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Application Form
National Youth Services Programme
Name
Surname
ID
Phone number
Gender
Male
Female
Physical address
Age
Race
Black
Coloured
Indian
White
Province
-
Mpumalanga
Eastern Cape
Western Cape
Kwazulu Natal
Gauteng
Free State
North west
Limpopo
District
-
**Mpumalanga**
1. Enhlanzeni
2. Nkangala
3. Gert Sibande
**Eastern Cape**
1. Alfred Nzo
2. NMB
3. Buffalo City
**Western Cape**
1. Cape Town
**Kwazulu Natal**
1. King Cetswayo
2. Ugu
3. Umgungundlovu
**Gauteng**
1. Sedibeng
2. West Rand
3. Tshwane Metro
4. Johannesburg Metro
5. Ekurhuleni Metro
**Free State**
1. Fezile Dabi
2. Lejweleputswa
3. Mangaung Metro
4. Thabo Mofutsanyana
5. Xhariep
**North West**
1. Bojanala Platinum
2. Dr Kenneth Kaunda
3. Dr Ruth Segomotsi Mompati
4. Ngaka Modiri Molema
**Limpopo**
1. Capricon
2. Vhembe
Sub-distrct
-
Blouberg
Buffalo City
Bushbuckridge
Chief Albertina Lithuli
City of Matlosana
Dihlabeng
Ditsobotla
Dr Pixley Ka Isaka
Eastern
Ekurhuleni
Emakhazeni
Emalahleni
Emfuleni Local
Greater Taung
JB Marks
Johannesburg
Kagisano-Molopo
Kgetlengrivier
Khayelitsha
Kopanong
Lekwa
Lekwa-Teemane
Lesedi Local
Letsemeng
Madibeng
Mafube
Mahikeng
Maluti-a-Phofung
Mamusa
Mantsopa
Maquassi Hills
Masilonyana
Matatiele
Matjhabeng
Mbombela
Merafong City Local
Metropolitan
Metsimaholo
Mfolozi
Midvaal Local
Mkhondo
Mogale City Local
Mohokare
Moqhaka
Moretele
Moses Kotane
Msukalikwa
Musina
Nala
Naledi
Ngwathe
Nkandla
Nketoana
Nkomazi
NMB metro
Northern
Phumelela
Ramotshere Moiloa
Rand West City Local
Ratlou
Ray Nkoyeni
Rustenburg
Setsoto
Southern
Steve Tswete
Thaba Chewu
Thembisile Hani & Dr JS Moroka
Tokologo
Tshwane
Tswaing
Tswelopele
Tygerburg
Umdoni
Umgeni
Umlalazi
Umuziwabantu
Umzimbuvu
Umzumbe
Western
Disability
Yes
No
Highest Qualification
Email
Category of work interested in
Surveying and mapping
Sports and Recreation
Food security and horticulture
Community works, revitalisation and green programs
Social Support services
Which of the following programmes have you participated in?
Expanded Public Works Programme (EPWP)
Youth Employment Services (Yes)
None
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