SOUTHERN AFRICAN EMERGENCY SERVICES INSTITUTE NPC Registration No. 2014/162285/08

APPLICATION – Certification of Qualifications: All Accredited Courses Purpose: The purpose of this procedure is to authenticate your results and verify information supplied in support of your application and issue the appropriate international certificate if you qualify. Procedure: Students must submit the original OR certified copies of the prescribed documentation as contained in Section A20-Certification Pre-requisites of the Institutes Accreditation Policy. * Copies must be clear and legible. Should all documents not be supplied or legible the Institute will not be held liable for any delays in the certification process. * The decision of the Quality Assurance Working Group and SAESI is final.

SURNAME …………………………………………………………………………….. First Name(s) ……………………………………………………...

ID Nr…………………………………………………………………………. Contact Nr…………………………………………………………………..……

Postal Address ………………………………………………………………………………………………………………………………………………..……………. (Where Certificates will be sent) Employer ………………………………………………………….….. Email …………………………………………………………………….……..…………..

I hereby confirm that the information is true and that I will accept the decision of the Quality Assurance Working Group and SAESI with regards to my application.

Applicant Signature ………………………………………………………..…………….. Date ………………………………………………………………………………

NOTE: IN ADDITION TO THE ABOVE: The following documentation from the training provider is a prerequisite for a complete application. No certificates will be approved without ALL required documentation

Contact Details:

Phone: 011-660 5672

Fax2Email: 086 544 0008 Fax: 011 660 1887 Email: info@saesi.com Website: www.saesi.com

Addresses:

No. 295 Jorissen Street Monument

KRUGERSDORP, 1739

PO Box 613, KRUGERSDORP, 1740

8. Training Provider - Course Final Results

9. Training Provider - Course Moderators Report

10. Moderators Report with proof of External Moderation (Where applicable)

Yes No

Yes No

Yes No

FORM: ACC 5 (Accreditation Application Form-2018)

Valid from 1 October 2017 - 30 September 2018

Control Officer Signature

A. Applicants must submit the following requirements for certificate accreditation: 1. Completed ACC 5 Application Form

2. Certified Copy of ID and/or PASSPORT document

3. Certified Copy of Individual Statement of Results OR Outcomes letter of RPL

4. Certified Copy of Proof of Valid Medical Qualification i.e. HPCSA registration (BAA) OR

First Aid Level 3 as Minimum requirement for FF1 / HA / FF2 / HO

5. Proof of Payment MUST ACCOMPANY application

6. Certified Copy of Senior Certificate/Matric (Not Results letter)

7. CFO Letter confirming employment/Portfolio of Evidence where applicable (See Page 3)

B. FOR OFFICE USE

Yes

Yes

Yes

No

No

No

Yes

Yes

Yes

Yes

No

No

No

No

Membership Nr. (If applicable):

A: LEVEL OF APPLICATION (PLEASE TICK (√) RELEVANT)

Hazmat Awareness – NFPA 472

Hazmat Operations – NFPA 472

Hazmat Technician – NFPA 472

Fire Fighter 1 – NFPA 1001

Fire Fighter 2 – NFPA 1001

Driver & Operator: Pumper – NFPA 1002

Driver & Operator: Aerial – NFPA 1002

Airport Fire Fighter – NFPA 1003

Technical Rescuer – NFPA 1006

Confined Space Rescue 1 – NFPA 1006

Confined Space Rescue 2 – NFPA 1006

Rope Rescue 1 – NFPA 1006

Rope Rescue 2 – NFPA 1006

Structural Collapse 1 – NFPA 1006

Structural Collapse 2 – NFPA 1006

Swift Water Rescue 1 – NFPA 1006

Swift Water Rescue 2 – NFPA 1006

Trench Rescue 1 – NFPA 1006

Trench Rescue 2 – NFPA 1006

Vehicle & Machinery Rescue 1 – NFPA 1006

Vehicle & Machinery Rescue 2 – NFPA 1006

Wilderness Rescue 1 – NFPA 1006

Wilderness Rescue 2 – NFPA 1006

Fire Officer 1 – NFPA 1021

Fire Officer 2 – NFPA 1021

Fire Investigator – NFPA 1033

Fire & Life Safety Educator 1 – NFPA 1035

Fire & Life Safety Educator 2 – NFPA 1035

Public Information Officer – NFPA 1035

Fire Instructor 1 – NFPA 1041

Fire Instructor 2 – NFPA 1041

Wildland Fire Fighter 1 – NFPA 1051

Wildland Fire Fighter 2 – NFPA 1051

Wildland Fire Officer 1 – NFPA 1051

Wildland Fire Officer 2 – NFPA 1051

Interior Industrial Fire Brigade Member – NFPA 1081

Advanced Exterior Industrial Fire Brigade Member – NFPA 1081

Industrial Fire Brigade Leader – NFPA 1081

Incipient Industrial Fire Brigade Member – NFPA 1081

Fees and Payment 1. Certification Fee per Certificate (Seal) R 275-00 The price per Certificate (Seal) is subject to a 10% (percentage) increase on an annual basis (October) until further notice. 2. Paid up SAESI Members ( in good standing) Certification Fee per Certificate (Seal) R 145-00

SAESI Head Office Banking details:

ABSA Cheque Account Nr. 310810045 º Branch Krugersdorp - Code 632005 Reference - ACC (and your id number or initials and surname) Example: ACC1234567891011

NOTE: Courier Fees for Certificates are NOT included in the Certificate Fee

CERTIFICATION PRE-REQUISITES

Certification of the proficiency program shall be registered with SAESI only if all pre- requisites are met. The Quality Assurance Working Group/SAESI reserves the right not to recognize and/or nullify results, that have not met the SAESI/IFSAC certification policies and or pre-requisites.

Learners shall be at least eighteen years of age prior to the instruction process. (A-21.3)

The minimum education requirement(s) for enrolling for all proficiency training programs will be a NQF 4 Certificate (Matric/Senior Certificate) with two South African Languages of which one should be English and preferably Mathematics and Physical Science. This rule is applicable for the Instruction Process and Certification Process from 1 January 2014. (A-21.4)

The Quality Assurance Working Group/SAESI may Revoke or Suspend or Annul or Deny the certification of any Training Provider or Candidate who;

i. Intentionally makes any materially false statement on application(s) for certification

ii. Falsifies training records or signatures iii. Intentionally misrepresents or violates SAESI Accreditation Policies and

Procedures iv. Intentionally violates any instructor / assessor policy and or guidelines and or

instructions to dishonestly complete an assessment.

The following portfolio of evidence (PoE) as a direct evidentiary collection of documentary proof that you comply with the minimum competence requirements for entering the instruction process and minimum certification process is detailed by the ACC Application form checklist and the Accreditation Prerequisites for each NFPA level described below, inseparable from the Quality Assurance Working Group/SAESI Accreditation Policy and Procedure.

(a portfolio of evidence (PoE) is a collection of documents that you must compile to show your competence against a set of learning or other required outcomes)

Succession of Levels as a prerequisite of Certification for the next level in accordance with the Accreditation Policy and Procedure is detailed below.

REVOCATION / SUSPENSION / ANNULMENT / DENIAL OF CERTIFICTION (A-8)

PORTFOLIO OF EVIDENCE (PoE)

A-20 CERTIFICATION PRE-REQUISITES Certification of the proficiency program shall be registered with SAESI if all pre-requisites are met. The Quality Assurance Working Group reserves the right to not recognize and/or nullify results that have not met the SAESI/IFSAC certification policies and or pre-requisites.

A-20.1 Hazmat Awareness - NFPA 472

Letter of results for Hazmat Awareness (NFPA 472) course attended, reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not the

learner.

A-20.2 Hazmat Operations - NFPA 472

Letter of results for Hazmat Operations (NFPA 472) course attended, reflecting the

registered course number

SAESI / IFSAC Hazmat Awareness certificate

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not the

learner.

A-20.3 Hazmat Technician - NFPA 472

SAESI / IFSAC Firefighter 2 certificate or Advanced Exterior Industrial Fire Brigade Member

certificate or Interior Structural Fire Brigade Member certificate

SAESI / IFSAC Hazmat Operations certificate

Letter of results for Hazmat Technician (NFPA 472) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre,

and not the learner

A-20.4 Fire Fighter 1- NFPA 1001

Letter of results Firefighter I (NFPA 1001) course attended, reflecting the registered

course number

Letter of results for Hazmat Awareness (NFPA 472) reflecting registered course number

Proof of valid BAA certification (current registration with HPCSA) or valid First Aid Level 3

Certification (done within the last three years)

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner.

A-20.5 Fire Fighter 2 - NFPA 1001

SAESI / IFSAC Firefighter 1 certificate

Letter of results for Firefighter 2 (NFPA 1001) course attended, reflecting the registered

course number

Letter of results Hazmat Operations (NFPA 472) reflecting registered course number

Proof of valid BAA certification (current registration with HPCSA) or valid First Aid Level 3

Certification (done within the last three years)

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the Course Registration Officer and a certified copy to the respective Training Centre, and not the learner.

A-20.6 Driver & Operator – Pumper - NFPA 1002

SAESI / IFSAC Firefighter 1 certificate or Advanced Exterior Industrial Fire Brigade

Member certificate or Interior Structural Fire Brigade Member certificate

Letter of results for Driver & Operator – Pumper (NFPA 1002) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.7 Driver & Operator – Aerial - NFPA 1002

SAESI / IFSAC Firefighter 1 certificate or Advanced Exterior Industrial Fire Brigade

Member certificate or Interior Structural Fire Brigade Member certificate

Letter of results for Driver & Operator – Aerial (NFPA 1002) course attended, reflecting the

registered course number Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.8 Airport Fire Fighter - NFPA 1003

SAESI / IFSAC Hazmat Operations certificate

SAESI / IFSAC Firefighter 2 certificate

Proof of valid BAA certification (current registration with HPCSA) or valid First Aid Level 3

Certification (done within the last three years)

Letter of results for Airport Fire Fighter (NFPA 1003) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.9 Technical Rescuer - NFPA 1006

SAESI / IFSAC Hazmat Awareness certificate

Proof of valid BAA certification (current registration with HPCSA)

Letter of results for Technical Rescuer (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.10 Confined Space Rescue 1 - NFPA 1006

SAESI / IFSAC Technical Rescuer (NFPA 1006, Chapter 5) certificate

Letter of results for Confined Space Rescue 1 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.11 Confined Space Rescue 2 - NFPA 1006

SAESI / IFSAC Confined Space Rescue 1 certificate

Letter of results for Confined Space Rescue 2 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.12 Rope Rescue 1 - NFPA 1006

SAESI / IFSAC Technical Rescuer (NFPA 1006, Chapter 5) certificate

Letter of results for Rope Rescue 1 (NFPA 1006) course attended, reflecting the registered course

number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.13 Rope Rescue 2 - NFPA 1006

SAESI / IFSAC Rope Rescue 1 certificate

Letter of results for Rope Rescue 2 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.14 Structural Collapse 1 - NFPA 1006

SAESI / IFSAC Technical Rescuer (NFPA 1006, Chapter 5) certificate

Letter of results for Structural Collapse 1 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.15 Structural Collapse 2 - NFPA 1006

SAESI / IFSAC Structural Collapse 1 certificate

Letter of results for Structural Collapse 2 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.16 Swift Water Rescue 1 - NFPA 1006

SAESI / IFSAC Technical Rescuer (NFPA 1006, Chapter 5) certificate

Letter of results for Swift Water Rescue 1 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.17 Swift Water Rescue 2 - NFPA 1006

SAESI / IFSAC Swift Water Rescue 1 certificate

SAESI / IFSAC Rope Rescue 1certificate

SAESI / IFSAC Rope Rescue 2certificate

Letter of results for Swift Water Rescue 2 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.18 Trench Rescue 1 - NFPA 1006

SAESI / IFSAC Technical Rescuer (NFPA 1006, Chapter 5) certificate

Letter of results for Trench Rescue 1 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.19 Trench Rescue 2 - NFPA 1006

SAESI / IFSAC Trench Rescue 1 certificate

Letter of results for Trench Rescue 2 (NFPA 1006) course attended, reflecting the registered

course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.20 Vehicle & Machinery Rescue 1 - NFPA 1006

SAESI / IFSAC Technical Rescuer (NFPA 1006, Chapter 5) certificate

Letter of results for Vehicle & Machinery Rescue 1 (NFPA 1006) course attended,

reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.21 Vehicle & Machinery Rescue 2 - NFPA 1006

SAESI / IFSAC Vehicle & Machinery Rescue 1 certificate

Letter of results for Vehicle & Machinery Rescue 2 (NFPA 1006) course attended,

reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.22 Wilderness Rescue 1 - NFPA 1006

SAESI / IFSAC Technical Rescuer (NFPA 1006, Chapter 5) certificate

Letter of results for Wilderness Rescue 1 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.23 Wilderness Rescue 2 - NFPA 1006

SAESI / IFSAC Wilderness Rescue 1 certificate

Letter of results for Wilderness Rescue 2 (NFPA 1006) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.24 Fire Officer 1 - NFPA 1021

SAESI / IFSAC Firefighter 2 certificate

SAESI / IFSAC Fire Instructor 1 certificate

Letter of results for Fire Officer 1 (NFPA 1021) course attended, reflecting the registered

course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.25 Fire Officer 2 - NFPA 1021

SAESI / IFSAC Fire Officer 1 certificate

Letter of results for Fire Officer 2 (NFPA 1021 ) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.26 Fire Investigator - NFPA 1033

SAESI / IFSAC Hazmat Awareness certificate

Letter of results for Fire Investigator (NFPA 1033) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.27 Fire & Life Safety Educator 1 - NFPA 1035

Letter of results for Fire & Life Safety Educator 1 (NFPA 1035) course attended,

reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner.

A-20.28 Fire & Life Safety Educator 2 - NFPA 1035

SAESI / IFSAC Fire & Life Safety Educator 1 certificate

Letter of results for Fire & Life Safety Educator 2 (NFPA 1035) course attended,

reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner.

A-20.29 Public Information Officer - NFPA 1035

SAESI / IFSAC Firefighter 2 certificate or Advanced Exterior Industrial Fire Brigade

Member certificate or Interior Structural Fire Brigade Member certificate

Letter of results for Public Information Officer (NFPA 1035) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner.

A-20.30 Fire Instructor 1 - NFPA 1041

SAESI / IFSAC Firefighter 2 Certificate or Advanced Exterior Industrial Fire Brigade

Member certificate or Interior Structural Fire Brigade Member certificate

IFSAC Hazmat Operations certificate

Letter of results for Fire Instructor 1 (NFPA 1041) course attended, reflecting the

registered course number

A portfolio of evidence indicating relevant experience in the roles and responsibilities of an

instructor (applicable from January 2013)

A portfolio of evidence indicating relevant operational experience in a Fire and Rescue

Service of at least 24 months after certification as per NFPA 1001 Chapter 6 and NFPA 472

Chapter 6.

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner.

A-20.31 Fire Instructor 2 - NFPA 1041

SAESI / IFSAC Fire Instructor 1 certificate

Letter of results for Fire Instructor 2 (NFPA 1041) course attended, reflecting the

registered course number

A portfolio of evidence indicating relevant experience of at least 24 months in the roles and

responsibilities of a Fire Instructor 1

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.32 Wildland Fire Fighter 1 - NFPA 1051

SAESI / IFSAC Hazmat Awareness certificate

Proof of valid BAA certification (current registration with HPCSA) or valid First Aid Level III

Certification (done within the last three years)

Letter of results for Wildland Fire Fighter 1 (NFPA 1051) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.33 Wildland Fire Fighter 2 - NFPA 1051

SAESI / IFSAC Wildland Fire Fighter 1 certificate

Letter of results for Wildland Fire Fighter 2 (NFPA 1051) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.34 Wildland Fire Officer 1 - NFPA 1051

SAESI / IFSAC Wildland Fire Fighter 2 certificate

Letter of results for Wildland Fire Officer 1 (NFPA 1051) course attended, reflecting the

registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.35 Wildland Fire Officer 2 - NFPA 1051

SAESI / IFSAC Wildland Fire Officer 1 certificate

Letter of results for Wildland Fire Officer 2 (NFPA 1051) course attended, reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the Course Registration Officer and a certified copy to the respective Training Centre, and not the learner

A-20.36 Interior Industrial Fire Brigade Member - NFPA 1081

SAESI / IFSAC Advanced Exterior Industrial Fire Brigade Member certificate

SAESI / IFSAC Hazmat Operations certificate

Letter of results for Interior Industrial Fire Brigade Member (NFPA 1081) course

attended, reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.37 Advanced Exterior Industrial Fire Brigade Member - NFPA 1081

SAESI / IFSAC Incipient Industrial Fire Brigade Member certificate

Proof of valid BAA certification (current registration with HPCSA) or valid First Aid Level III

Certification (done within the last three years)

SAESI / IFSAC Hazmat Awareness certificate

Letter of results for Advanced Exterior Industrial Fire Brigade Member (NFPA 1081)

course attended, reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.38 Industrial Fire Brigade Leader - NFPA 1081

SAESI / IFSAC Interior Industrial Fire Brigade Member certificate

Letter of results for Industrial Fire Brigade Leader (NFPA 1081) course attended,

reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner

A-20.39 Incipient Industrial Fire Brigade Member - NFPA 1081

Letter of results for Incipient Industrial Fire Brigade Member (NFPA 1081) course

attended, reflecting the registered course number

Prescribed Forms (ACC 5)

Proof of payment

Original certified copy of national identity document.

Original Moderator’s report must be submitted by the Moderator to SAESI Head Office, the

Course Registration Officer and a certified copy to the respective Training Centre, and not

the learner