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HERITAGE BURSARY APPLICATION FORM

2017

Closing date for bursary application: Friday 24, February 2017 @ 16H30

Use block letters to complete the form.

Give concise answers and, where applicable, mark with an X.

Attach a recent copy of your ID, academic records and copies of qualifications

Incomplete or late applications will not be considered.

Please note: should you not receive a response from the Department within 30 days of the

closing date, please consider your application to have been unsuccessful.

Forward application to: OR Deliver by hand to:

Heritage Bursaries Heritage Bursaries

Department of Arts and Culture Department of Arts and Culture

Private Bag X897 5th Floor, 481 Kingsley Centre

PRETORIA Cnr. Stanza Bopape & Steve

0001 Biko streets

ARCADIA, PRETORIA

FOR THE ATTENTION OF HLULANI NDLOVU

PLEASE NOTE: No applications by e-mail nor fax will be accepted.

How did you learn about Department of Arts and Culture bursaries?

Newspaper University

staff

Friend Internet Career

awareness

Other: (specify)

A. Particulars of applicant

Title Ms Mr Mrs Rev Dr

Surname

Full Names

ID No.

Gender Female Male

Race Black White Indian Other:specify

Nationality

Province: Municipality:

Disability: Yes No

If Yes Indicate:

Home language:

B.CONTACT PARTICULARS

Postal address:

Area Code:

Residential Address:

Area Code:

Cell No.

Email Address:

Tel. no. (h)

Tel. no (w)

Fax no.

C. PARTICULARS OF QUALIFICATION FOR WHICH YOU WISH TO RECEIVE THE BURSARY

Student number

Institution at which you study/do you intend

studying?

Degree/diploma/certificate

Main subjects

Academic Year of

study

1st year 2

nd year 3

rdyear 4

th year

D. OTHER BURSARIES OR SPONSORS

Are you at present studying with a bursary?

Yes No

If yes, name of the bursary:

Annual value of the bursary:

Father’s occupation:

Mother’s occupation:

Guardian’s occupation:

How much is your gross household

income?:

How many other dependants are

still at home? :

No. Of dependants still at school:

Do you have or have you received

a study loan? :

If yes, name of the loan:

For what purpose? :

When did you get it? :

If you are not currently enrolled at

an educational institution, please

indicate what you are doing at

present:

E. DETAILS ABOUT PARENTS/GUARDIAN/NEXT OF KIN

Title: Ms Mrs Mr Dr Rev

Initials:

ID No.

Relationship: Mother Father Aunt Uncle Other(Specify):

Postal address(if different from mentioned

above):

Postal code:

Residential Address(if different form the

mentioned above)

Postal Code:

Tel. no. (h)

Tel. no. (w)

Fax no.

F. DOCUMENTATION

Please attach certified copies of the following:

* Identity document

* Certificates of qualifications

* Academic records

* Proof of family income or an affidavit if parents are unemployed

* proof of registration at university

G. Declaration

I certify that the information supplied in this application is correct and that, if I am awarded a bursary, I

will abide by the regulations applicable.

Signature of applicant: …………………….. Date …………………………….

DAC BURSARIES FOR HERITAGE RELATED STUDIES: 2017 The Department of Arts and Culture invites applications for bursaries from students who wish to pursue studies in heritage related programmes. The bursary will fund undergraduate studies only. The bursary is available for a restricted number of outstanding academic performers. Eligibility

South African citizenship

Financially needy

NB: 2017 Proof of registration at an institution of higher learning Fields of study

Anthropology

Archaeology (marine, etc.)

Archives and records management

Conservation of the built environment

Conservation and preventive conservation

Collections (cultural & natural) management

Heritage resources management

Museum management and curatorship

Indigenous Knowledge Systems.

Information Science VALUE OF THE BURSARY

Maximum up to R 70 000.

NB: Funds are payable directly to the higher institution of learning

Required documents: The following documents must accompany the application:

Certified copy of ID document

Certified copy of the salary statement or affidavit (if not working) of your parents/guardians

Certified copy of grade 12 results

If you were already studying at university in 2016 – latest results / academic record

Application forms can be obtained from the offices of the Department of Arts and Culture, 5TH Floor, 481 Kingsley Centre, Cnr. Stanza Bopape & Steve Biko Streets, Arcadia,

Pretoria or online at www.dac.gov.za. Completed application forms together with certified copies of necessary documents should be sent to the: Heritage Bursaries Department of Arts and Culture Private Bag X897 PRETORIA 0001 Or Applications can also be hand delivered to: Heritage Bursaries 481 Kingsley Centre 5th Floor Cnr. Stanza Bopape & Steve Biko Street ARCADIA PRETORIA Enquiries regarding the bursary applications should be sent to Ms Hlulani Ndlovu on Hlulanin@dac.gov.za / 012 441 3476

The closing date for submission of applications is 24, February 2017 at 16H30. Please note: should you not receive a response from the Department within 30

days of the closing date, please consider your application to have been unsuccessful.

No late applications will be accepted.