High Education Should Be Funded
- Submitted by: Nonhlanhla
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- Category: English
- Date Submitted: 09/05/2013 10:30 PM
- Pages: 4
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BURSARY NO.: (For official use only)
APPLICATION FOR A BURSARY TO STUDY FOR THE LL.B DEGREE
PLEASE NOTE: 1. COMPLETE FORM IN TYPED OR PRINTED WRITING 2. IT IS TO YOUR BENEFIT THAT THIS FORM BE COMPLETED AS COMPREHENSIVELY AS POSSIBLE 3. NOTE THE REQUIRED ANNEXURES (SECTIONS “B.3” AND “F.5”) 4. ATTACH A CERTIFIED COPY OF YOUR IDENTITY DOCUMENT OR PROOF OF PERMANENT RESIDENCY STATUS
ATTACH PASSPORT SIZE PHOTOGRAPH
SECTION ‘A’ – PERSONAL PARTICULARS
SURNAME
FULL FIRST NAMES GENDER
(Male or Female)
RACE
(Black, Coloured, Indian, White)
DATE OF BIRTH IDENTITY NUMBER
(Attach A Certified Copy)
CITIZENSHIP
(If You Are Not A S.A. Citizen, Please Attach A Certified Copy of Your Permanent Residence in S.A.)
MARITAL STATUS DEPENDENT CHILDREN
(State Ages)
Office +27 (0) 21 424 5351 Fax +27 (0) 21 423 4819 Email attorneys@fidfund.co.za Website www.fidfund.co.za Physical 5th Floor, Waalburg Building, 28 Wale Street, Cape Town, 8001, South Africa Postal P O Box 3062, Cape Town, 8000, South Africa Docex Docex 154, Cape Town B M Molefe (Chief Executive Officer), A M Stansfield (Finance Executive), J M Losper (Claims Executive), J B de Beer (Forensic Executive) P Z Ndima (Senior Claims Manager), R Burawundi (Investment Manager), S D Maile (Board Secretary)
BUSINESS ADDRESS
Postal Code :
BUSINESS TEL. NUMBER RESIDENTIAL ADDRESS
Postal Code :
HOME TEL. NUMBER CELLPHONE NUMBER
E-MAIL ADDRESS POSTAL ADDRESS
(Address where correspondence must be sent to)
Postal Code :
2
SECTION ‘B’ – ACADEMIC QUALIFICATIONS 1. DEGREES OR DIPLOMAS OBTAINED DEGREE/DIPLOMAS UNIVERSITY 1.1 1.2 1.3 1.4 1.5 2. YEARS COMPLETED OF 4-YEAR LL.B CURRICULUM UNIVERSITY 2.1 First Year 2.2 Second Year 2.3 Third Year 2.4 Fourth Year 2.5 What year of study are you in now? 2.6 How many years of study do you still need to complete your LL.B? 3.
DATE OF AWARD
YEAR COMPLETED
RECORD: PLEASE ATTACH OFFICIAL TRANSCRIPT OF YOUR ACADEMIC RECORD, UNTIL THE END OF THE FIRST SEMESTER OF THIS YEAR
SECTION ‘C’...
APPLICATION FOR A BURSARY TO STUDY FOR THE LL.B DEGREE
PLEASE NOTE: 1. COMPLETE FORM IN TYPED OR PRINTED WRITING 2. IT IS TO YOUR BENEFIT THAT THIS FORM BE COMPLETED AS COMPREHENSIVELY AS POSSIBLE 3. NOTE THE REQUIRED ANNEXURES (SECTIONS “B.3” AND “F.5”) 4. ATTACH A CERTIFIED COPY OF YOUR IDENTITY DOCUMENT OR PROOF OF PERMANENT RESIDENCY STATUS
ATTACH PASSPORT SIZE PHOTOGRAPH
SECTION ‘A’ – PERSONAL PARTICULARS
SURNAME
FULL FIRST NAMES GENDER
(Male or Female)
RACE
(Black, Coloured, Indian, White)
DATE OF BIRTH IDENTITY NUMBER
(Attach A Certified Copy)
CITIZENSHIP
(If You Are Not A S.A. Citizen, Please Attach A Certified Copy of Your Permanent Residence in S.A.)
MARITAL STATUS DEPENDENT CHILDREN
(State Ages)
Office +27 (0) 21 424 5351 Fax +27 (0) 21 423 4819 Email attorneys@fidfund.co.za Website www.fidfund.co.za Physical 5th Floor, Waalburg Building, 28 Wale Street, Cape Town, 8001, South Africa Postal P O Box 3062, Cape Town, 8000, South Africa Docex Docex 154, Cape Town B M Molefe (Chief Executive Officer), A M Stansfield (Finance Executive), J M Losper (Claims Executive), J B de Beer (Forensic Executive) P Z Ndima (Senior Claims Manager), R Burawundi (Investment Manager), S D Maile (Board Secretary)
BUSINESS ADDRESS
Postal Code :
BUSINESS TEL. NUMBER RESIDENTIAL ADDRESS
Postal Code :
HOME TEL. NUMBER CELLPHONE NUMBER
E-MAIL ADDRESS POSTAL ADDRESS
(Address where correspondence must be sent to)
Postal Code :
2
SECTION ‘B’ – ACADEMIC QUALIFICATIONS 1. DEGREES OR DIPLOMAS OBTAINED DEGREE/DIPLOMAS UNIVERSITY 1.1 1.2 1.3 1.4 1.5 2. YEARS COMPLETED OF 4-YEAR LL.B CURRICULUM UNIVERSITY 2.1 First Year 2.2 Second Year 2.3 Third Year 2.4 Fourth Year 2.5 What year of study are you in now? 2.6 How many years of study do you still need to complete your LL.B? 3.
DATE OF AWARD
YEAR COMPLETED
RECORD: PLEASE ATTACH OFFICIAL TRANSCRIPT OF YOUR ACADEMIC RECORD, UNTIL THE END OF THE FIRST SEMESTER OF THIS YEAR
SECTION ‘C’...