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* If NOT APPLICABLE, use N/A
Surname
Full name(s)
Identity Number
Passport number (foreign students)
Title
Gender
Home language
Nationality
Residential address
Postal address
Telephone (Home, Work or Cell)
Telephone (Home, Work or Cell)
Email
Highest grade passed
Name of school attended
School telephone number
School address
Subject
Points
Disability
Yes
No
If Yes Specify
Select programme
Health Care assistant 6 months
Health care assistant 1 year
Higher Certificate 1 year
Diploma in Nursing 3 years
Midwifery 1 year
Paramedic 1 year
Paramedic 3 Years
Data Sharing Consent
Please tick this box if you consent HNS to process your data and share your data with third parties. My personal information may be shared with authorised third parties such as regulatory bodies (SANC, CHE, DHET), clinical training facilities, or other relevant stakeholders where legally required.
Application Checklist
Grade 12 statement of results
Study permit
Senior certificate
International qualification certificate SAQA evaluation document
Application fee
Declaration
I the under signed declare that I meet the specific entry requirements listed above and have provided/agree to Provide valid evidence; Current National Police Check, and Current Immunization records for my eligibility to the Course within 4 weeks of commencement. I understand that evidence of my English Language competency must be provided prior to the interview. I understand that evidence of my employability checks will be made available to relevant work placement providers. Diploma and above level courses: I understand that failure to provide valid evidence prior to my first start date May result in my inability to successfully complete this course at Hlengisizwe Nursing School I will notify my Course Coordinator in writing within 2 weeks of any changes in my eligibility status. I understand that failure to comply with this declaration may result in my inability to complete this course at Hlengisizwe Nursing School
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