Maritime Community Development Fund

Maritime Community Development Fund St Helena Bay 21 Ocean View Avenue Stompneus Bay 7382 +27 86 137 0206 info@sstg.co.za Port Elizabeth 2 nd Floor, Fleming Building Fleming Street Central Port Elizabeth 6100 +27 86 137 0206 infomb@sstg.co.za Cape Town 360 Business Park 10 Section Road Paarden Eiland 7420 +27 86 137 0206 infoct@sstg.co.za

INTRODUCTION Sea Safety Training Group (PTY) LTD, herein further referred to as SSTG, is a SAMSA Accredited Training Organisation offering STCW approved courses in training centres located in Cape Town (Head Office), St Helena Bay and Port Elizabeth, with satellite centres in Mossel Bay and Durban. SSTG was awarded the Maritime Newcomer of the Year in 2016 by industry; was the first training provider outside of CPUT and DUT to be awarded accreditation for the Officer in Charge of Navigational Watch, which commenced in March 2017; and has achieved substantial outcomes across a number of projects in communities across the Eastern and Western Cape, upskilling and placing unemployed and underemployed learners into training programs and work placements, resulting in employment opportunities. SSTG have since set-up a Maritime Community Development Fund with the aim of assisting Applicants, from across South Africa and from a variety of cultural and socio-economic backgrounds, enter the maritime industry by providing financial assistance to undertake further studies, career guidance, crew placement services and ongoing support. The SSTG Maritime Community Development Fund will provide financial assistance by way of Loans, Bursaries, Scholarships and Staff Professional and Career Development Loans. (See Terms and Conditions for more information). GUIDELINES 1. SSTG Maritime Community Development Fund Applications are only open to South African Citizens. 2. Please ensure that you read every section of the form first, and complete all required sections IN FULL. 3. All sections must be completed using BLOCK LETTERS in BLACK INK. 4. Your identity (ID) number must be inserted at the top of EVERY PAGE of the application form and on every page of all supporting documents. Applications missing ID numbers will not be processed by SSTG. 5. SSTG requires both a cell phone number and an email address to communicate with you during the application process, and to inform you of the outcome of your application. 6. If you print this form, then place your initials on the bottom of EVERY PAGE and sign the Application Form. 7. If you submit this form electronically, then ensure that you complete your ELECTRONIC SIGNATURE on page 13. 8. Incomplete (meaning missing supporting documents) and late applications will be disqualified. 9. You understand that submitting this application does not guarantee you a place nor does it guarantee you financial assistance, so SSTG advises you to apply for other study options and bursaries / student loans. 10. You understand that this financial assistance will be provided to cover tuition fees only and does not make provision for transport, accommodation or meals. 11. If you require assistance in completing your application form, please contact SSTG on 0861 370 206, or infocpt@sstg.co.za. APPLICATION SUBMISSION 1. The information contained in this Application and the supporting documentation provided will ONLY be used for the purposes of assessing the financial eligibility of prospective students. 2. This information may be shared with third parties, including credit bureaus and other agencies for the purposes of information validation, criminal checks and to verify your previous academic records. 3. You understand that by continuing with and submitting this Application, you have provided consent for SSTG to use the information you provide for these purposes only. Return the completed Application Form and ALL supporting documentation to: ** Include Reference Community Development Fund Application POST or HAND DELIVER to: 10 Section Road Paarden Eiland, 7420 EMAIL to: infocpt@sstg.co.za Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 2 of 14

Required Documentation: Please ensure that you complete all sections of the application form and attach all supporting documentation to avoid delays. Please attach certified copies of the following documents: (All the certified copies of income must not be older than 3 months) Your documents can be certified at the South African Police Service or the South African Post Office. * If you are under the age of 18, or if you are 18 and older and are STILL DEPENDENT on the household income of your parent/s or legal guardian/s, then this also applies to you. Compulsory Certified proof of bank account. This can be a bank statement or letter from the bank where you have your account. Certified copy of your Identity Document or Unabridged Birth Certificate (if you do not have either a green bar-coded ID or Smart ID Card) *Certified copy of the Identity Document of each household member including parent/s or legal guardian/s. *Certified or official copy of recent payslip, letter of employment, not older than three months, of your parent/s, Step parent/s, the person who supports you, your guardian/s or yourself, if you are employed. This is for all types of employment. Proof of income is required of all members of the household. This includes any income received from SASSA grants, Unemployment Insurance Fund (UIF), or any retirement, life, disability or other benefits paid as a lump sum or in monthly instalments. * Proof of residence - such as water, electricity accounts or other accounts. *If your parent/s or the person who supports you or your legal guardian/s are retired, please provide a copy of an official pension slip or bank statement showing the pension payment. *If your parent/s or the person who supports you or your legal guardian/s work as an informal trader, please provide an affidavit signed by them to confirm this employment. If either of your parents is deceased, please provide a certified copy of their death certificate. If your parents are divorced or separated, please provide a statement detailing the maintenance order. If your one of your parents are not contributing to your household expenses, please provide an affidavit explaining the reasons why. If your parents are divorced, please provide a certified copy of the divorce decree. If either of your parents does not live at home, please provide an affidavit explaining the reasons why. If you are supported by someone who is not your parent or legal guardian, please provide an affidavit explaining the reasons why. *Certified copy of the SASSA letter for any family members receiving a social grant who are also contributing to your household income. This also applies to your legal guardian/s. Certified copy of your latest academic transcript or exam results. If you are currently in Grade 12 your latest available results will be used. If you left school in grade 10 or 11, provide the last results you received and an affidavit explaining the reasons why. Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 3 of 14

Section A: Personal Details Please fill out as reflected in your ID document*: (Tick the appropriate boxes. Fields with * are COMPULSORY) * Surname: * First Name/s: * Date of Birth: (dd/mm/yyyy) * ID Number: Title: Mr Mrs Ms Miss Nationality: Gender: Male Female * Home Address: Postal Address: Same as home address Address while studying: (if not living at home) Do you need assistance with finding accommodation? If you answered yes, what budget do you have to contribute to board and lodging? R Contact Numbers: Work: Home: * Cell phone: * Email: Preferred contact: Work phone Home phone Cell phone Email Do you have a disability? If yes, please explain: Race: African Asian Coloured Indian White Marital Status: Unmarried Married Divorced Widowed Other Home Language: Which of the following Own property Own property but Renting the Informal describes your home? without mortgage paying mortgage property Settlement * Do you receive a SASSA grant? If you answered yes, what amount do you receive? R per What are you doing this year? Secondary School Employed Unemployed Studying & Employed Studying & Unemployed Highest academic level achieved? Grade 12 Grade 11 Grade 10 Grade 9 Other If other, please state: Name of Institute: (Secondary or Tertiary) Year completed: Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 4 of 14

What have you done during your holiday periods? Have you ever been declared mentally unfit by a court of law? Part-time or casual Community work work (without remuneration) *Provide proof *Provide proof If yes, please explain: Nothing, holiday only Has there ever been an administration order Yes No If yes, please explain: against you? Section B: FAMILY DETAILS Father / Stepfather / Guardian If you are over the age of 18 and are not dependent on the household income of your parent/s or legal guardian/s, then ignore this section (Tick the appropriate boxes. Fields with * are COMPULSORY) Identify the relationship: Father Stepfather Guardian Is this person your next of kin? * Is this member of your family deceased? * Surname: * First Name/s: * Date of Birth: (dd/mm/yyyy) Nationality: * Home Address: If you answered no, please identify the person and your relationship: If you answered yes, the remaining sections are not required * ID Number: Postal Address: Same as home address Contact Numbers: Work: Home: * Cell phone: * Email: Preferred contact: Work phone Home phone Cell phone Email Marital Status: Unmarried Married Divorced Widowed Other * Does this family member receive a SASSA grant? If you answered yes, what amount do you receive? R per Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 5 of 14

Does this family member receive any sort of financial assistance for any studies? Yes No If you answered yes, what type of assistance do you receive? Bursary Loan Other (please state) How much do you receive? R per Current employment: Studying Unemployed Employed Self-employed Source of income: Salary Pension Child support Contribution Business profit: (Specify e.g. Taxi, hawker or small to medium enterprise) Company Name: Occupation: Income Tax Number: Employer Details: Annual income: (before deductions / tax) HR Contact: Work phone: Claiming UIF? Section B: FAMILY DETAILS Mother / Stepmother / Guardian If you are over the age of 18 and are not dependent on the household income of your parent/s or legal guardian/s, then ignore this section (Tick the appropriate boxes. Fields with * are COMPULSORY) Identify the relationship: Mother Stepmother Guardian Is this person your next of kin? * Is this member of your family deceased? * Surname: * First Name/s: * Date of Birth: (dd/mm/yyyy) Nationality: If you answered no, please identify the person and your relationship: If you answered yes, the remaining sections are not required * ID Number: Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 6 of 14

* Home Address: Postal Address: Same as home address Contact Numbers: Work: Home: * Cell phone: * Email: Preferred contact: Work phone Home phone Cell phone Email Marital Status: Unmarried Married Divorced Widowed Other * Does this family member receive a SASSA grant? Does this family member receive any sort of financial assistance for any studies? Yes No If you answered yes, what amount do you receive? R per If you answered yes, what type of assistance do you receive? Bursary Loan Other (please state) How much do you receive? R per Current employment: Studying Unemployed Employed Self-employed Source of income: Salary Pension Child support Contribution Business profit: (Specify e.g. Taxi, hawker or small to medium enterprise) Company Name: Occupation: Income Tax Number: Employer Details: Annual income: (before deductions / tax) HR Contact: Work phone: Claiming UIF? Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 7 of 14

Section B: FAMILY DETAILS Legal Guardian If you are over the age of 18 and are not dependent on the household income of your parent/s or legal guardian/s, then ignore this section (Tick the appropriate boxes. Fields with * are COMPULSORY) Has this Legal Guardian been appointed by a court of law? If you answered no, please identify the person and your relationship: Is this person your next of kin? Yes No If you answered no, please identify the person and your relationship: * Surname: * First Name/s: * Date of Birth: (dd/mm/yyyy) * ID Number: Nationality: Gender: Male Female * Home Address: Postal Address: Same as home address Contact Numbers: Work: Home: * Cell phone: * Email: Preferred contact: Work phone Home phone Cell phone Email Marital Status: Unmarried Married Divorced Widowed Other * Does this family member receive a SASSA grant? If you answered yes, what amount do you receive? R per Does this family member receive any sort of financial assistance for any studies? Yes No If you answered yes, what type of assistance do you receive? Bursary Loan Other (please state) How much do you receive? R per Current employment: Studying Unemployed Employed Self-employed Source of income: Salary Pension Child support Contribution Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 8 of 14

Business profit: (Specify e.g. Taxi, hawker or small to medium enterprise) Company Name: Occupation: Income Tax Number: Employer Details: Annual income: (before deductions / tax) HR Contact: Work phone: Claiming UIF? Section B: FAMILY DETAILS Next of Kin Compulsory if you have no father, mother or legal guardian If you are over the age of 18 and are not dependent on the household income of your parent/s or legal guardian/s, then ignore this section (Tick the appropriate boxes. Fields with * are COMPULSORY) * Surname: * First Name/s: * Date of Birth: (dd/mm/yyyy) * ID Number: Nationality: Gender: Male Female * Home Address: Postal Address: Same as home address Contact Numbers: Work: Home: * Cell phone: * Email: Preferred contact: Work phone Home phone Cell phone Email Marital Status: Unmarried Married Divorced Widowed Other * Does this family member receive a SASSA grant? If you answered yes, what amount do you receive? R per Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 9 of 14

Does this family member receive any sort of financial assistance for any studies? Yes No If you answered yes, what type of assistance do you receive? Bursary Loan Other (please state) How much do you receive? R per Current employment: Studying Unemployed Employed Self-employed Source of income: Salary Pension Child support Contribution Business profit: (Specify e.g. Taxi, hawker or small to medium enterprise) Company Name: Occupation: Income Tax Number: Employer Details: Annual income: (before deductions / tax) HR Contact: Work phone: Claiming UIF? Section C: BANKING DETAILS (Compulsory) PLEASE NOTE: The following is to be the Applicant s account details and not those of a parent or guardian and must be supported with a certified letter from the bank. Name of Bank: Name of Account Holder: Branch Name: Account Number: Branch Code: Account Type: e.g. Savings, current or cheque Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 10 of 14

Section D: COURSE SELECTION / STUDY OPTIONS PLEASE NOTE: The following is to assist us in understanding your preferences for study. Applying for a course does not guarantee you a place as each course has minimum entry criteria that you need to meet. Is this the only application you have made Yes No If you answered no, where else have you applied? for tertiary study? Which SSTG Centre would you like to study at? Cape Town St Helena Bay Port Elizabeth What type of accommodation will you make use of? Rental Accommodation Off-campus residency I need help sourcing Meals at residency? I would like to make my own Meals are provided at my residence I will organise Transport / travel? I have my own transport I will use public transport I have no transport When will you be registering? Month: Course (select your preferences from the list below) First Option Second Option Officer in Charge of Navigational Watch (OOW) 1 year Officer in Charge of Engineering Watch (EOW) 4 months ** provided you have N5 N6 Subjects Marine Motorman Grade 2 (MM2) 3 to 4 months Skipper Port Operations (SPO) 3 to 4 months Deck Officer Fishing < 24 metres (DOF) 3 to 4 months With SSTG providing financial assistance: Costing Breakdown OOW Course Fee Equipment required EOW Course Fee MM2 Course Fee Equipment required SPO Course Fee Equipment required DOF Course Fee Equipment required Year: 2017 2018 Learner Fee Summary Estimated Cost (incl. VAT) R 49 000 + R 6500 Available soon R 22 760 + R 4000 R 18 640 + R 5500 R 26 145 + R 5500 Funding available for 2018 covered by 3 rd Party (subject to availability) Costing Breakdown OOW Ancillaries R 0 EOW Ancillaries EOW Workshop Training MM2 Ancillaries MM2 Workshop Training Estimated Cost (incl. VAT) R 0 R 0 R 0 R 0 SPO Ancillaries R 0 DOF Ancillaries R 0 Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 11 of 14

Terms and Conditions By signing this SSTG application for financial aid, you acknowledge your acceptance and understanding of the following: Who may apply for financial aid? Only South African citizens. Purpose The financial aid will be structured to assist learners through their studies, but will have to be paid back to SSTG as stipulated in this contract. This SSTG Maritime Community Development Fund aims to financially assist all learners to further their studies until they find employment or as otherwise contractually agreed. Financial aid is calculated both on the ability of the family to make payments towards a study loan and on the achievements and commitment of each learner. General Requirements Please read these notes carefully before completing the application form. Make sure that you read every section and that the information you provide is accurate. You must write your identity (ID) number on the top of every page of the application form and on every page of all supporting documents. Application forms submitted without ALL supporting documents will not be processed. You must be between the ages of 16 and 35. Preference will be given to learners younger than 28. You must be proficient in English. You must not be colour blind. You may not be disabled. You must be medically fit. (The fund will pay for the SAMSA medical examination and will arrange for you to be evaluated at a convenient time). It would be beneficial if you: - Have successfully completed Grade 12 - Have Mathematics and Science as subjects Further Requirements 1. This application does not guarantee that you will receive a SSTG course placement or assistance through the SSTG Maritime Community Development Fund. 2. If you have been advised that you were unsuccessful or partially successful in your application for financial aid from SSTG, you will be responsible to pay all required fees as determined by SSTG. 3. Incomplete application forms (including those with missing documents) will NOT be accepted. 4. Posted applications and all supporting documents need to reach SSTG on or before the applicable cut-off dates. 5. SSTG does not take responsibility for undelivered or missing posted applications or supporting documents. 6. Do not send original documents (Birth Certificates, IDs, etc.), except for affidavits. Attach recently certified (within the last 3 months) copies to the application form. Only original affidavits will be accepted. 7. If your application for financial aid is approved and you do not sign a contract within 30 days after the notification email or letter, then SSTG reserves the right to withdraw funded status. You will then be responsible for all required fees as determined SSTG. 8. Any false information provided, as part of your application for financial aid, will disqualify you from receiving financial assistance and will result in the immediate withdrawal of any approved assistance and you will be responsible to pay all required fees as determined SSTG. 9. SSTG uses a Merit calculator to determine the funding amount made available to each learner. 1 Terminology Loan Awarded to an applicant based on their need and family income. Loans are linked to interest rates, therefore, if a loan is awarded, the applicant will be required to repay the loan in full in addition to the accumulated interest over the agreed term. Bursary Will vary in amount dependant on each individual applicant s situation. The applicant may be required to repay the bursary by signing a work contract for an agreed upon period. If the applicant does not fulfil the agreement, they may be required to pay back the monies awarded to them. Scholarship A financial award provided to students based on their outstanding academic achievements. Recipients are not always expected to repay or work back the monies received. Staff Provided to permanent staff so that they might undertake further studies to enhance their current job role or career. The Professional and loan amount will vary depending on the qualification or course undertaken and the time frame. There may be a monetary Career contribution required from the employee or the employee may be required to sign a contract agreeing to continue working Development for an agreed upon period. If the employee does not fulfil the agreement, they will be required to pay back the loan Loan amount in addition to the accumulated interest within an agreed term. Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 12 of 14

Re-payment Terms 1. The SSTG Maritime Community Development Fund agreement will stipulate the percentage of funding offered to each individual learner. 2. Funding is only available for courses offered by SSTG and only for academic courses and not housing, equipment, travel, food, etc. 3. Example Scenario: a. SSTG provides financial assistance for 60% of your course fees and 40% is therefore payable by the learner before the course starts. b. Where 60% funding is provided it means that 60% of the total course fees, will be placed on an interest free loan for the duration of the Applicant s studies with SSTG and there will be no interest charged during the year that studies commenced. c. Repayment of this amount will start as soon as the learner is employed or as soon as his/her studies are completed. Your contract will stipulate the start date. d. The initial 40%, in this scenario, is therefore payable before the course starts or as agreed to contractually. e. The interest rate will be calculated in January of each year and will not change for the following 12 months. f. The funding assistance awarded in this scenario, i.e. the 60%, will need to be paid in full within a five-year period from the date of which you become liable to start re-payments. 4. A simple calculation will be as follows for an Applicant with a course fee of R 50 000 in total (Year started 2017): a. 40% of R 50 000 = R 20 000 payable upfront or within a time frame as agreed. (2017) b. 60% of R 50 000 = R 30 000 will no interest or re payment obligations in 2017. c. In January 2018 interest of 5.5% will be added to your outstanding fees, totalling R 31 650. d. The 5-year re-payment plan commences. R 31 650 divided into 5 years equals R 6 330 to be paid in 2018. This amount can be paid in full or divided into equal instalments as a payment plan. e. In January 2019 interest of 5.5% will be added to the outstanding fees. The outstanding amount less 2018 repayment = R 25 320 +5.5% = R 26 712.60. With four years left, your re-payment will be R 6 678.15 for 2019. f. This calculation will continue until your re-payments are completed. g. You may settle the account or make additional payments into the account at any time. Should you do so, you will reduce your overall payment amount over the term of the loan. 5. SSTG will seek financial assistance from other Bursary funds, State funds, Grants and International donors. If money is received from these sources, then those monies will be allocated to the full outstanding loan amount for the whole fund for that year and each learner will have their total outstanding monies owed to SSTG reduced in accordance with the percentage of funding assistance received be each individual. This will reflect on your annual statement. 6. SSTG reserves the right to cancel any funding assistance following non compliance with the fund criteria and will expect full payment on presentation of such non-compliance letter. If such non-compliance continues, SSTG reserves the right to take any legal action necessary to remedy the situation, until resolved. I give SSTG permission to validate my information with third parties. By signing this application form, I accept and understand that this does not guarantee that I will receive any financial assistance. If I am not successful, I will be responsible for all required fees charged by SSTG for the course should I chose to continue. I understand that any false information provided in this application may disqualify me from receiving any financial assistance and will result in the immediate withdrawal of any approved loan. On approval of any financial assistance, I agree and understand that the contract must be signed within 30 Days after notification of such approved assistance, or the approved assistance will be cancelled. I am aware that once approved, this is financial assistance, limited to a specific duration of no more than 5 years after tuition in which the full amount must be paid back in accordance with my contract. Your signature Parent or legal guardian signature (for minors) Your full name Date Full name of parent or legal guardian (for minors) Date Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 13 of 14

PROCESS FLOW Applicant contacts the centre and requests an application form SSTG explains the application process and various courses available SSTG provides the Applicant with a cost estimation Those Applicant's meeting the entry criteria will be considered and rejected Applicants will be notified SSTG receives the application and evaluates the information provided Applicant completes the application form and submits all supporting documentation SSTG allocates prospective Applicants to diffrent centres and courses SSTG provisionally approves applications SSTG uses the Merit calculator to determine the level of financial assistance offered to each Applicant SSTG will arrange medical evaluations and eyesight tests as required. If the Applicant agrees to continue with the process, he or she may be requested to complete an online assessment. SSTG notifies each Applicant whether he/she has been provisionally accepted. Personal interviews are arranged. The final evidence will be evaluated and the final selection will take place. Applications will be approved by both the CEO and the Accountant before the loan amounts are allocated to each Applicant. Each Applicant will be notified and will receive a contract which will be discussed in detail and signed. On Acceptance of the Contract and agreen Loan, any deposits or monies owing, must be paid to SSTG before the comencement date of the course. Initials: Directors: L. Mouton (CEO), D. Badenhorst Page 14 of 14