External Study Bursary Application Vorm 2023 2024

2 weeks 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 **_(please _**
**_provide proof)_***

**Home Language**

**Marital Status**

**Home Address**

**Code**

**Home Tel Number
**BERGRIVIER MUNICIPALITY - EXTERNAL BURSARY APPLICATION FORM 2023/2024 **1

**Cell Number**

**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 2023/2024 **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 2023/2024 **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 2023/2024 **4

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