UWP205

EXTERNAL BURSARY APPLICATION

UWP Consulting (Pty) Ltd

TO BE COMPLETED BY APPLICANT
Section A – Personal Information
Surname
First Names
South African Citizen (tick applicable box) / Yes / No
ID Number
Physical address
Post Code
Postal address
Post Code
Contact number – Home
Contact number – Cell
E-mail address
Section B – Educational Information
1. Details of course for which the bursary application is made
Course name (e.g. BSc Civil)
Type of qualification (e.g. degree, diploma, certificate)
Year of study for which you are applying
(e.g. 2ndyear)
Total duration of course
Educational institution
List the subjects to be taken and the expected costs:
R
R
R
R
R
R
R
R
R
R
R
R
* Subtotal subject cost / R
List all other costs not included above:
Registration fees: / R
Book allowance: / R
Accommodation: / R
Other: / R
Other: / R
Total cost of all the above / R

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UWP205

2. Previous 3 educational institutes attended
Name of Institute
Qualification obtained
Year qualification obtained
Name of Institute
Qualification obtained
Year qualification obtained
Name of Institute
Qualification obtained
Year qualification obtained
3. Previous leadership roles (e.g. prefect, rugby captain)
4. Main extramural activities
Section C - General
Please give your motivation for your choice of study
Please list your career aspirations
Where did you hear about UWP Consulting (Pty) Ltd?
Section D - Documentation
The following are to be included with your application:
1. Passport type photograph of applicant
2. Copies of matriculation certificate and results
3. Copies of results from previous studies
4. Reference from educational institute (see attached annexure 1)
Please return the completed application and all the relevant attachments by way of online submission

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UWP205

ANNEXURE 1

REFERENCE FROM TERTIARY INSTITUTION

Section A – Bursary applicant’s details
Name & Surname of bursary applicant:
Section B – Referee’s comments
1. Academic ability for this course
2. Perseverence
3. Disposition
4. Necessity to attend a bridging course prior to the standard course (comment only if applicable)
5. Additional information which you may regard as being relevant
Full Name of referee
Contact number of referee
Capacity
Signature
Name of Head of department
Signature

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