BSc (HONOURS) in MATHEMATICS with focus in BIOMATHEMATICS

Department of Mathematical Sciences, University of Stellenbosch

and

African Institute for Mathematical Sciences

BURSARY APPLICATION FOR STUDY IN 2010

(Funded through the NRF Innovation Fund)

·  Closing date: 30 September 2010

·  Incomplete or late applications will not be accepted.

·  Complete in typescript or in block letters using a black pen. Give concise answers. Where applicable mark with X.

A PARTICULARS OF APPLICANT

Title / Surname
First names
(in full)
Maiden name
(if applicable) / Date of birth (YYMMDD)
Identity number (attach copy of ID )
Home language / Male / Female
African* / Coloured* / Indian* / White*
Marital status / Citizenship
Do you have a disability? / Yes / No / If yes, what is the nature of your disability?
University where you are registered in 2009 / Student number
Degree for which you are registered in 2009 eg BA, BSc Eng
Residential address (including postal code)
Postal address including postal code to which correspondence is to be sent
Telephone number during the day (code and number) / Cellphone
Number
E-mail address / Fax number
(if applicable)

* in order to enable the NRF to monitor redress

B PARTICULARS OF PARENT/LEGAL GUARDIAN

Surname
First names / Title
Postal address and postal code / Telephone number (home) / code
number
Telephone number (work) / code
number
C PARTICULARS OF YOUR INTEREST IN BIOMATHEMATICS
Provide two possible biological/medical fields in which you would like to do your honours project, with a brief motivation for each.
Please write a brief paragraph explaining your interest in biomathematics and what you hope to achieve from this honours degree.
Do you plan to pursue a masters in Biomathematics? / Yes / No / Do you plan to pursue a PhD in Biomathematics? / Yes / No

D DEGREE REGISTERED FOR AND QUALIFICATIONS OBTAINED TO DATE

A full academic record reflecting actual marks obtained (ie not symbols) must be attached.
All the subjects taken must be given (including those failed).
The academic record should include proof that the undergraduate degree has been obtained as well as the final marks for the degree.
If this is not available yet, it is the applicant’s responsibility to ensure that these are sent to Prof Rewitzky as soon as available.
E DETAILS OF STUDIES/EMPLOYMENT/OTHER ACTIVITIES SINCE MATRICULATION TO DATE PER YEAR
Give details below starting with the current year of study and ending with the year of matriculation
Year
(eg 2001
2002) / Studies/employment/
other activities
(eg BSc,
matriculation) / Subjects, if applicable
(eg Physics, Chemistry,
Maths, Biology) / Where
(eg University of Venda,
Boys High, Pretoria)
F CHECK LIST
Since late and incomplete applications will not be considered, complete the following check list before submitting this application to Prof IM Rewitzky.
Do you have a BSc degree with a final mark of at least 60% for the appropriate third-year modules in the Mathematical Sciences, or an equivalent qualification? Or do you have such a degree near completion? / Yes / No
Have you attached a full academic record of your previous studies? / Yes / No
Are you a South African citizen? / Yes / No
If yes, have you attached a certified copy of the relevant page of your Identity Document? / Yes / No
Have you attached a letter of deferment of duty if you have held or are holding a binding bursary? / Yes / No
Are you aware that this is a bursary for full-time study in 2010? / Yes / No
Are you aware that from mid-January 2011 to mid-June 2011 you will be staying at AIMS? / Yes / No

G STATEMENT BY APPLICANT

I certify that the information supplied in this application is correct:
Signature of applicant / Date
Signature of witness / Date

Submit completed form together with supporting documentation by 30 September 2010 to:

Prof IM Rewitzky

Department of Mathematical Sciences (Mathematics Division)

University of Stellenbosch, Private Bag X1, Matieland, 7602

Email:

Fax: 021-8083828