UNIVERSITY of the WESTERN CAPE

DEPARTMENT of PSYCHOLOGY
FACULTY OF COMMUNITY HEALTH SCIENCES
Private Bag X 17, Bellville 7535, South Africa,
Telephone: +27 21 959 2453/2283 (Administrators)
Fax: +27 21 959 3515

B.A. HONOURS PSYCHOLOGY

DEPARTMENTAL APPLICATION FORM (DAF) 2022

Closing date: 30 September 2021 @ 16h00

✔

Correspondence should be addressed to:

psych-honours@uwc.ac.za

Please fill in the details below

UWC APPLICATION NUMBER

(NB: assigned via the UWC online application) 22ZI12035S
Do you intend to study (please tick √) Full-time (8753)
✔
Part-time (8751)

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ADMISSION REQUIREMENTS AND PROCEDURES

NB: Before completing this application, ensure that you have read the following
documents available on the UWC Psychology Webpage
v   UWC Psychology Honours Prospectus 2022
v   Frequently Asked Questions
v   How to Become a Psychologist

1.   ONLY students who have obtained a minimum average mark of 65% in

Psychology 3 modules, are eligible to apply for admission to the BA Honours in
Psychology programme.
2.   The closing date for Honours 2022 applications is 30 September 2021 @
16h00. NO LATE or INCOMPLETE applications will be considered.
3.   Below is a COMPULSORY checklist of forms to be completed, as well as the
process that needs to be followed when applying.

A)   Applicants currently enrolled at UWC, from other Universities, or UWC alumni

•   Complete an online application for the 2022 academic year:
https://www.uwc.ac.za/Students/Admin/Pages/Online-Applications.aspx.
•   Use the codes 8753 (full-time), OR 8751 (part-time) programmes.
•   AND Complete THIS form (Departmental Application Form – DAF)
•   Obtain and attach a full academic transcript to the DAF.
•   The completed application will include: (1) DAF, and (2) Academic Transcript(s),
pdf as one document. Send to psych-honours@uwc.ac.za with the subject heading:
“Honours Application for 2022 (Insert Application Number)”

B)   International/ Foreign-trained applicants

•   Obtain a SAQA evaluation (to be attached to completed application).
•   Apply for relevant student visa or amended work permit.
•   Obtain certified English translations of all transcripts.
•   Obtain quotes for required medical or healthcare insurance.
•   Complete an online application for the 2022 academic year:
https://www.uwc.ac.za/Students/Admin/Pages/Online-Applications.aspx.
•   Use the codes 8753 (full-time), OR 8751 (part-time) programmes.
•   Complete THIS form (Departmental Application Form – DAF)
•   Obtain and attach a full academic transcript to the DAF
•   The completed application will include: (1) DAF, (2) Academic Transcript(s), (3)
additional documents, pdf as one document. Send to psych-honours@uwc.ac.za
with the subject heading: “Honours Application for 2022 (Insert Application
Number)”

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 NB: Failure to submit the completed Psychology DAF and supporting
documentation will be construed as an incomplete application.
NO proposals are required for Honours applications.

4.   The Selection panel will only consider complete applications with all the
necessary documentation. Successful candidates will be selected provisionally
subject to compliance with all administrative requirements and submission of
final results for candidates currently enrolled in their third year of study.
 

5.   Only register for the degree programme once you have received final, written
confirmation of acceptance into the programme.
 
 
 

APPLICANT DEMOGRAPHIC INFORMATION

Surname ZITHA
First Names SIYABONGA SHADRACK
Date of birth (DD/MM/YYYY) 09/06/1999
Ethnicity/ Race BLACK
(required for equity targets and legislative
reporting)

Gender MALE
Disability (Y/N) N
Institutions attended University of KwaZulu-Natal
E-mail address cyabongazitha@gmail.com
Contact no: Home 0763436669
Contact no: Cell 0822919806
Contact no: Work N/A
How do you plan to fund studies? Bursaries
Physical / Postal Address: P. O BOX 82383
EMPANGENI

Postal Code: 3880

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 ACADEMIC HISTORY

v   List ALL your Psychology 1, Psychology 2, and Psychology 3 modules with the
final percentage obtained.
v   Provide your final academic transcript to the Psychology Department as soon as
your final results become available.
 
Module Code Name of Module Mark (%) Year Institution
PSYC101 Introduction to Psychology A 50 2019 UKZN
PSYC102 Introduction to Psychology B 54 2018 UKZN
PSYC201 Introduction to Research 59 2019 UKZN
PSYC202 Social Psychology 56 2019 UKZN
PSYC203 Developmental Psychology 61 2019 UKZN
PSYC341 Psychopathology 53 2020 UKZN
PSYC342 Counseling and Psychotherapy 58 2020 UKZN
PSYC301 Measurement, Experiment & Observations 91 2020 UKZN
PSYC322 Neuropsychology 85 2020 UKZN

v   Please provide your academic averages for ONLY Psychology 3 modules below.
v   IMPORTANT: If your Psych 3 final year marks are not available at the time of your
application, only state your mid-year (i.e June/July examination marks) for Psych 3.
v   To calculate your average for Psychology 3, add the SUM of all your Psychology
modules and then DIVIDE by the number of Psychology modules.
v   If you repeated Psych 3 modules, for non-degree purposes, calculate your average
using the most recent Psych 3 results.

Average (%) Year Institution

Psychology 3 71.75 2020 University of KwaZulu-Natal

Academic and Professional Qualifications

Qualification (e.g. BA degree) Institution Year obtained

     
  BA DEGREE  
University of KwaZulu-Natal   2021
     
     
     
     

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 OCCUPATIONAL EXPERIENCE
(Give details of your position, the type of work, whether full or part-time, etc.)

Year Position/Type of work

 
 
COMMUNITY INVOLVEMENT OR EXPERIENCE
(Briefly provide details of any community work that you have engaged in)
 
 
When I was in primary and high school I have been in learners groups which were
 
monitored by teachers which were Soul Buddies and Scouts. Theses programs mainly were
about
  preserving nature and cleaning the community around and also did gardens in our
community.
 
 

REFEREES

•   List the names and contact details of TWO referees (at least one academic),
who could be asked by the selection panel, to report on your suitability for
postgraduate training in Psychology.
•   Referees cannot be significant others (e.g. NO family, friends or partners).
•   Notify your referees that they may be contacted at the discretion of the
Psychology Department.
 
 

REFEREE 1 REFEREE 2
Title Mr Miss
Name Vusumuzi Johannes Hlatshwayo Zininzi Anele Bomoyi
Email address vjhlatshwayovh.2@gmail.com BomoyiZ@ukzn.ac.za
Telephone 0792891222 0332605549
In which capacity are
you known to them? Teacher & Principal Lecturer
How long are you
known to them? Above 8 years From last year
 

SSZitha
 

01/09/2021
SIGNATURE OF APPLICANT: ______________________________ DATE: ______________  

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