DMR 70

MINE SURVEYORS CERTIFICATE OF COMPETENCY

APPLICATION FOR EXAMINATION

INSTRUCTIONS:
1. Refer to the attached payment options and submit proof of payment for the amount of R100.00 or R200.00 with this
application.
2. Telephonic enquiries can be directed to the Secretary at 012 444 3545.

The Secretary
Receipt No:
Commission of Examiners: MSCC
For Office Use Only
Private Bag X59
ARCADIA
0007

I, the undersigned, ___________________________________________________________

(PRINT NAME IN FULL)

_________________________________ ___________________ _________________

(ID NUMBER) (RACE) (GENDER)

_________________________ _____________________________________________________________
(TEL/ MOBILE NUMBER) (E-MAIL ADDRESS)

____________________________________________________________________________
(POSTAL ADDRESS)

employed at ________________________________________________________________________________
(CURRENT EMPLOYER)

having been accepted for the above-mentioned examination, hereby apply to be

examined for the Certificate of Competency in respect of the following subject(s)
(Indicate with an X):
Part(s) of the examination and subject(s) applying for:
PART A PART B
Geology Mathematics
Mining Economics 1 Mining Economics 11
Mining Legislation Mining Economics 11 (Project)
Survey 1 Survey 11
Survey 111

Indicate at which examination centre you would like to write:

Cape Town Durban Johannesburg Kimberley Klerksdorp

Polokwane Port Elizabeth Rustenburg Welkom Witbank

SIGNATURE: ________________________ DATE: ________________

 FEE FOR MINE SURVEYORS CERTIFICATE OF COMPETENCY
APPLICATION FOR EXAMINATION:

R100,00 if applying for either Part A or Part B

R200,00 if applying for both Parts A and B

PAYMENT OPTIONS

OPTION 1

Candidates may pay the required amount directly into the Head Office account at any
ABSA Bank, Account Number 406176 9154, with 010 194 26 OT 12 as the reference
number.

The original bank deposit slip must be attached to the application form as proof of
payment.

OPTION 2

Candidates may pay the required amount to the cashier at any Regional office of the
Department of Mineral Resources (DMR). The cashier must be informed that the
payment is for examination purposes.

The original cashier receipt must be attached to the application form as proof of
payment.