application form
TRANSCRIPT
Career Choices Name Code Admission Duration
Science careers(Biochemist; Botanist; Ecologist; Forensic analyst; Geneticist; Laboratory technician; Microbiologist; Pharmaceutical sales representative; Physiologist; Quality analyst; Researcher; Research assistant; Scientific writer; Zoologist)
Bachelor of Science with specialisation in Biochemistry and Botany
02089BAB NSC with Mathematics & English passed at level 4 OR matriculation exemption with at least an E symbol for Higher Grade Mathematics & English or at least a D symbol for Standard Grade Mathematics and English
3 years
Bachelor of Science with specialisation in Biochemistry and Microbiology
02089BAM 3 years
Bachelor of Science with specialisation in Biochemistry and Physiology
02089BAP 3 years
Bachelor of Science with specialisation in Biochemistry and Zoology
02089BAZ 3 years
Bachelor of Science with specialisation in Botany and Microbiology
02089BNM 3 years
Bachelor of Science with specialisation in Botany and Zoology (With Geography)
02089BZG 3 years
Bachelor of Science with specialisation in Genetics and Zoology
02089GZB 3 years
Bachelor of Science with specialisation in Microbiology and Physiology
02089MAP 3 years
Bachelor of Science with specialisation in Microbiology and Zoology
02089MAZ 3 years
Bachelor of Science with specialisation in Natural Sciences (Biochemistry and Chemistry Stream)
02089NOC 3 years
Bachelor of Science with specialisation in Natural Sciences (Biochemistry/physiology/microbiology and Business Administration Stream)
02089OPK 3 years
Bachelor of Science with specialisation in Physiology and Zoology
02089PAZ 3 years
Application to study at Unisa (Only for 1st time applicants who have not studied for a formal programme previously)Applications Office: PO Box 1, Unisarand, 0148 Tel: 0861670411 or +2711679000 Fax: 012 429 8116
Identify the category that is applicable to you and complete only those sections of the form as indicated in the table below.
1 Refer to the my Choice @ Unisa brochure for the admission requirements and the supporting documents to be submitted.
2 When completing questions 2, 13b, 16, 17, 18, 20, 21, 23 on the application form refer to the my Choice @ Unisa brochure for the applicable codes.
3 Your application will only be finalised upon receipt of supporting documents and the non-refundable application fee. Incomplete applications will NOT be processed.
4 Applications received after the closing date will not be considered.
5 The university reserves the right to request original documents.
ARE YOU . . .? Sections to be completed
Currently in Grade 12 A B C D H
Transferring from another tertiary institution for diploma/bachelor’s studies A B C E F H
Applying for diploma studies A B C E H
Applying for bachelor’s studies A B C E H
Applying for BTech/honours studies/structured master’s degree A B C E F H
Applying for research master’s or doctoral degree A B C F G H
Items that must be submitted before your application will be processed:
1 Application fee of a R150,00 (post or fax applications) or R100,00 (online application)
2 Application form (which you must submit using the pre-addressed envelope)
3 Certified copy of ID document (RSA students) or passport/birth certificate (foreign students)
4 Certified copy of marriage certificate (where applicable) or divorce decree (where applicable)
5 Certified copy of school qualification(s) (eg Senior Certificate) (not applicable to current Grade 12 learners)
6 Certified copies of transcripts of complete academic records from all institutions attended (completed and incompleted studies) and conduct certificate (where applicable)
7 Original official translations of all document(s) if they are not in English or Afrikaans
Additional documents to be submitted by master’s and doctoral degree applicants
8 International applicants (who have not been educated through the medium of English during their two most recent years of study) must submit proof that they have taken the TOEFL (http://www.ets.org) or IELTS (http://www.ielts.org) international language test or an equivalent (eg Cambridge Certificate of Advanced English)
9 If you are applying for a doctoral degree and you obtained your master’s degree at a foreign university, you need to submit a copy of your master’s thesis/dissertation
10 Please refer to the my Choice @ Unisa brochure for any additional documents that must be submitted before your application for your specific field of study can be considered for admission to the degree
PLEASE TAKE NOTE: Application phase and registration phase
Undergraduate and honours applicants
n Unisa will only process complete applicationsn If you qualify for admission to the qualification, you will be informed and a registration pack will be posted to youn The next step will be the registration phasen You may register online/self-help/fax or post your completed and signed registration form (verify the opening and closing dates for registration in the my Registration @ Unisa pack)
Master’s and doctoral applicants
n Unisa will only process complete applicationsn You will receive a my Registration @ Unisa postgraduate brochuren You must submit a completed registration form and any additional requirements to the university to proceed to the registration phasen Please familiarise yourself with the typical master’s and doctoral admission cycle n After your admission has been evaluated, you will be informed of the outcome and for which academic year you may register, depending on when approval is granted
This application form consists of 8 pages (i-viii)
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my Choice @ Unisa 2011 34
Career Choices Name Code Admission Duration
Science careers(Biochemist; Botanist; Ecologist; Forensic analyst; Geneticist; Laboratory technician; Microbiologist; Pharmaceutical sales representative; Physiologist; Quality analyst; Researcher; Research assistant; Scientific writer; Zoologist)
Bachelor of Science with specialisation in Biochemistry and Botany
02089BAB NSC with Mathematics & English passed at level 4 OR matriculation exemption with at least an E symbol for Higher Grade Mathematics & English or at least a D symbol for Standard Grade Mathematics and English
3 years
Bachelor of Science with specialisation in Biochemistry and Microbiology
02089BAM 3 years
Bachelor of Science with specialisation in Biochemistry and Physiology
02089BAP 3 years
Bachelor of Science with specialisation in Biochemistry and Zoology
02089BAZ 3 years
Bachelor of Science with specialisation in Botany and Microbiology
02089BNM 3 years
Bachelor of Science with specialisation in Botany and Zoology (With Geography)
02089BZG 3 years
Bachelor of Science with specialisation in Genetics and Zoology
02089GZB 3 years
Bachelor of Science with specialisation in Microbiology and Physiology
02089MAP 3 years
Bachelor of Science with specialisation in Microbiology and Zoology
02089MAZ 3 years
Bachelor of Science with specialisation in Natural Sciences (Biochemistry and Chemistry Stream)
02089NOC 3 years
Bachelor of Science with specialisation in Natural Sciences (Biochemistry/physiology/microbiology and Business Administration Stream)
02089OPK 3 years
Bachelor of Science with specialisation in Physiology and Zoology
02089PAZ 3 years
Honours qualificationsThe duration indicated for each degree is the minimum period of time required to complete the degree
Name Code Admission Duration
Honours Bachelor of Arts in Environmental Management
05592 BA or equivalent qualification 1 year
Honours Bachelor of Arts in Geography 04111 Bachelor's degree with 60% in geography (or related discipline). Should you have less than 50% for your Geography modules in the third year you may still apply for admission, which will be considered by the Chair of the Department
1 year
Honours Bachelor of Consumer Science 05576 Majors with an average of 60% in the bachelor’s degree and completed on NQF level 7. If students do not meet these requirements they may be advised to enroll for additional modules from the Consumer Science program in order to qualify for the Honours Bachelor of Consumer Science. Admittance to the program remains the prerogative of the department
1 year
Honours Bachelor of Science in Botany 05606 Bachelor's degree with 60% in applicable major subject. Academic record plus syllabi of undergraduate studies (plus SAQA accreditation if it is a foreign qualification.)
1 year
Honours Bachelor of Science in Environmental Management
05614 BSc or equivalent qualification 1 year
Honours Bachelor of Science in Environmental Monitoring and Modelling
05568 Bachelor's degree and 60% in applicable major subject 1 year
Honours Bachelor of Science in Geography
04464 Bachelor's degree with 60% in Geography (or related discipline). Should you have less than 50% for your Geography modules in the third year you may still apply for admission, which will be considered by the Chair of the Department
1 year
College of Agriculture and Environmental Sciences A
Undergraduate qualificationsThe duration indicated for each degree is the minimum period of time required to complete the degree
My Choice_UG_AW.indd 34 15/06/2010 15:30
APPLICATIONS OFFICE
Operators Code: …………………………… Date: …………/…………/20…………
File Advisor: ………………………………………………………X
18 Nationality (code)
19 Population group for statistical purposes (mark with an X) African Coloured Indian White Other
20 Occupation (code) 21 Economic sector (code)
Section C: Please supply the following for statistical purposes
22 May your name and contact details be given to fellow students for academic purposes? (mark with an X)
23 Previous economic activity (please indicate code)
24 After you have worked through my Choice @ Unisa, do you require further assistance with career planning and the appropriate selection of a study programme and subjects? (mark with an X)
25 Do you need training in basic computer skills? (mark with an X)
26 Do you have access to . . . (mark with X) Internet Cellphone
CD Rom (on a computer)
DVD Rom (on a computer) MP3 player
27 a) Do you intend to apply for financial aid? (mark with an X)
b) If yes, indicate NSFAS (RSA applicants only, complete section K) Eduloan
Yes
Yes
Yes
Yes
No
No
No
No
a) I am currently a Grade 12 learner
b) In which province will you be writing your final matric exam?
c) Exam number
Section D: Grade 12 learners
Section E: School leaving certificate obtained
Yes No
a) Type of certificate (mark with an X) Senior Certificate
(NSC) from 2008
b) Other (please specify, such as O-levels or Standard 8, etc)*
c) Result achieved (mark with an X)
1 NSC with entry level: bachelor’s degree 4 Senior Certificate with full exemption
2 NSC with entry level: diploma 5 Senior Certificate without exemption
3 NSC with entry level: higher certificate 6 Senior Certificate (subject successes only)
If you are applying for bachelor degree studies and you have marked either 5, 6 or b (in section E)* you have to apply for a Certificate of Conditional Exemption. Please go to Section J and complete form M30 and include additional documents as indicated in this section.
28 Year completed (RSA applicants) 29 Province (RSA applicants)
30 Examination number (RSA applicants)
Y Y Y Y
For office use only:
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Section A: Proposed qualification
Please check the admission requirements in the my Choice @ Unisa brochure to ensure that you qualify for the proposed qualification
1 a) Proposed qualification (eg BCom) 2 Qualification code (eg 02011)
1 b) Specialisation (eg) Human Resource Management
Section B: Personal details
Y Y Y Y M M D D
14 The completion of the postal AND home addresses is compulsoryPostal address and postal code Home address and postal code Address for personal delivery from Unisa and postal code
(eg courier of study material during office hours)
Postal code Postal code Postal code
15 Telephone numbers (dialling code & number)
Home (eg 011 839 4671) Contact number for courier
Work (eg 011 839 4671) Cell (format +27 83 111111)
Fax E-mail
APPLICATIONS OFFICE
Operators Code: …………………………… Date: …………/…………/20…………
File Advisor: ………………………………………………………X
16 At which centre do you want to write your examination(s) (please refer to the my Choice @ Unisa brochure)
Please indicate code
17 Home language Please indicate code
3 Surname
4 Initials 5 Title
6 Full name
7 Marital status single married divorced
8 Maiden name and/or previous surname (if applicable)
9 Gender (mark with an X) Male Female 10 Date of birth
11 Language of correspondence (mark with an X) Afrikaans English
12 Identity (RSA) or passport number (foreigners)
13 a) Do you have a disability? Yes No 13 b) Nature of your disability? Please indicate code
For office use only:
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APPLICATIONS OFFICE
Operators Code: …………………………… Date: …………/…………/20…………
File Advisor: ………………………………………………………X
18 Nationality (code)
19 Population group for statistical purposes (mark with an X) African Coloured Indian White Other
20 Occupation (code) 21 Economic sector (code)
Section C: Please supply the following for statistical purposes
22 May your name and contact details be given to fellow students for academic purposes? (mark with an X)
23 Previous economic activity (please indicate code)
24 After you have worked through my Choice @ Unisa, do you require further assistance with career planning and the appropriate selection of a study programme and subjects? (mark with an X)
25 Do you need training in basic computer skills? (mark with an X)
26 Do you have access to . . . (mark with X) Internet Cellphone
CD Rom (on a computer)
DVD Rom (on a computer) MP3 player
27 a) Do you intend to apply for financial aid? (mark with an X)
b) If yes, indicate NSFAS (RSA applicants only, complete section K) Eduloan
Yes
Yes
Yes
Yes
No
No
No
No
a) I am currently a Grade 12 learner
b) In which province will you be writing your final matric exam?
c) Exam number
Section D: Grade 12 learners
Section E: School leaving certificate obtained
Yes No
a) Type of certificate (mark with an X) Senior Certificate
(NSC) from 2008
b) Other (please specify, such as O-levels or Standard 8, etc)*
c) Result achieved (mark with an X)
1 NSC with entry level: bachelor’s degree 4 Senior Certificate with full exemption
2 NSC with entry level: diploma 5 Senior Certificate without exemption
3 NSC with entry level: higher certificate 6 Senior Certificate (subject successes only)
If you are applying for bachelor degree studies and you have marked either 5, 6 or b (in section E)* you have to apply for a Certificate of Conditional Exemption. Please go to Section J and complete form M30 and include additional documents as indicated in this section.
28 Year completed (RSA applicants) 29 Province (RSA applicants)
30 Examination number (RSA applicants)
Y Y Y Y
For office use only:
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Section A: Proposed qualification
Please check the admission requirements in the my Choice @ Unisa brochure to ensure that you qualify for the proposed qualification
1 a) Proposed qualification (eg BCom) 2 Qualification code (eg 02011)
1 b) Specialisation (eg) Human Resource Management
Section B: Personal details
Y Y Y Y M M D D
14 The completion of the postal AND home addresses is compulsoryPostal address and postal code Home address and postal code Address for personal delivery from Unisa and postal code
(eg courier of study material during office hours)
Postal code Postal code Postal code
15 Telephone numbers (dialling code & number)
Home (eg 011 839 4671) Contact number for courier
Work (eg 011 839 4671) Cell (format +27 83 111111)
Fax E-mail
APPLICATIONS OFFICE
Operators Code: …………………………… Date: …………/…………/20…………
File Advisor: ………………………………………………………X
16 At which centre do you want to write your examination(s) (please refer to the my Choice @ Unisa brochure)
Please indicate code
17 Home language Please indicate code
3 Surname
4 Initials 5 Title
6 Full name
7 Marital status single married divorced
8 Maiden name and/or previous surname (if applicable)
9 Gender (mark with an X) Male Female 10 Date of birth
11 Language of correspondence (mark with an X) Afrikaans English
12 Identity (RSA) or passport number (foreigners)
13 a) Do you have a disability? Yes No 13 b) Nature of your disability? Please indicate code
For office use only:
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M M Y Y Y Y
SECTION JMATRICULATION BOARD M30 (Unisa)Application for a Certificate of Conditional ExemptionFOR ADMISSION TO BACHELOR`S DEGREE STUDIES (NB! Not For BTech degree studies)
NB! IN ADDITION TO THE DOCUMENTS REQUIRED BY UNISA FOR THE APPLICATION PHASE THIS FORM MUST BE ACCOMPANIED BY THE FOLLOWING:
1. Original Educational qualifications (High School and post-school qualifications) or only copies certified correct by the Registrar of a South African university or by a South African Embassy, Consulate, High Commission, Trade Mission or by a Public Notary in a foreign country. Original sworn translations into either English or Afrikaans must accompany documents issued in another language.
2. Holders of American High School Diplomas must submit a letter issued by the Registrar of an accredited university in the United States of America to the effect that the holder is eligible for unconditional admission to degree studies at such a university, or submit SAT results.
3. An original official academic record reflecting the courses passed in different years, if the application is based on the grounds of post- school qualifications, with a prescribed minimum duration of at least three years uninterrupted study. (RSA/SADC students only).
4. A certified copy of the particulars in the applicant’s identity document or passport reflecting his/her date of birth and full names or the applicant’s birth certificate.
5. A married woman must also submit a certified copy of her marriage certificate or divorce decree.
6. FEES PAYABLE: R350,00. You will only be required to pay this fee after the application for exemption has been processed.
7. Applications for exemption from the matriculation endorsement must be submitted together with your application to study.
NB: FAXED DOCUMENTS ARE NOT ACCEPTABLE FOR THIS CONDITIONAL EXEMPTION APPLICATION.
APPLICANT’S FULL NAME (BLOCK LETTERS PLEASE).
1. Present surname:
2. Maiden or previous surname(s):
3. First names: 4. Date of birth:
5. Postal address:
6 Full particulars regarding applicant’s educational qualifications:
a)School certificate:
Name of certificate:
Name of examining body, e.g. Cambridge International Examinations, IB, Umalusi, etc.
Year of completion:
In which province did you write your senior certificate examinations? (RSA applicants)
Y Y Y Y
b) Post-school qualification (where applicable):
Name of Diploma/degree e.g. Nat. Dip. Accounting:
Institution where obtained:
Year of completion:Y Y Y Y
For office use only:
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32 Unisa offers bursaries to research master’s and doctoral degree students (conditions apply). Do you require more information?
Section F: Tertiary institutions previously attended prior to 2011 (completed and incompleted studies must be indicated)
Institution(s)eg Unisa
Degree(s)/diploma(s)eg BA
Year(s)eg 1994 –1996
Student number(s)eg 12345678
If completed state year(s)eg 1996
33 Indicate proposed area of specialisation/provisional topic or field of research:
Section G: Research master’s and doctoral degrees
Section H: Declaration and undertaking
I declare that all the particulars furnished by me on this form are true and correct. I undertake to comply with all the rules, regulations and decisions of the university and any amendments thereto, and I have taken note of advice which may be applicable to students in general.
Surname: ______________________________________ Initials: ______________________________________________
Applicant’s signature: _______________________________________ Date: ______________________________________
Yes
31 Do you intend applying for course exemptions/credits from previous studies? (mark with an X) If yes, submit certified copies of your academic record Yes No
No
INTERNATIONAL APPLICANTS: Credit card or SWIFT. Attach proof of payment when using SWIFT.CREDIT CARD PAYMENT
Credit card no Expiry date
a) Card holder identity number
b) Card holder surname & initials
c) CV number (last three digits on the back of the card)
Signature
PAYMENT CAN BE MADE IN ONE OF THE FOLLOWING WAYS:NATIONAL APPLICANTS: credit card/original postal order. *Complete the back of the postal orderWhen applying online, application payment can be made at http://applications.unisa.ac.za/
APPLICATIONS OFFICE
Operators Code: …………………………… Date: …………/…………/20…………
File Advisor: ………………………………………………………X
M M Y Y Y Y
For office use only:
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M M Y Y Y Y
SECTION JMATRICULATION BOARD M30 (Unisa)Application for a Certificate of Conditional ExemptionFOR ADMISSION TO BACHELOR`S DEGREE STUDIES (NB! Not For BTech degree studies)
NB! IN ADDITION TO THE DOCUMENTS REQUIRED BY UNISA FOR THE APPLICATION PHASE THIS FORM MUST BE ACCOMPANIED BY THE FOLLOWING:
1. Original Educational qualifications (High School and post-school qualifications) or only copies certified correct by the Registrar of a South African university or by a South African Embassy, Consulate, High Commission, Trade Mission or by a Public Notary in a foreign country. Original sworn translations into either English or Afrikaans must accompany documents issued in another language.
2. Holders of American High School Diplomas must submit a letter issued by the Registrar of an accredited university in the United States of America to the effect that the holder is eligible for unconditional admission to degree studies at such a university, or submit SAT results.
3. An original official academic record reflecting the courses passed in different years, if the application is based on the grounds of post- school qualifications, with a prescribed minimum duration of at least three years uninterrupted study. (RSA/SADC students only).
4. A certified copy of the particulars in the applicant’s identity document or passport reflecting his/her date of birth and full names or the applicant’s birth certificate.
5. A married woman must also submit a certified copy of her marriage certificate or divorce decree.
6. FEES PAYABLE: R350,00. You will only be required to pay this fee after the application for exemption has been processed.
7. Applications for exemption from the matriculation endorsement must be submitted together with your application to study.
NB: FAXED DOCUMENTS ARE NOT ACCEPTABLE FOR THIS CONDITIONAL EXEMPTION APPLICATION.
APPLICANT’S FULL NAME (BLOCK LETTERS PLEASE).
1. Present surname:
2. Maiden or previous surname(s):
3. First names: 4. Date of birth:
5. Postal address:
6 Full particulars regarding applicant’s educational qualifications:
a)School certificate:
Name of certificate:
Name of examining body, e.g. Cambridge International Examinations, IB, Umalusi, etc.
Year of completion:
In which province did you write your senior certificate examinations? (RSA applicants)
Y Y Y Y
b) Post-school qualification (where applicable):
Name of Diploma/degree e.g. Nat. Dip. Accounting:
Institution where obtained:
Year of completion:Y Y Y Y
For office use only:
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32 Unisa offers bursaries to research master’s and doctoral degree students (conditions apply). Do you require more information?
Section F: Tertiary institutions previously attended prior to 2011 (completed and incompleted studies must be indicated)
Institution(s)eg Unisa
Degree(s)/diploma(s)eg BA
Year(s)eg 1994 –1996
Student number(s)eg 12345678
If completed state year(s)eg 1996
33 Indicate proposed area of specialisation/provisional topic or field of research:
Section G: Research master’s and doctoral degrees
Section H: Declaration and undertaking
I declare that all the particulars furnished by me on this form are true and correct. I undertake to comply with all the rules, regulations and decisions of the university and any amendments thereto, and I have taken note of advice which may be applicable to students in general.
Surname: ______________________________________ Initials: ______________________________________________
Applicant’s signature: _______________________________________ Date: ______________________________________
Yes
31 Do you intend applying for course exemptions/credits from previous studies? (mark with an X) If yes, submit certified copies of your academic record Yes No
No
INTERNATIONAL APPLICANTS: Credit card or SWIFT. Attach proof of payment when using SWIFT.CREDIT CARD PAYMENT
Credit card no Expiry date
a) Card holder identity number
b) Card holder surname & initials
c) CV number (last three digits on the back of the card)
Signature
PAYMENT CAN BE MADE IN ONE OF THE FOLLOWING WAYS:NATIONAL APPLICANTS: credit card/original postal order. *Complete the back of the postal orderWhen applying online, application payment can be made at http://applications.unisa.ac.za/
APPLICATIONS OFFICE
Operators Code: …………………………… Date: …………/…………/20…………
File Advisor: ………………………………………………………X
M M Y Y Y Y
For office use only:
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SECTION KNSFAS Loan Application form Undergraduate/Honours Studies 2011 academic yearImportant: Please refer to the student funding information on page 68 before completing this form
For office use only
Identity number
Code: Bookstore: Location:
Are you subject to a financial administration order (insolvency) for unpaid debt?
Are you employed?
Prison student If yes, please attach the prisoner’s profile from authorities indicating term of sentence, years already served and remaining years to be served
Have you been declared mentally unfit by the court of law to enter into any legal agreement?
Are you an undergraduate applicant? Are you an honours applicant?
NSFAS application period
Sem 1: 1 August 2010 to 30 September 2010 Sem 2: 14 March 2011 to 29 April 2011
FOR OFFICE USE ONLY
Total annual income Number of lawful H/H Number of tertiary students
Remaining term of sentence
Comments
DSF officer’s name Signature
Marital status: Single Married If married Widowed Divorced
In community of property
Antenuptial contract
1 Personal particulars
2 Academic essential details (refer to the list of bookshops on page 68)
3 Employment details
3.1 If yes, please complete section 3.2 If no, please complete sections 3.3 and 4
3.2 Applicant’s employment details (attach certified proof of income)
Name of employer
Address
Tel number
Annual salary (attach proof of income)
Student noFile no
Yes
Yes
Yes
Yes Yes
Yes
No
No
No
No No
No
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School subjects passed Month/Year Grade/Level Symbol
7. Full particulars regarding applicant’s educational qualifications:
8. Degree for which applicant proposes to study, e.g. BTh
CHECKLIST: (To be completed by the applicant before submitting the application.)
1. Did you complete all questions on the form?
2. Did you sign the form?
3. Are your documents (ID / Passport, Educational Qualifications and Marriage Certificate / Divorce decree attached?
4. Are the documents the originals or certified as explained on the previous page?
If you answered NO to anyone of questions 1-4, this application will not be processed.
This implies that your application will not be processed.
Applicant’s signature Date
Y Y Y Y M M D D
Yes
Yes
Yes
Yes
No
No
No
No
OFFICIAL USE ONLY
AME Evaluation: ………………………………………………………..
W.E.F: ……………………………………………………………………….
Initials: ………………………………………………………………………
Application fee: …………………………………………..…………….
Initials:……………………………………………………………………...
APPLICATIONS OFFICE
Operators Code: …………………………… Date: …………/…………/20…………
Route to section: AME
Advisor: ……………………………………………………………………………………………
X
For office use only:
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SECTION KNSFAS Loan Application form Undergraduate/Honours Studies 2011 academic yearImportant: Please refer to the student funding information on page 68 before completing this form
For office use only
Identity number
Code: Bookstore: Location:
Are you subject to a financial administration order (insolvency) for unpaid debt?
Are you employed?
Prison student If yes, please attach the prisoner’s profile from authorities indicating term of sentence, years already served and remaining years to be served
Have you been declared mentally unfit by the court of law to enter into any legal agreement?
Are you an undergraduate applicant? Are you an honours applicant?
NSFAS application period
Sem 1: 1 August 2010 to 30 September 2010 Sem 2: 14 March 2011 to 29 April 2011
FOR OFFICE USE ONLY
Total annual income Number of lawful H/H Number of tertiary students
Remaining term of sentence
Comments
DSF officer’s name Signature
Marital status: Single Married If married Widowed Divorced
In community of property
Antenuptial contract
1 Personal particulars
2 Academic essential details (refer to the list of bookshops on page 68)
3 Employment details
3.1 If yes, please complete section 3.2 If no, please complete sections 3.3 and 4
3.2 Applicant’s employment details (attach certified proof of income)
Name of employer
Address
Tel number
Annual salary (attach proof of income)
Student noFile no
Yes
Yes
Yes
Yes Yes
Yes
No
No
No
No No
No
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School subjects passed Month/Year Grade/Level Symbol
7. Full particulars regarding applicant’s educational qualifications:
8. Degree for which applicant proposes to study, e.g. BTh
CHECKLIST: (To be completed by the applicant before submitting the application.)
1. Did you complete all questions on the form?
2. Did you sign the form?
3. Are your documents (ID / Passport, Educational Qualifications and Marriage Certificate / Divorce decree attached?
4. Are the documents the originals or certified as explained on the previous page?
If you answered NO to anyone of questions 1-4, this application will not be processed.
This implies that your application will not be processed.
Applicant’s signature Date
Y Y Y Y M M D D
Yes
Yes
Yes
Yes
No
No
No
No
OFFICIAL USE ONLY
AME Evaluation: ………………………………………………………..
W.E.F: ……………………………………………………………………….
Initials: ………………………………………………………………………
Application fee: …………………………………………..…………….
Initials:……………………………………………………………………...
APPLICATIONS OFFICE
Operators Code: …………………………… Date: …………/…………/20…………
Route to section: AME
Advisor: ……………………………………………………………………………………………
X
For office use only:
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Career Choices Name Code Admission Duration
All Careers Bachelor of Business Administration 02216 NSC Degree OR Matric Exemption 3 years
Bachelor of Commerce (General) 02011 NSC Degree OR Matric Exemption 3 years
Accounting and Tax careers(*Chartered accounting; Accounting technician; Auditing assistant; *Auditor; Bookkeeper; *Internal auditor; *Management accountant; State accountant; Tax practitioner)*further training required
Baccalaureus Technologiae (Cost and Management Accounting)
BTCMA 3 year National Diploma in Cost and Management Accounting or equivalent
1 year
Baccalaureus Technologiae (Internal Auditing)
BTINT 3 year National Diploma in Internal Auditing or equivalent
1 year
Baccalaureus Technologiae (Taxation) BTTXA 3 year National Diploma in Taxation or equivalent
1 year
Bachelor of Accounting Science 0202X NSC Degree with Mathematics 4 or Mathematics Literacy 7. OR Matric Exemption with Mathematics 'E' HG/'D' SG
3 years
Bachelor of Administration 02003 NSC Degree with English 4 OR Matric Exemption with either Afrikaans or English ‘E’ HG/’D’ SG
3 years
Bachelor of Commerce with specialisation in Internal Auditing
02011INA NSC Degree English 4 OR Matric Exemption with English 'E' HG/'D' SG
3 years
Bachelor of Commerce with specialisation in Management Accounting
02011MAC NSC Degree English 4 OR Matric Exemption with English 'E' HG/'D' SG
3 years
National Diploma (Accounting) NDACC National Higher Certificate; Accountancy 3 years
National Diploma (Cost and Management Accounting)
NDCOS National Higher Certificate; Accountancy 3 years
National Diploma (Internal Auditing)
NDINT National Higher Certificate: Accountancy 3 years
National Diploma (Taxation) NDTXT National Higher Certificate: Accountancy 3 years
National Higher Certificate (Accountancy)
HSACC NSC with four 20 credit subjects 3 OR Senior Certificate
2 years
Administration careers(Administrative assistant; Administrative officer; Executive assistant; Personal assistant; Office manager)
N Dip (Commercial Practice) 20426 NSC with four 20 credit subjects 3 OR Senior Certificate
3 years
N Dip (Commercial Practice) DCOMM NSC with four 20 credit subjects 3 OR Senior Certificate
3 years
National Diploma (Administrative Management (Financial))
NDADM NSC with four 20 credit subjects 3 OR Senior Certificate
3 years
National Diploma (Administrative Management (General))
NDADG NSC with four 20 credit subjects 3 OR Senior Certificate
3 years
National Diploma (Commercial Practice)
NDCML NSC with four 20 credit subjects 3 OR Senior Certificate
3 years
National Diploma (Office Management and Technology)
NDOFM NSC with four 20 credit subjects 3 OR Senior Certificate
3 years
Banking careers(Banker; Branch manager; Brand manager; Corporate banker; Foreign exchange officer; Internation trade finance specialist; Investment banker; Retail bank manager)
Bachelor of Banking 02240 Senior certificate with university exemption 4 years
Economics careers(Development economist; Economist; Economic analyst; International trade advisor; Labour economist; Research analyst; Research consultant; Securities analyst; Stockbroker)
Bachelor of Commerce with specialisation in Economics
02011ENM NSC Degree with English 4 and Mathematics 3 or Mathematics Literacy 6 OR Matric Exemption with English 'E' HG/D SG and Mathematics 'E' HG/D SG
3 years
Entrepreneurial careers(Entrepreneur; Entrepreneurial consultant; Small business development practitioner)
Bachelor of Commerce with specialisation in Entrepreneurship
02011ENT NSC Degree English 4 OR Matric Exemption with English 'E' HG/'D' SG
3 years
National Diploma (Entrepreneurship) NDENT NSC with four 20 credit subjects 3 OR Senior Certificate
3 years
College of Economic and Management Sciences
Undergraduate qualificationsThe duration indicated for each degree is the minimum period of time required to complete the degree
B
My Choice_UG_AW.indd 43 15/06/2010 15:31
5 Particulars of next of kin: mother, father, sister, brother, cousin, partner, aunt or uncle
6 Particulars of lawful household (eg parents/guardian, other dependants, starting with applicant) Please use a separate page if the space provided below is insufficient. Attach certified copies of RSA identity documents or birth certificates of all members of lawful household.
7 Declaration
I declare that I have read and understood the contents of this Loan Application Form, and that the information supplied by me is true and correct. I also understand that should any of the information/documents herewith be proven to be incorrect or falsified, disciplinary action will be taken against me.
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Student’s signature Date
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Parent/guardian’s signature (if student is under 18) Date
Send your complete NSFAS application form, together with the requested supporting documents, to Unisa Student Funding, Registration Building, Hall B, Sunnyside, PO Box 392, Unisa, 003 OR deliver it to any of the Unisa regional centres (Student Administration Directorate).
NB: Faxed or incomplete applications will not be considered.
4 Details of parent or legal guardian (Please attach certified copies of IDs, death certificates and payslips if employed. NB: If one or both parents are unknown, please provide details in an affidavit.)
3.3 Employment details of person responsible for your basic needs if you are not working (attach proof of income)
Surname Initials Title
Relationship to applicant
Postal address
Telephone number Cell number
Name & surname Date of birth Relationship to applicant Student Scholar Employed Unemployed
Name & surname Father Mother Guardian
ID number (attach certified copy of ID)
Residential address
Employer name
Employer address
Tel number
Annual salary (attach proof of income)
Surname and initials
Relationship to applicant
Name and address of employer
viii
My Choice_UG_AW.indd 42 15/06/2010 17:07