Application for registration as:
KINDERKINETICIST IN TRAINING / ASSISTANT KINDERKINETICIST IN TRAINING
REGISTRATION FORM: RK3

An amount of R160 must be deposited / made out to:
SAPIK
Account number: 9305430937
Branch Code: 632005
ABSA, Tom Street, Potchefstroom.

- Reference: Name, surname, RK3.
- A copy of the deposit slip must accompany the completed form and be e-mailed to sapikinfo@gmail.com / faxed to (018) 299 1825 /hand delivered to the office.

The following registration form must be completed in full.
Take note that SAQA require specific information each year.
In order to obtain that information, you need to complete all sections of this form.
If this document is incomplete, your registration will not be successful and a fine will be applicable after March of each year

Rate yourself according to the following:
Indicate the correct number next to each question.

1. No difficulty; 2. Some difficulty; 3. A lot of difficulty; 4. Cannot do at all; 5. Cannot be determined,
6. May be part of multiple difficulties, 7. May have difficulty, 8. Former difficulty – none now.
For example. Seeing = 2.

OCCUPATIONAL INFORMATION

DECLARATION

I, hereby apply to be registered as Kinderkineticist / Assistant Kinderkineticist at SAPIK and declare that all information provided (including copies) is completed and correct. I also declare that I have read and understand the updated Ethical Guidelines of SAPIK, and that I agree to abide by these rules and regulations. I accept responsibility to keep updated with any changes made regarding the guidelines.