SANIRE
South African National Institute of Rock Engineering
P O Box 688, Virginia, 9430, South Africa,, Tel. +27 (0) 57 904-6066, Fax. +27 (0) 86 718-6082, |
CHAMBER OF MINES CERTIFICATE IN STRATA CONTROL
APPLICATION FOR PRACTICAL ASSESSMENT
(Note: Candidates may only attempt one practical assessment in-between theory examinations
Practical assessments are hosted in-house by each individual mining group.) |
| YOUR DETAILS |
| THE * (asterisk) INDICATES COMPULSARY FIELDS |
| Date of Application * |
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| UNISA Examination Number |
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| Full Names & Surname * |
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| ID Number * |
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| Tel No. * |
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| Cel No. * |
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| Fax No. * |
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| Email address * |
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| Postal address * |
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| EMPLOYER DETAILS |
| Name of Employer * |
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| Address of Employer * |
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| Shaft/Division * |
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| Tel No. * |
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| Fax No. * |
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| YOUR QUALIFICATIONS |
| Standard Passed at School * |
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| Other Qualifications * (Tech/University) |
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| TO BE COMPLETED BY APPLICANT |
| Assessment for * |
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Coal |
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Massive |
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Open Pit |
| Passed Theory * |
YES
NO
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| CONFIRM AND SEND YOUR APPLICATION |
| By submitting this form, I, the applicant, confirm that the information supplied herewith is correct. |