02.05.2013 Views

registrasie vir die 2013 nasionale seniorsertifikaat (nss) - sacai

registrasie vir die 2013 nasionale seniorsertifikaat (nss) - sacai

registrasie vir die 2013 nasionale seniorsertifikaat (nss) - sacai

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

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

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!