Eksterne Studiebeurs Aansoekvorm 2023

2 weeks ago


Bergrivier Western Cape, South Africa Bergrivier Municipality Full time

**BERGRIVIER MUNICIPALITY**

**EXTERNAL
**BURSARY APPLICATION FORM - 2023**

**PERSONAL DETAILS OF APPLICANT**

**Surname**

**First Name**

**Date of Birth**

**(dd/mm/yy)**

**Identity Number**

**Student Number**

**(If available)**

**Gender**

**Equity Group Black Coloured Indian White**

**_(Mark appropriate block an _**
**_X) _**

**Disability **_(please _**
**_provide proof)_***

**Home Language**

**Marital Status**

**Home Address**

**Code**

**Home Tel Number**

**Cell Number
**BERGRIVIER MUNICIPALITY - EXTERNAL BURSARY APPLICATION FORM 2023 **1

**E-mail address**

**Highest**

**Qualification**

**PARENT/GAURDIAN DETAILS**

**Name and**

**Surname of**

**Father**

**Name and**

**Surname of**

**Mother**

**ID Number of**

**Father**

**ID Number of**

**Mother**

**Contact details**

**Address**

**OCCUPATION**

**Father**

**Mother**

**Guardian**

**QUALIFICATION**

**Indicate current or intended course which you will be studying towards in**

**2023(e.g. National Diploma: Human Resources, BA, B Com (Accountancy)
**BERGRIVIER MUNICIPALITY - EXTERNAL BURSARY APPLICATION FORM 2023 **2

**Name of Institution**:
**LEVEL OF STUDY**

**Description Definition Mark appropriate block with an X**

**1st Year Student You will be**

**enrolling for**

**the first time at**

**a tertiary**

**institution**

**Senior Student You are**

**continuing**

**your studies**

**(i.e. 2nd or 3rd**

**year)**

**Final year student You will write**

**your final**

**examination in**

**November to**

**graduate the**

**following year**

**Post Graduate You will be**

**Student registered for**

**an Honours or**

**Higher**

**qualification in**

**the year of**

**FUNDING**

**Please provide a quotation of the actual cost of your studies.
**BERGRIVIER MUNICIPALITY - EXTERNAL BURSARY APPLICATION FORM 2023 **3

**SIGNATURE OF APPLICANT**

**DATE
**SIGNATURE OF PARENT/GUARDIAN**

**DATE**

**NOTES AND INSTRUCTIONS FOR COMPLETION **

**INCOMPLETE APPLICATION FORMS WILL NOT BE ACCEPTED (this includes forms with**
**missing documents); **

**No late submissions will be accepted; **

**The municipality does not accept responsibility and will not be held liable for any**

**Only full time students studying towards a degree/ diploma at a Tertiary Institution may**

**apply; **

**Non-South African citizens will not be considered; **

**A senior student must have passed the previous year’s studies to qualify for a bursary; **

**agreement. Failure to sign the agreement will result in forfeiting your allocation;
**_Please attached the following documents: _**
**_Mark appropriate block with an X _**

**_Proof of disability (if applicable) _**

**_Certified copy of academic record, matric results or previous years tertiary results _**

**_Certified copy of South African identity document _**

**_Proof of registration at tertiary institution _**

**_Proof of monthly household income (salary or pension slip if applicable, affidavit if _**
**_unemployed.) _**

**_Proof of residence with Bergrivier municipal area
- **

**BERGRIVIER MUNICIPALITY - EXTERNAL BURSARY APPLICATION FORM 2023 **4



  • Bergrivier, Western Cape, South Africa Bergrivier Municipality Full time

    **BERGRIVIER MUNICIPALITY** **EXTERNAL **BURSARY APPLICATION FORM - 2023/2024** **PERSONAL DETAILS OF APPLICANT** **Surname** **First Name** **Date of Birth** **(dd/mm/yy)** **Identity Number** **Student Number** **(If available)** **Gender** **Equity Group Black Coloured Indian White** **_(Mark appropriate block an _** **_X) _** **Disability...