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External Bursary Application Form
External Bursary Application Form
External Bursary Application Form
Dear applicant
3. SELECTION CRITERIA
SA Citizen
Younger than 30 years old
Average pass mark of 70%
Financial Circumstances
PLEASE MARK YOUR ANSWER WITH AN “X” (CROSS) WHERE APPLICABLE. Example:
POSTAL
ADDRESS
NO YES
WHEN DID YOU DID YOU INCLUDE YOUR
MATRICULATE (EG. 2008,2009) MATRIC CERTIFICATE?
NO YES
JUNE / LATEST RESULTS NAME OF
INCLUDED SCHOOL
TYPE OF INSTITUTION
WHERE YOU INTEND STUDYING
NAME OF INSTITUTION
NO YES M F
TITLE (MR, MRS, MS, ARE YOU A RSA GENDER
DR, etc) CITIZEN?
ID NO HOME /WORK
TEL.NO’S
NATURE OF CELLNO:
RELATIONSHIP
POSTAL ADDRESS
OCCUPATION
NAME OF
EMPLOYER
JOINT FAMILY
INCOME PER
YEAR
SECTION 3: ESSAY
SECTION 4:
I declare that I am aware of the selection criteria and that I understand it. I declare that the
information supplied in this application is to the best of my knowledge true and correct. I
understand that any false information will automatically disqualify me.
Signature
Date
If you have not been contacted within one (1) month after the closing date,
please accept that your application was unsuccessful.