br />

2.4 String: Violin, Viola, Cello, Double Bass<br />

3. CLASSICAL WESTERN INSTRUMENTS: Piano, Guitar, Harp, Recorder,<br />

Saxophone, Bass Guitar, Euphonium, Harpsichord, Organ, Keyboard<br />

4. FOLK INSTRUMENTS/NATIONAL INSTRUMENTS: Balalaika, Bouzouki,<br />

Mandolin, Pan Pipes, Zither, Accordion, Aeolean Harp, Banjo, Bagpipes<br />

5. AFRICAN INSTRUMENTS: African drums, e.g. Djembe and Bongo Drum, Kora,<br />

Marimba (must be able to play a musical scale (chromatic bars), Kalimba (thumb<br />

piano), Mbira, Sekere, African xylophone (must be tuned to a musical scale,<br />

chromatic bars).<br />

6. INDIAN INSTRUMENTS: Ektara, Nadaswaran, Rudra Vine, Sitar, Tabla, Tavil,<br />

Vichitra Vina<br />

7. OTHER: Sarrusophone, Tarolato<br />

28 <strong>2013</strong> SACAI NSC REGISTRATION FORM

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