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WBL Registration for Power Engineering

This document is a registration form for Workplace Based Learning (WBL) in Power Engineering, course code DI0824. It collects student information, placement details, mentor and supervisor details, and WBL duration. The form requires signatures for student and university approval to validate the registration process.

Uploaded by

Mthombeni lebeko
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5 views1 page

WBL Registration for Power Engineering

This document is a registration form for Workplace Based Learning (WBL) in Power Engineering, course code DI0824. It collects student information, placement details, mentor and supervisor details, and WBL duration. The form requires signatures for student and university approval to validate the registration process.

Uploaded by

Mthombeni lebeko
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

FACULTY OF ENGINEERING & TECHNOLOGY

WORKPLACE BASED LEARNING (WBL)


REGISTRATION
Power Engineering -
Course code: DI0824

STUDENT INFORMATION: Sponsored by: SETA / NSFAS / Bursary / Other ________


Student Number
Name
Surname
Gender (Please Tick) M F
Home address

Postal address

Contact number
Email address

SITE ADDRESS (IF APPLICABLE):

PLACEMENT DETAILS:
Company Name
Company Address
Company Contact Number

MENTOR DETAILS:
Mentor Name
Mentor Address
Mentor Contact Number
Mentor Email Address
Mentor Qualification
ECSA registered YES NO ECSA REG NO

SUPERVISOR DETAILS:
Mentor Name
Mentor Address
Mentor Contact Number
Mentor Email Address
Mentor Qualification
ECSA registered YES NO ECSA REG NO

WBL DURATION:
From (start) To (finish)

WBL SUBJECT: (PLEASE TICK WBL SUBJECT THAT YOU ARE REGISTERING FOR)
Power Engineering EPEXL1A EPEXL2A EPPRJ4A
Student Signature

UNIVERSITY APPROVAL:
Signature of WIL Coordinator Approved STAMP

Declined

Date

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