(Form APX-01)

REGULATIONS FOR THE REGISTRATION OF
PRIVATE HIGHER EDUCATION INSTITUTIONS
APPLICATION FOR REGISTRATION AS A
PRIVATE HIGHER EDUCATION INSTITUTION
(Form APX-01)
Note: Applicants must consult the document: A Guide for Completing the Application for Registration
as a Private Higher Education Institution.
A.
ADMINISTRATIVE DATA
1.
Legal name of the applicant
2.
Particulars of authorised contact person
a) Name
b) Designation of contact person (e.g. MD, Principal, Head of Academic Affairs)
c) Telephone number
d) Fax number
e) E-mail address
3.
Postal address of the applicant
Code
4.
Physical address and contact details of head office
2
Code
Telephone
Fax
E-mail address
5.
Physical address and contact details of main campus
Code
Telephone
Fax
E-mail address
6.
Website address
B. COMPANY REGISTRATION AND GOVERNANCE PARTICULARS
7.
Legal name of the applicant (same as in Item 1)
8.
Official trading name, abbreviation, acronym or translation (if applicable)
3
9.
Type of juristic person
10.
Company registration number
11.
Indicate whether the applicant is a local or foreign juristic person
12.
If foreign, indicate the country of origin
13.
Details of the parent institution
a) Name of the parent institution
b) Name of the head of the parent institution
c) Postal address
Code
d) Physical address
Code
4
e) Telephone number
f) Fax number
g) E-mail address
h) Website address
14.
Particulars of the Management
a) Chief Executive Officer or head of the institution
i) Name
ii) Title
iii) Identity number (passport number and citizenship if not South African)
iv) Telephone number(s) including cellular phone number, if available
v) Fax number
5
b) Names and identity numbers of the applicant’s current directors
Surname & Initials
15.
Title
Designation
Identity
Passport
Number
number
Domicilium citandi et executandi and contact details of the applicant
Code
Telephone
Fax
E-mail address
16.
Holding company or any other organisation to which the applicant is subordinate
17.
Relationship between the applicant and the holding company or other organisation
6
18.
List of owners in accordance with the Articles of Association
Surname & Initials
19.
Title
Identity Number
Details of the applicant’s auditors
a) Name of the applicant’s auditor
b) Registration number issued by the Public Accountants’ & Auditors’ Board
20.
Tax and business registration details
a) VAT Registration Number
b) Income Tax Number
c) Business Registration Number
7
C. PARTICULARS OF LEARNING PROGRAMMES
21.
Table 01: Programmes submitted to the HEQC for accreditation
Name of programme
22.
Entrance
requirements
Mode of
delivery
Language Minimum Contact with
of
duration in
students
instruction
months
Full- Parttime time
Table 02: Proposed sites for programme delivery
Name
Physical address
Programmes to be delivered
8
D. STAFF AND STUDENT DATA
23.
Table: 03: Total staff expected to be employed and students to be registered for higher
education programmes during the first three years of operation. The data should be
expressed as headcount only.
Year 1
Year 2
Year 3
Students
Academic /Research staff
Full-time
Part-time
Support staff
Full-time
Part-time
Service staff
Full-time
Part-time
24.
Table 04: Data for each higher education programme.
NQF
field
NQF
level
Name of the programme
9
Student
headcount
enrolment
Year Year Year
1
2
3
25.
Table 05: Higher education programmes for which the applicant provides or proposes
to provide support on behalf of another institution.
NQF
field
NQF
level
Name of the
programme
Certifying institution
Student
headcount
enrolment
Nature of
support
E. DATA ON FET AND GET PROGRAMMES
26.
(a) Do you offer any programmes in the GET band?
(b) If yes, provide the provincial registration number as an independent school or ABET
Centre
27.
Do you offer any programmes in the FET band?
28.
Table: 06: Total teaching staff employed and learners enrolled, expressed as headcount,
for the GET and FET programmes.
GET
Teaching staff
Headcount
Students
Headcount
10
FET
F. FINANCIAL VIABILITY REPORTS AND LEGAL DOCUMENTS
29.
ANNEXURE A(1): Audited annual financial statements OR Audited financial forecasts.
30.
ANNEXURE A(2): Business Plan.
31.
ANNEXURE A(3): Surety agreement.
32.
ANNEXURE B: Company registration documents.
33.
ANNEXURE C: Occupational health and safety compliance audit report(s).
34.
ANNEXURE D: Business registration certificate.
G. QUALITY ASSURANCE AND MONITORING
35.
ANNEXURE E: Declaration on application for accreditation.
36.
ANNEXURE F: Undertaking on institutional capacity.
37.
ANNEXURE G: Declaration on monitoring and evaluation.
H. INTER-INSTITUTIONAL AGREEMENTS AND MARKETING
INFORMATION
38.
ANNEXURE H: Inter-institutional agreements.
39.
ANNEXURE I: Student prospectus, calendar or brochure.
I. ADMISSION INFORMATION AND STUDENT RULES
40.
ANNEXURE J: Enrolment forms, student contracts and rules and regulations.
J. DECLARATION ON NON-DISCRIMINATION
41.
K.
ANNEXURE K: Non-discrimination declaration.
ADDITIONAL INFORMATION
APPLICANTS ONLY
TO
BE
SUBMITTED
42.
ANNEXURE L: Declaration on equality of qualifications.
43.
ANNEXURE M(1): Proof of recognition in the country of origin.
11
BY
FOREIGN
44.
ANNEXURE M(2): Proof of accreditation in the country of origin.
12