Application Form2011
Application Form2011
City of Johannesburg Municipality Corporate &Shared Services(Organisational Capacitation) P.O. P O Box 1049 JOHANNESBURG (2000) Attention: Bursary Office
IMPORTANT INFORMATION: Ensure that you complete sections 1 to 4. Please write clearly in CAPITAL LETTERS, using a black pen. 1. APPLICANT'S PERSONAL DETAILS a. Title: b. Date of birth: c. Postal Address: Surname: Name: Identity number:
Postal Code: e. Home telephone number: f. e-mail address (if any) : g. Home language: h. Gross annual income of your household (if any) 2. APPLICANT'S ACADEMIC INFORMATION a. Current studies and level (in 2010) or highest standard passed: b. Name of university/technikon/college/school and contact number in 2010: Second language: R Cellphone number:
c. Proposed study programme in year 2011: d. Education institution of study in year 2011: e. Student number (where applicable) :
(Matric students must give an indication of where they have made applications for further or higher education studies)
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4. APPLICANT'S DECLARATION
(All applicants MUST complete this section)
All information contained in this application form is true. I understand that should the information provided found to be false at any stage, my bursary application shall be disqualified.
Date:
(To be completed by the official within Corporate Human Resources who receives the application on behalf of the City of Johannesburg)
Signature:
Date:
PLEASE NOTE: Certified copies of the following documents must accompany applications: Most recent academic records; South African Identity Document; Proof of residency in Johannesburg (Statement of Water & Lights, Rates and Taxes)
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