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EXTERNAL APPLICATION FOR FINANCIAL
SUPPORT
PLEASE SELECT BURSARY TYPE:
UNDER-GRADUATE / FIRST DEGREE
POST-GRADUATE / HONOURS
MASTERS
DOCTORATE
PLEASE SELECT INSTITUTION TYPE:
TVET
UNIVERSITY OF TECHNOLOGY
UNIVERSITY
THIS APPLICATION IS CONSTRUCTED TO REFLECT THE ETD FRAMEWORK AS PHRASED BELOW:
9.1.3 The financial support is open to students who are residents of Cape Town and registered at accredited academic institutions
within the borders of South Africa, including TVET colleges.
PLEASE NOTE:
• This form must be completed in your own handwriting (PLEASE PRINT)
• No late applications will be considered.
• Applications will not be acknowledged in writing and copies of supporting documents will not be returned.
• Applications without all supporting documents will not be considered
Submit your completed form and supporting documentation to one of the following Walk-in Centres: Bellville,
Brackenfell, Cape Town Civic Centre, Parow, Plumstead or Strand.
The following supporting documents needs to accompany the application:
Documents x
1. A registration letter or provisional acceptance letter from your approved tertiary institution
2. Statement of account if registered
3. A certified copy of your matric certificate if you have matriculated
4. Copy of Grade 12 final /midyear results with an average of 65% and above
5. Any recommendations from teacher, mentors and peers
6. Awards and certificates you have won
7. A certified copy of your Identity Document
8. A certified copy of Surety Holder’s Identity Document
9. Proof of Residence
10. Proof of Income(Payslip/Government Grant)
11. Proof of any work you have already done in the field you are planning to study
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C. B. BURSARY PARTICULARS
FIELD OF STUDY
NUMBER OF YEARS REQUIRED FOR
BURSARY? TOTAL DURATION OF COURSE
NAME OF CURRENT OR INTENDED EDUCATIONAL INSTITUTION
ARE YOU IN POSSESSION OF ANY FINANCIAL SUPPORT AT THE Yes No
MOMENT? (IF YES PLEASE ATTACH PROOF)
DO YOU RECEIVE ANY FINANCIAL ASSISTENCE FROM ANOTHER Yes No
GRANT? (IF YES HOW MUCH?)
D. HOUSEHOLD CIRCUMSTANCES
Up to Up to Up to Up to Up to Above
R100 000 R200 000 R300 000 R400 000 R500 000 R500 000
HOUSEHOLD GROSS ANNUAL INCOME
STATE NUMBER OF PERSONS DEPENDANT ON THE HOUSEHOLD ANNUAL INCOME
NAME OF PERSON WHO WILL STAND
AND BE BOUND AS SURETY FOR THE
BURSARY
POSTAL ADDRESS OF SURETY HOLDER
POSTAL CODE
HOME TELEPHONE NO. (Code) No.
WORK / CELL NO. (Code) No.
IDENTITY NO.
SIGNATURE OF SURETY HOLDER
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E. EDUCATIONAL INFORMATION
1. CURRENT GRADE 12 SUBJECTS
LAST
EXMINATION
SYMBOLS
OBTAINED
2. POST SCHOOL QUALIFICATION
(a) SUBJECT(S) ALREADY PASSED
NAME OF INSTITUTION
COURSE OF STUDY
SUBJECTS YEAR
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(b) SUBJECT(S) CURRENTLY BEING STUDIED
NAME OF INSTITUTION
COURSE OF STUDY
SUBJECTS YEAR
(c) SUBJECTS INTENDED TO BE STUDIED NEXT YEAR
NAME OF INSTITUTION
COURSE OF STUDY
COST FOR NEXT YEAR
SUBJECTS
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E.GENERAL
PLEASE PROVIDE FULL DETAILS OF PREVIOUS BURSARY COMMITMENTS THAT ARE STILL OUTSTANDING,
SHOULD YOU HAVE ANY.
SPECIAL ACHIEVEMENTS OBTAINED TO DATE.
LIST ALL EXTRA-MURAL ACTIVITIES IN WHICH YOU PARTICIPATE. THIS INCLUDES SPORT AND COMMUNITY
INVOLVEMENT
LIST YOUR HOBBIES
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PLEASE MOTIVATE YOUR CHOICE OF CHOSEN FIELD OF STUDY
WHAT PERSONAL QUALITIES DO YOU CONSIDER NECESSARY TO BE SUCCESSFUL IN THE CAREER WHICH YOU
HAVE CHOSEN?
F. HEALTH
DO YOU HAVE ANY HEALTH PROBLEMS WHICH MAY INTERFERE WITH YOUR CHOSEN COURSE OF STUDY AND
CAREER?
G. REFERENCES
PLEASE GIVE THE NAMES OF TWO TEACHERS / LECTURERS / TUTORS WHO KNOW YOU WELL, WHO WE MAY
CONTACT.
NAME
TELEPHONE (Code) No.
NAME
TELEPHONE (Code) No.
I UNDERSTAND THAT ANY FALSE OR MISLEADING INFORMATION PROVIDED IN THIS BURSARY APPLICATION FORM,
OR IN CONNECTION WITH THIS BURSARY APPLICATION, MAY RESULT IN THE REJECTION OF THE APPLICATION. IF
A BURSARY HAS ALREADY BEEN AWARDED BY THE CITY, THIS COULD BE WITHDRAWN AND ALL MONIES ALREADY
PAID WILL BE RECOVERED.
SIGNATURE
DATE
SIGNATURE OF GUARDIAN
(in case of a minor)
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POPIA ACTION CONSENT
Do you agree that you information provided can be verified? Yes No
Yes No
I hereby confirm that the information is a true reflection of my skills
and qualifications and all other relative information
Signature:
Date:
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