The Dutkiewicz Family Trust has made a limited number of scholarships available for Master’s students who will register for the 1st or 2nd year of Master’s study in Energy Research.
Applications are invited from students of any nationality who have achieved a weighted average of at least 60% in the final year of the previous qualification. Suitable candidates must have demonstrated a passion for the study of energy.
The value of the awards is R35,000 per annum, tenable for one year only for students registering for the 2nd year of study, and for one year, renewable for one further year for students registering for the 1st year of study, conditional on satisfactory academic progress.
Conditions of Award:
Successful candidates will be required to:
· Have achieved a weighted average of at least 60% in the final year of the previous qualification.
· Ensure that the scholarship funds are used towards tuition, academic materials, housing and research project costs.
· Provide an account of expenditure of the scholarship.
· Repay all or part of the scholarship to the University of Cape Town should she/he withdraw from the course for which the scholarship has been awarded; deregister or fail to achieve the degree in the agreed time-frame.
· Provide a mid-year progress report in June 2018, reflecting grades achieved for mid-year examinations and/or comment by the Course Convenor/Supervisor on progress of the research project.
· Provide a full report on the year’s study including final results and a copy of the research project in December 2018 or January 2019. If the successful candidate does not complete the requirements for the degree in 2019, reasons for this and a new time-frame for completion must be provided, bearing in mind that the repayment requirement (for failure to complete in terms of the original time-frame) may have to be implemented.
· Submit a letter of acknowledgement to the Dutkiewicz Family Trust.
· Present the work and interim or final findings of the research project to the Trustees of the Dutkiewicz Family Trust.
· Undertake to comply with the University’s approved policies, procedures and practices on postgraduate funding.
· Where applicable students may be required to provide documentary proof to support information provided in the affidavit.
Application Procedure:
Suitable candidates are required to:
· Write a letter of NO LONGER THAN ONE A4 PAGE outlining the intended study and the link to Energy research. The letter should also outline how the applicant intends to use his/her study on Energy research in his/her future career.
· Complete the attached form as well as the Affidavit. NOTE where applicable students may be required to provide documentary proof to support information provided in the affidavit.
· Submit a CV of no longer than two A4 pages, including detail of previous work in energy research and demonstration of a passion for the topic.
· Attach a certified copy of all academic transcripts (university transcripts only and no certificates).
· Attach a certified copy of SA identity document or Passport/Study-permit.
· Attach one letter of reference from an ACADEMIC who has taught/supervised her/him during her/his previous degree(s).
· 2nd Year Master’s applicants should provide a full official report of the results achieved the first year of Master’s study, as well as a work plan giving details of the proposed work for the forthcoming year and the time-frame for completion of the degree.
Application forms along with all supporting documentation must be emailed as ONE PDF to
Please use the following reference: “Dutkiewicz App: Your first & last name“ by no later than
28 February 2018
LATE AND INCOMPLETE APPLICATIONS WILL BE DISQUALIFIED.
The University reserves the right to cancel, withdraw and recover any funds paid to the award-holder if she/he does not comply with the Conditions of Award.
Surname / First names / Preferred title, (Type x)
Mr / Mrs / Miss / Ms
ID/Passport number / Nationality / Date of birth (yy/mm/dd) / Age
Postal Address / Term Address
Race (Type x ) / Gender (Type x)
B / C / I / W / Other / M / F
Contact details: Cell Phone No. / Email Address / Parent’s Address
Are you physically disabled? (Type x) / Yes / No
Section B: Academic Details
School where matriculated / University degrees achieved
(Attach FULL official university transcript. You are eligible to apply ONLY if your academic result complies with the academic criteria of 65% and above. Honours students are required to attach mid-year marks. Please do NOT attach certificates).
Current level of study / Current department
University where currently registered / Other qualifications (if applicable)
Proposed degree in 2018 / Proposed department in 2018 / Proposed faculty in 2018
You are required to provide ONE letter of reference from one ACADEMIC who has taught/supervised you at University. The letter must be emailed to The referee is requested to use the following reference “Dutkiewicz reference: Student first & last name”.
Submission of the reference is the responsibility of the applicant. The Office will NOT contact and/or source the reference letter on behalf of any applicant. / Name of referee:
Name 1.)
Email address
Section C: Financial Details
IMPORTANT NOTICE
YOU ARE REQUIRED TO READ THIS CAREFULLY
The main criterion pertaining to the Dutkiewicz Family Scholarship For Postgraduate study in energy research is financial need. This section is in the form of an AFFIDAVIT which needs to be completed in full by the applicant, and witnessed by a COMMISSIONER OF OATHS and by one further witness. These two witnesses may not be members of your immediate family.
· You are required to give clear and true responses to the questions below. These answers must be given by you under oath and witnessed by the two witnesses identified above. All answers must be initialled by the applicant, as well as by the two witnesses. The Commissioner of Oaths’ signature must be accompanied by his/her official stamp.
The University of Cape Town considers this AFFIDAVIT to be a legally binding document and reserves the right to request you to furnish evidence of your answers/statements on this AFFIDAVIT. If it is found that you have provided information that is false or untrue, the University of Cape Town further reserves the right to disqualify your application and/or to cancel and recover any scholarship funds that may have been paid out to you.
AFFIDAVIT
I, …………………………………………………………………. (ID/Passport No. …………………………………), the undersigned, do hereby declare that I have responded to the questions/statements below in a clear and true manner, as follows:
No. 1 INCOME / Confirmation of response to No. 1
Applicant’s initials ………………
Commissioner of Oath’s initials ………………
2nd Witness’s initials
………………
1.1 I, (Applicant’s name – PRINT )
I am employed. / Tick the relevant box / YES / NO
1.1.1 If YES, state annual income (in the currency of place of employment)
1.2 Tick the relevant box(es) / I live ……. / ALONE / OR I live With my ……
SPOUSE / FATHER / MOTHER / BROTHER(S) / SISTER / EXTENED
FAMILY
MEMBERS
1.2.1 If any of the boxes in 1.2 have been ticked, state annual income for each person:
SPOUSE / FATHER / MOTHER / BROTHER(S) / SISTER(S) / EXTENDED
FAMILY
MEMBERS
1.3 I (Applicant) receive a State/Government Grant Tick the relevant box / YES / NO
1.3.1 If YES state amount per month
No. 2 PROPERTY / Confirmation of response to No. 2
Applicant’s initials …………………….
Commissioner of Oath’s initials …………………….
2nd Witness’s initials …………………….
2.1 Do you own property? Tick the relevant box / YES / NO
2.1.1 If property is owned, state value of such property
2.1.2 If property is owned, state outstanding debt on such property (if any)
2.2 If you do not own the property on which you live, state the following: My… Tick the relevant box(es)
SPOUSE / FATHER / MOTHER / BROTHER(S) / SISTER(S) / EXTENDED FAMILY MEMBERS / GUARDIAN
own(s) the property on which I live.
2.2.1 State value of such property
2.2.2 State the outstanding debt on such property (if any)
2.2.3 If NO to 2.1, do you or a family member rent the property on which you live?
Tick the relevant box / YES / NO
If YES to 2.2 above, state monthly rental paid for property
No. 3 Confirmation of Income and Expenditure for all living in the HOUSEHOLD for past year (2015).
Insert the relevant AMOUNT alongside the text in both columns below.
INCOME / EXPENDITURE / Confirmation of response to No. 3
Applicant’s initials ………………
Commissioner of Oath’s initials ………………
2nd Witness’s initials
………………
Salary – 1 / Rent/Mortgage
Salary - 2 / Property Rates
Salary - 3 / Utilities (electricity, gas, wood etc.)
Government Grant - 1 / Food and Household Necessities
Government Grant - 2 / Clothing
Child Maintenance Received / Medical Expenses
Other / Insurance (home, life, etc.)
Other / Transport
Other / Motor Vehicle(s)
Other / Taxes
Other / Entertainment/Travel
Other / Child Maintenance Payment(s)
Other / Other
(1) I, (print name) / hereby declare that the above information and estimates are accurate
(2) I give my unqualified consent to the University of Cape Town to make appropriate enquiries about me in connection with my suitability to be awarded the fellowship/scholarship for which I have applied, and that I understand that the University in no way guarantees that I or any applicant will receive funding as a result of this application
Signature (Student) / Date
Signature
(Witness) / Date
APPLICATION FORMS ALONG WITH ALL SUPPORTING DOCUMENTATION MUST BE EMAILED TO PLEASE USE THE FOLLOWING REFERENCE: “Dutkiewicz App: Your first & last name“ BY NO LATER THAN
28 February 2018
INCOMPLETE AND/OR LATE APPLICATIONS WILL NOT BE CONSIDERED
CHECK LIST (Type X)
Please confirm attachments / Letter of interest / Yes / No
Curriculum Vitae (See bullet point No.3 under Application procedure) / Yes / No
Academic Transcripts (No certificates) / Yes / No
Identity Document or Passport & Visa (certified) / Yes / No
One Academic Reference Letter / Yes / No
Letter of offer of a place to study at UCT / Yes / No
Progress report & Workplan 2nd year Master’s applicants (ONLY)
(See bullet point No.7 under Application procedure) / Yes / No
C:/conditionsofaward/DutkiewiczAPPLform2018