STUDENTE NOMMER

STUDENT NUMBER

2023
RUSSEL BOTMAN BEURSFONDS AANSOEK
RUSSEL BOTMAN BURSARY FUND APPLICATION
AFDELING A SECTION A
PERSOONLIKE INLIGTING VAN APPLIKANT PERSONAL INFORMATION OF APPLICANT
DUI ASB MET ‘N KRUISIE (X) WAAR VAN TOEPASSING PLEASE MARK WITH A CROSS (X) WHERE APPLICABLE

JAAR VAN STUDIE DEGREE COURSE

YEAR OF STUDY GRAADKURSUS
SURNAME VOLLE NAME
VAN FULL NAMES
TITEL ID NOMMER SA BURGER JA NEE
TITLE ID NUMBER SA CITIZEN YES NO
KONTAKNOMMERS TUIS SELFOON
CONTACT NUMBERS HOME CELL PHONE
HUIDIGE KONTAKADRES
CURRENT CONTACT ADDRESS
ADRES TEN TYE VAN STUDIE
ADDRESS WHILE STUDYING
BEFONDSING VAN STUDIES (HIERDIE BEURS UITGESLUIT):
FUNDING OF STUDIES (THIS BURSARY EXCLUDED):
LENINGS R INSTANSIE JAARLIKS BESKIKBAAR JA NEE
LOANS R INSTITUTION AVAILABLE ANNUALLY YES NO
BEURSE R INSTANSIE JAARLIKS BESKIKBAAR JA NEE
BURSARIES R INSTITUTION AVAILABLE ANNUALLY YES NO
ALTERNATIEWE OPSIES BESKIKBAAR (BV BANKLENING DEUR OUER)
ALTERNATIVE OPTIONS AVAILABLE (E.G. BANK LOAN BY PARENT)

AFDELING B SECTION B
GESINSINKOMSTE FAMILY INCOME
DUI U OUERS SE INKOMSTE AAN SOOS DIT TANS IS; U PERSOONLIKE INDICATE YOUR PARENTS’ CURRENT INCOME; YOUR PERSONAL
INKOMSTE EN, INDIEN SELF GETROUD, OOK U GADE INCOME, AND IF YOU ARE MARRIED, YOUR SPOUSE AS WELL

BRUTO INKOMSTE P.M.

INLIGTING VAN VOORLETTERS VAN BEROEP GROSS INCOME P.M.
INFORMATION OF INITIALS SURNAME OCCUPATION
VADER
FATHER
MOEDER
MOTHER
VOOG
GUARDIAN
U INKOMSTE
YOUR INCOME

GADE SPOUSE
GESINSLEDE AFHANKLIK VAN INKOMSTE (BV.VOLWASSENE 2, TERSIÊR 1, ENS.)
FAMILY MEMBERS’ DEPENDANT ON INCOME (E.G. ADULTS 2, TERTIARY 1, VOLWASSENES TERSIÊR SKOOL VOORSKOOL
ETC.) ADULTS TERTIARY SCHOOL PRE-SCHOOL
 STUDENTE NOMMER
STUDENT NUMBER

AFDELING C SECTION C
BYKOMENDE INLIGTING ADDITIONAL INFORMATION
LEIERSKAP EN GEMEENSKAPSBETROKKENHEID / LEADERSHIP AND COMMUNITY INVOLVEMENT

AFDELING D SECTION D
MOTIVEER U REDE OM HIERDIE STUDIERIGTING TE VOLG EN MOTIVATE YOUR REASON FOR FOLLOWING THIS COURSE
WAAROM HIERDIE BEURS AAN U TOEGEKEN MOET WORD AND WHY THIS BURSARY SHOULD BE AWARDED TO YOU
 STUDENTE NOMMER
STUDENT NUMBER
AFDELING E
INLEIDING EN AGTERGROND VAN DIE BEURSFONDS
Prof. Hayman Russel Botman, rektor en vise-kanselier
van die Universiteit Stellenbosch 2007 tot 2014, het
die Russel Botman-Beursfonds (RBBF) ter viering van
sy sestigste verjaardag op 18 Oktober 2013 gestig.
Gaste van die vieringsonthaal, sowel as gaste en
sprekers van die simposium, Denkleierskap in Teologie
en die openbare lewe van Prof H Russel Botman, deur
die Fakulteit Teologie, Universiteit Stellenbosch gereël,
het tot die stigting van die RBBF bygedra.
KRITERIA VIR DIE TOEKENNING VAN DIE BEURS
Die volgende kriteria, in geen orde van voorkeur, sal
oorweeg word in die toekenning van beurse:
• Finansiële behoeftigheid, hetsy befondsing benodig
word vir die geheel of ‘n gedeelte van die studie
behoeftes vir ‘n akademiese jaar;
• Akademiese meriete;
• Prestasies op die volgende gebiede: Leierskap en
gemeenskapsbetrokkenheid;
• Suid- Afrikaanse Burgerskap
AFDELING F
VERKLARING DEUR DIE APPLIKANT & OUER/VOOG
OUER/VOOG MOET SLEGS TEKEN INDIEN STUDENT JONGER AS 18
JAAR OUD IS
Hiermee verklaar ek dat die inligting hierin verskaf,
waar en korrek is en aanvaar ek hiermee
onvoorwaardelik deur my handtekening hieronder die
terme en voorwaardes van toepassing op die beurs van
tyd tot tyd aan my toegeken deur die RUSSEL BOTMAN
BEURSFONDS.
------------------------------------------ ----------------------------
HANDTEKENING VAN APPLIKANT DATUM
------------------------------------------ -----------------------------
HANDTEKENING VAN OUER/VOOG DATUM
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Handtekening van Getuie Datum
SECTION E
INTRODUCTION AND BACKGROUND OF THE BURSARY FUND
Prof Hayman Russel Botman, rector and vice-chancellor
of Stellenbosch University from 2007 to 2014,
established the Russel Botman Bursary Fund (RBBF) in
celebration of his sixtieth birthday on 18 October 2013.
Guests at the celebratory reception, as well as guests
and speakers at the symposium on Thought leadership
in theology and the public life of Prof H Russel Botman,
organised by the Faculty of Theology, Stellenbosch
University, contributed to the foundation of the RBBF.
CRITERIA FOR ALLOCATION OF THE BURSARY
The following criteria, in no order of preference, will be
considered in the allocation of bursaries:
• Financial need, whether in respect of all or part of
the study needs for an academic year;
• Academic merits; and
• Achievements in the following sectors: leadership
and community involvement;
• South African Citizenship
SECTION F
DECLARATION BY APPLICANT & PARENT/GUARDIAN
PARENT/GUARDIAN IS ONLY REQUIRED TO SIGN IF THE STUDENT IS
YOUNGER THAN 18 YEARS OLD
I herewith declare that the information herein is true and
correct and hereby unconditionally accept by my
signature hereunder the terms and conditions applicable
to any bursary allocated to me from time to time by the
RUSSEL BOTMAN BURSARY FUND.
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SIGNATURE OF APPLICANT DATE
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SIGNATURE OF PARENT/GUARDIAN DATE
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SIGNATURE OF WITNESS DATE