Eksterne Studiebeurs Aansoekvorm 2023
2 weeks ago
**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
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**BERGRIVIER MUNICIPALITY - EXTERNAL BURSARY APPLICATION FORM 2023 **4
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Eksterne Studiebeurs Aansoekvorm 2023
6 days ago
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...