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Class Details : JBSA Program 2025
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Personal Information
First name
*
Surname
*
Nationality
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, the Democratic Republic of the
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of (North Korea)
Korea, Republic of (South Korea)
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libyan Arab Jamahiriya
Liechtenstein
Lithuania
Luxembourg
Macao
Macedonia, The Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova, Republic of
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territory, Occupied
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Province of China
Tajikistan
Tanzania, United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.s.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
ID Number
*
Date of Birth
*
Contact Details
Cellphone Number
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Email Address
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Alternative Number
Permanent Email Address
Which City Are You From
Johannesburg
Pretoria
Germiston
Vereeniging
Randfontein
Newcastle
Durban
KwaDukuza
Ixopo
Port Shepstone
Pietermaritzburg
Mkuze
Dundee
Ladysmith
Richards Bay
Ulundi
Worcester
Beaufort West
Cape Town
George
Bredasdorp
Moorreesburg
East London
Queenstown
Mount Ayliff
Barkly East
Port Elizabeth
Mthatha
Sasolburg
Welkom
Bloemfontein
Phuthaditjhaba
Trompsburg
Polokwane
Giyani
Groblersdal
Thohoyandou
Modimolle
Nelspruit
Secunda
Middelburg
Rustenburg
Klerksdorp
Vryburg
Mafikeng
Kimberley
Kuruman
Springbok
De Aar
Upington
Other
Home address
Educational Information
Last High School Attended
Municipal Area Of School
Last High School Year
Highest level of education
Matric
Certificate
N1
N2
N3
N4
N5
N6
Diploma
Bachelors
Masters
Honours
Doctorate
Employment Equity
Race
*
Black African
Black Coloured
Black Indian/Asian
White
Gender
Male
Female
Other
Home Language
English
Afrikaans
sePedi/Northern Sotho
seSotho
seTswana
siSwati
tshiVenda
xiTsonga
isiXhosa
isiZulu
isiNdebele
Other
Employment Status
Employed
Unemployed
Disability
None
Sight (even with glasses)
Hearing (even with a hearing aid)
Communication (talking, listening)
Physical (moving, standing, grasping)
Intellectual (difficulties in learning)
Emotional (behavioural or psychological)
Multiple
Disabled but unspecified
