MANDATORY GRANT APPLICATION: ATR 2010/2011 & WSP 2011/2012 FOR LESS THAN 50 PERMANENT EMPLOYEES ONLY

Transcription

1 Page 1 of 8 MANDATORY GRANT APPLICATION: ATR 2010/2011 & WSP 2011/2012 Once completed in full either fax or or post or deliver this application to: DELIVER: 529 Belvedere Street, AgriSETA House, Arcadia, Pretoria, 0083 (Not for postal purpose) POST: PO Box 26024, Arcadia, Pretoria, 0007 NOTE: No original documentation required - fax or (scan) copies are sufficient Phone: / Fax: or / amandie@agriseta.co.za DO NOT DELETE OR CHANGE ANY PART OF THIS DOCUMENT! FINAL SUBMISSION DUE DATE: Thursday, 30 JUNE 24: No exceptions OR extensions This form is ONLY for Employers employing LESS THAN 50 PERMANENT Employees LESS THAN 50 ANNUAL TRAINING REPORT 2010/2011 Report of actual training completed from 1 April 2010 up to 31 March 2011 & WORKPLACE SKILLS PLAN 2011/2012 Planning of training to be completed from 1 April 2011 up to 31 March 2012 SDL No: L 0 7 Organisation Name: The section below is for AGRISETA office use ONLY STATUS CAPTURED BANK DETAILS RECEIVED C E BD A COMMENTS

2 MANDATORY GRANT APPLICATION: ATR 2010/2011 & WSP 2011/2012 Page 2 of 8 ORGANISATION INFORMATION Registered & Trading name: Registration number: (If applicable) SDL No.: L 0 7 Physical Address: Company/Farm Street Town/City Province Code: Postal Address: Box/Bag Town/City Province Postal Code: Organisation Telephone number: Organisation Fax number: Organisation address: 0 *No of permanent employees: (As on 1 April 2011 ) *No of temporary/season/contract workers (As on 1 April 2011 ) (*This includes only those employees for whom SDL is paid to SARS) SIC Code: (Main business activity) Select ONLY ONE code = click click Grand Total Total Annual Payroll for the previous scheme year. (1 April 2010 to 31 March 2011) R NEW: Total of ALL Temporary/Seasonal/Contract workers during 2010/2011 (Tip: Use the total of the month with the highest number) = Name of contact person in org: (Other than SDF ) Position in company: (Other than SDF ) Contact persons Telephone/Cell number: Contact persons address: SKILLS DEVELOPMENT FACILITATOR (SDF) INFORMATION: SDF Full name & Surname: Preferred name to be called: SDF Identification number: SDF address: SDF Telephone number: SDF Fax number: SDF Cell phone number: SDF address: CONTACT PERSON INFORMATION:

3 ANNUAL TRAINING REPORT - 1 April 2010 to 31 March 2011 Page 3 of 8 A N N U A L T R A I N I N G R E P O R T / Section C1: Training Profile Report for 2010/2011 Please complete the total number of all employees who received training since 1 April 2010 up 31 March 2011 (This include ALL permanent, temporary, seasonal and contract workers for whom SDL is paid over to SARS) All Employees Trained during African Coloured Indian/Asian White Total M F D M F D M F D M F D M F D In the table above: M=Male, F=Female, D=Person with disability Grand Total: Section C3: ABET completed IN 2010/2011 Indicate Confirmation: No ABET completed in 2010/2011 Please complete if Adult Basic Education & Training (ABET) (namely LITERACY & NUMERACY programmes - ONLY) have been completed: ABET: LEVEL 1 ABET: LEVEL 2 ABET: LEVEL 3 ABET: LEVEL 4 Total no of employees who received ABET (Literacy & Numeracy )Training TOTAL trained in ABET: M F D Total In the table above: M=Male, F=Female, D=Person with disability Section C4: Amount spend on training during 2010/2011 Please complete the estimated amount that was spend on training from 1 April 2010 to 31 March /- R

4 ANNUAL TRAINING REPORT - 1 April 2010 to 31 March 2011 Page 4 of 8 A N N U A L T R A I N I N G R E P O R T / Example 7 Driver & Operator Skills x 20 Life Skills x Learning Programmes: Major Cluster Admin & Computer Related Skills Agricultural Maintenance Skills Animal Production Skills Artisan & Technical Skills Basic Business Skills Community & Social Development Skills Driver & Operator Skills Early Childhood Development Engineering Skills Export Readiness Financial Skills Food Safety & Security Skills Game Farming Skills General Agricultural Skills Hospitality Skills Human Resources & Training Industrial Relations Skills Labour/General Worker Skills Life Skills Logistics Skills Section C2: Learning Programmes completed during 2010/2011 (Proof of these learning programmes (SAMPLE ONLY) must be submitted to AgriSETA with this application) Food Processing Skills Management & Supervisory Skills Marketing & Sales Skills Occupational Health & Safety Skills Ornamental Horticultural Skills Packing and/or Processing Skills Plant Production Skills Quality Control Research & Development Skills Safety & Security Skills Please list all Learning Programmes that have been completed during 2010/2011 Mark Tractor Driver; Drivers Licence HIV/Aids Specify type of training completed Science & Technology Skills REMEMBER to attach SAMPLE PROOF OF TRAINING COMPLETED as stated above to the ATR10/11 & WSP11/12 and OR FAX OR POST OR DELIVER it to AgriSETA (PS: No original documents required - copies/scans will be sufficient)

5 WORKPLACE SKILLS PLAN - 1 April 2011 to 31 March 2012 Page 5 of 8 W O R K P L A C E S K I L L S P L A N / Section D1: EMPLOYMENT PROFILE (As on 1 April 2011) Please complete the total number of people currently employed as on 1 April (This include all permanent, temporary, seasonal and contract workers!) Total number of current employees as on 1 April 2011 (Inc.: All Permanent / Temporary / Seasonal / Contract workers for whom SDL is paid to SARS) African Coloured Indian/Asian White Total Total per Age Group M F D M F D M F D M F D M F D < >55 Grand Total: Section D2: Panned Training Profile for 2011/2012 Please complete the total number of people who will received training from 1 April 2011 up to 31 March 2012 (This include all permanent, temporary, seasonal and contract workers!) Planned employees TO BE trained in 2011/2012 African Coloured Indian/Asian White Total M F D M F D M F D M F D M F D In the table above: M=Male, F=Female, D=Person with disability Grand Total: Section D4: Budget amount for training in 2010/2011 Please complete the estimated amount that you plan to spent on training from 1 April 2011 up to 31 March /- R

6 WORKPLACE SKILLS PLAN - 1 April 2011 to 31 March 2012 Page 6 of 8 W O R K P L A C E S K I L L S P L A N / Section C3: Planned Learning Programmes TO BE completed during 2011/2012 Please list all Learning Programmes that you plan to attend to or completed during 2011/2012 Example 7 Driver & Operator Skills x 20 Life Skills x Learning Programmes: Major Cluster Admin & Computer Related Skills Agricultural Maintenance Skills Animal Production Skills Artisan & Technical Skills Basic Business Skills Community & Social Development Skills Driver & Operator Skills Early Childhood Development Engineering Skills Export Readiness Financial Skills Food Processing Skills Food Safety & Security Skills Game Farming Skills General Agricultural Skills Hospitality Skills Human Resources & Training Industrial Relations Skills Labour/General Worker Skills Life Skills Logistics Skills Management & Supervisory Skills Marketing & Sales Skills Occupational Health & Safety Skills Ornamental Horticultural Skills Packing and/or Processing Skills Plant Production Skills Quality Control Research & Development Skills Safety & Security Skills 31 Science & Technology Skills Mark Tractor Driver; Drivers Licence HIV/Aids Specify type of training to be completed

7 WORKPLACE SKILLS PLAN - 1 April 2011 to 31 March 2012 Page 7 of 8 W O R K P L A C E S K I L L S P L A N / Section D5: Planned ABET for 2011/2012 Indicate Confirmation: No planned ABET for 2011/2012 If you plan to expose any of you workers in 2011/2012 to Adult Basic Education & Training (ABET) (namely LITERACY & NUMERACY programmes - ONLY) please complete the table below. Total no of employees who will receive ABET (Literacy & Numeracy )Training M F D TOTAL ABET: LEVEL 1 ABET: LEVEL 2 ABET: LEVEL 3 ABET: LEVEL 4 TOTAL planned for ABET: In the table above: M=Male, F=Female, D=Person with disability Section D6: Scarce Skills AgriSETA is currently n the process of determining priority Scarce Skills in the Sector (A scarce skill refers to that skill which you consistently have difficulties in finding), to assist us, please list a maximum of 3 (three) scarce skills in your sector. For assistance please refer to the scare skills guide which contains a provisional list of scare skills. (You may add any other scare skill not appearing on the list. The list is available on our Skills Planning, No.1 No.2 No.3 Scarce & Critical Skill or ATR/WSP Downloads Please list your 3 (three) most important Scarce Skills (ONLY) Scarce Skills Indicate Confirmation: No Scarce Skills

8 MANDATORY GRANT APPLICATION: ATR 2010/2011 & WSP 2011/ : DECLARATION AND AUTHORISATION !!! EXTREMELY IMPORTANT COMPLETE AND SIGN IN FULL!!! The Authorised Signatories and the Skills Development Facilitator hereby declare that this application for a Mandatory Grants is to the best of our knowledge true and correct. We understand that AgriSETA may independently verify the information. We also understand that it is an offence in terms of section 33(b) of the Act to knowingly furnish any false information in this application and that we may be fined or imprisoned for one year if we are found guilty of knowingly furnishing such false information. This organisation is up-to-date with levy payments to SARS. This is proof that consultation has occurred between employer and employee representatives (through the Training/Skills Development Committee) (if applicable) Full name(s) & Surname of CEO/ Owner/ Managing Partner/ Trustee: Page 8 of 8 Title (Position in Org) E.g. CEO/Owner/MP/Trustee * Original Signature of CEO / Owner / Managing Partner / Trustee: Direct Contact telephone number: Date Signed: Full name(s) & Surname of SDF: Direct Contact * Original Signature of SDF: Date Signed: telephone number: * Original Signature means you cannot cut and past/insert an electronic version of their signature. Print this page in order to sign it. Registered Name Trading Name SDL number (L ) Name of Bank Name of Branch Type of account: Please tick the appropriate box BANK DETAILS OF ORGANISATION Please complete this section in full even if you have submitted banking details before. Organisations completing a consolidated grant submission must complete a separate banking details form (this page) for each SDL number where banking details differ. Account Number Branch Code Current / Cheque Attach at least one of the following to confirm banking details: Copy of a Cheque, Original Cancelled Cheque or letter from bank confirming the company's bank details Savings To whom it may concern: The Company/Entity authorizes AgriSETA to pay any amounts that may accrue to the Company/ Entity into the Company s/entity s account with the bank details reflected above. The Company/Entity understands that computer through a system known as the ACB ELECTRONIC TRANSFER SERVICES will process the credit transfers, which it has authorized. NAME of person confirming accuracy of the above mentioned bank Job Title of person confirming bank details: Confirmation Signature: Date confirmed: PLEASE EITHER OR FAX OR POST OR DELIVER THIS APPLICATION WITH REQUIRED PROOF OF TRAINING TO AGRISETA BY 30 JUNE 2011