• Complete your personal details
  • Complete your address
  • Read and Agree to Ts and Cs
  • Service
  • Upload your documents
  • Sign and submit your application
First Name: 
Surname: 
ID/Passport Nr:  
Date of Birth:
RadDatePicker
RadDatePicker
Open the calendar popup.
  dd/mm/yyyy
Gender:
select
 
Race Group:
select
 
Physical Disability
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Currently Employed:
select
 
Are you receiving a Grant?
select
 
Cellphone Number: 
Email Address: 
Telephone Nr (H):  
Second Contact Details
First Name:
Surname:
Tel Number:
Email Address:  
 
 
Address (line 1): 
Address (line 2):
Province:
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Municipality:
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Area:
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Suburb:
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Code:
 
 

IMPORTANT!

Please read these documents carefully.
It takes 2 minutes to read each document.
They contain important information about how we work, what we can and cannot do for you and what we are expecting from you.

Thank you.


Applications Procedure
Terms and Conditions
Change Agent Agreement
 
 
What service are you applying for?
select
 
How are you connecting to the internet?
select
 
What device are you using to fill in this application:
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Whose device are you using to fill in this application:
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Tell us a bit more about yourself:  
RadEditor - HTML WYSIWYG Editor. MS Word-like content editing experience thanks to a rich set of formatting tools, dropdowns, dialogs, system modules and built-in spell-check.
RadEditor's components - toolbar, content area, modes and modules
   
Toolbar's wrapper 
 
Content area wrapper
RadEditor's bottom area: Design, Html and Preview modes, Statistics module and resize handle.
It contains RadEditor's Modes/views (HTML, Design and Preview), Statistics and Resizer
Editor Mode buttonsStatistics moduleEditor resizer
 
 
RadEditor's Modules - special tools used to provide extra information such as Tag Inspector, Real Time HTML Viewer, Tag Properties and other.
   
What is your situation currently?  
RadEditor - HTML WYSIWYG Editor. MS Word-like content editing experience thanks to a rich set of formatting tools, dropdowns, dialogs, system modules and built-in spell-check.
RadEditor's components - toolbar, content area, modes and modules
   
Toolbar's wrapper 
 
Content area wrapper
RadEditor's bottom area: Design, Html and Preview modes, Statistics module and resize handle.
It contains RadEditor's Modes/views (HTML, Design and Preview), Statistics and Resizer
Editor Mode buttonsStatistics moduleEditor resizer
 
 
RadEditor's Modules - special tools used to provide extra information such as Tag Inspector, Real Time HTML Viewer, Tag Properties and other.
   
Why are you requesting this service and how do you think it will impact your life?  
RadEditor - HTML WYSIWYG Editor. MS Word-like content editing experience thanks to a rich set of formatting tools, dropdowns, dialogs, system modules and built-in spell-check.
RadEditor's components - toolbar, content area, modes and modules
   
Toolbar's wrapper 
 
Content area wrapper
RadEditor's bottom area: Design, Html and Preview modes, Statistics module and resize handle.
It contains RadEditor's Modes/views (HTML, Design and Preview), Statistics and Resizer
Editor Mode buttonsStatistics moduleEditor resizer
 
 
RadEditor's Modules - special tools used to provide extra information such as Tag Inspector, Real Time HTML Viewer, Tag Properties and other.
   
What are you going to do to improve your situation after you receive this service?  
RadEditor - HTML WYSIWYG Editor. MS Word-like content editing experience thanks to a rich set of formatting tools, dropdowns, dialogs, system modules and built-in spell-check.
RadEditor's components - toolbar, content area, modes and modules
   
Toolbar's wrapper 
 
Content area wrapper
RadEditor's bottom area: Design, Html and Preview modes, Statistics module and resize handle.
It contains RadEditor's Modes/views (HTML, Design and Preview), Statistics and Resizer
Editor Mode buttonsStatistics moduleEditor resizer
 
 
RadEditor's Modules - special tools used to provide extra information such as Tag Inspector, Real Time HTML Viewer, Tag Properties and other.
   
 
 

Below is the list of the required documents, please upload the documents Now or Within 7 Days.


 
 

Please sign to confirm that

1. You have filled in this application form. Only you can sign for your application. No one else can sign on your behalf.
2. All your information is correct. False information is a criminal offense.
3. You have read and understand the T's and C's, the Applications Procedure and the Change Agent Agreement."

If your application is approved, you will be requested to sign again for the service that you requested.

Signature
 
Please click here before you close
Personal Details - Step 1 of 6