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Quiz 1 – FASSET Info – Session 6
Please submit your information in the following quiz. This information will be shared with FASSET for training purposes. Some of the information will be a duplication of your profile information already submitted with SAIBA Academy. Thank you for your patience with the process and the duplicate input. A certified copy of your ID/passport is required. Please have it ready and saved on your device for easy upload to the platform.
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Question 1 of 23
1. Question
Confirm your First Name
Â
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 2 of 23
2. Question
Confirm your Middle Name or insert NA
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 3 of 23
3. Question
Confirm your Surname/Last Name
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 4 of 23
4. Question
Confirm your ID number / Passport Number
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 5 of 23
5. Question
Insert the number only for your Equity Code:
(1) African
(2) Coloured
(3) Indian
(4) White
(5) Unknown-
This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 6 of 23
6. Question
Insert the number only to confirm your nationality:
(1) South Africa
(2) Swaziland
(3) Tanzania
(4) Zimbabwe
(5) Namibia
(6) Botswana
(7) Mozambique
(8) Other-
This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 7 of 23
7. Question
Insert the number only to confirm your language:
(1) Afrikaans
(2) English
(3) seTswana
(4) South African Sign Language
(5) tshiVenda
(6) xiTsonga
(7) isiZulu
(8) isiXhosa
(9) Sesotho
(10) Sepedi
(11) Setswana
(12) siSwati
(13) isiNdebele-
This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 8 of 23
8. Question
Insert the number only to confirm your gender:
(1) Male
(2) Female-
This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 9 of 23
9. Question
Insert the number only to confirm your citizen/resident status:
(1) South African Resident
(2) Dual (SA plus other)
(3) Other Permanent Resident
(4) Unknown-
This response will be reviewed and graded after submission.
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Question 10 of 23
10. Question
Insert the number only to confirm your title
(1) Mr
(2) Ms
(3) Mrs
(4) Dr
(5) Prof-
This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 11 of 23
11. Question
Insert your birthday below YYYYMMDD (don’t use any other symbols, only numbers)
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 12 of 23
12. Question
Address line 1
Insert your address line 1. The Address information will consist of:
– Address line 1
– Address line 2
– City
– Code
Insert your address line 1 below.-
This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 13 of 23
13. Question
Insert your address line 2. The Address information will consist of:
– Address line 1
– Address line 2
– City
– Code
Insert your address line 2 below or insert NA-
This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 14 of 23
14. Question
Insert the name of your town or cityÂ
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 15 of 23
15. Question
Insert the postal code of your city
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 16 of 23
16. Question
Please upload a certified copy of your ID / Passport
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Upload your answer to this question.
This response will be reviewed and graded after submission.
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Question 17 of 23
17. Question
Insert the number only to indicate if you have any seeing difficulty
1 – No difficulty
2 – Some difficulty
3 – A lot of difficulty
4 – Cannot do at all
5 – Do not know
6 – Cannot yet be determined
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 18 of 23
18. Question
Insert the number only to indicate if you have any hearing difficulty
1 – No difficulty
2 – Some difficulty
3 – A lot of difficulty
4 – Cannot do at all
5 – Do not know
6 – Cannot yet be determined
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 19 of 23
19. Question
Insert the number only to indicate if you have any difficulty walking
1 – No difficulty
2 – Some difficulty
3 – A lot of difficulty
4 – Cannot do at all
5 – Do not know
6 – Cannot yet be determined
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 20 of 23
20. Question
Insert the number only to indicate if you have any memory difficulty
1 – No difficulty
2 – Some difficulty
3 – A lot of difficulty
4 – Cannot do at all
5 – Do not know
6 – Cannot yet be determined
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 21 of 23
21. Question
Insert the number only to indicate if you have any difficulty communicating
1 – No difficulty
2 – Some difficulty
3 – A lot of difficulty
4 – Cannot do at all
5 – Do not know
6 – Cannot yet be determined
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 22 of 23
22. Question
Insert the name of the last school you attended
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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Question 23 of 23
23. Question
Insert the last year you attended school
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This response will be awarded full points automatically, but it can be reviewed and adjusted after submission.
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