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THE KANTEY & TEMPLER
BURSARY AND EDUCATIONAL ASSISTANCE SCHEME

APPLICATION FOR FINANCIAL ASSISTANCE

NOTE:
This application must be completed in BLOCK CAPITALS and submitted to the Bursary Committee no later than 30 September in the year prior to that for which assistance is sought.
APPLICANT’S DETAILS :
Full Name: / Date of Birth:
Gender:
ID No.:
Home Address: / Home Language:
Postal Address (if different from home address): / Telephone No.:
If applicable, show here the full name of Parent or Guardian who is (or was) a full time permanent employee of Kantey & Templer:
If such a Parent or Guardian is currently employed by Kantey & Templer, indicate in what Department/Office.
EDUCATIONAL INFORMATION:
Level
Secondary
University of Technology / Name of school or
Educational establishment attended / Highest level achieved
EDUCATIONAL INFORMATION:
Level
University / Name of school or
Educational establishment attended / Highest level achieved
Give details of any distinctions (academic or sport) gained so far during schooling (eg monitor, prefect, head of house, member of 1st, 2nd team, etc)
Where
At Secondary School
At Technical College or University / Details of Distinctions, etc
OTHER PERSONAL INFORMATION:
Sports played at present:
Hobbies and other interests:
Any other personal information, career plans and the like which in your view should be considered in support of this application:
DETAILS OF BURSARY BEING SOUGHT:
For which Engineering course:
For which University or University of Technology:
For which academic year: For which calendar year:
Estimated Tuition Fees for the year quoted above: R
This Application is a / New Application ......
Renewal ...... / } tick
} as appropriate
DETAILS OF ANY OTHER BURSARY OR SCHOLARSHIP RECEIVED:
Granted By ? For What ? / Value of Award ?
PROVIDE ANY OTHER INFORMATION YOU BELIEVE WOULD ENHANCE YOUR APPLICATION
ATTACH COPIES OF LATEST AVAILABLE ACADEMIC RESULTS TO THIS FORM
e.g. Std 9, Std 10 mid year and/or Std 10 (Senior Certificate) results. First semester and/or year end University or University of Technology results.
SIGNATURE OF APPLICANT:
DATE
DECISION OF THE BURSARY COMMITTEE AND REASONS FOR THAT DECISION:

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Last updated: 07/05/2015