2024 – DIPPENAAR (EMS students only)

STUDENTENOMMER (8-syfer)
STUDENT NUMBER (8-digit)

DIPPENAAR FAMILIETRUST-BEURS
DIPPENAAR FAMILY TRUST BURSARY
Alle inligting word streng vertroulik hanteer - All information is treated as strictly confidential
Sluitingsdatum 30 SEPTEMBER 2023 I Closing date 30 SEPTEMBER 2023
Wie kwalifiseer? Who qualifies?
• Voorgraadse studente in the Fakulteit Ekonomiese en • Undergraduate students in the Faculty of Economic and
Bestuurswetenskappe met ‘n gemiddeld van 60% en hoer Management Sciences, with an average of 60% and above
• Diegene wie se gesamentlike huishoudelike inkomste minder • Those whose combined household income is less than R800
as R800 000 per jaar is 000 per year
• Die bedrag van die beurs word bepaal deur ‘n keuringspaneel • The amount of any bursary is decided by a selection panel,
wat finansiële behoefte in ag neem asook akademiese observing financial need and academic potential
potensiaal

PERSOONLIKE INLIGTING VAN APPLIKANT I PERSONAL INFORMATION OF APPLICANT

VAN VOLLE NAME
SURNAME FIRST NAMES
GEBOORTEDATUM ID NOMMER
DATE OF BIRTH ID NUMBER
SELFOONNOMMER STUDIEJAAR IN 2024
CELL PHONE NUMBER YEAR OF STUDY IN 2024
HUIDIGE GRAADKURSUS JUNIE GEMIDDLED 2023
CURRENT DEGREE JUNE AVERAGE 2023
E-POSADRES
EMAIL ADDRESS
HUISADRES
HOME ADDRESS
ADRES TUIDENS STUDIE
ADDRESS WHILE STUDYING
BESONDERHEDE VAN ANDER BEURSE (hierdie beurs uitgesluit): I DETAILS OF OTHER BURSARIES (this bursary excluded):
LENINGS INRIGTING JAARLIKS BESKIKBAAR JA NEE
LOANS R INSTITUTION AVAILABLE ANNUALLY YES NO
BEURS NAAM JAARLIKS BESKIKBAAR JA NEE
BURSAIRES R NAME AVAILABLE ANNUALLY YES NO
ALTERNATIEWE OPSIES BESKIKBAAR (bv, banklening deur ouer)
ALTERNATIVE OPTIONS AVAILABLE (eg, bank loan by parent)

GESINSINKOMSTE I FAMILY INCOME

INFORMASIE VAN VOORLETTERS VAN BEROEP BRUTO INKOMSTE p/m
INFORMATION OF INITIALS SURNAME OCCUPATION GROSS INCOME p/m
VADER
FATHER
MOEDER
MOTHER
VOOG
LEGAL GUARDIAN
U INKOMSTE
YOUR INCOME
GADE
SPOUSE
 2024 – DIPPENAAR (EMS students only)

STUDENTENOMMER (8-syfer)
STUDENT NUMBER (8-digit)

GESINSLEDE AFHANKLIK VAN INKOMSTE VOLWASSENSES TERSIêR SKOOL VOORSKOOL

FAMILY MEMBERS DEPENDANT ON INCOME ADULTS TERTIARY SCHOOL PRE-SCHOOL
NAAM / NAME SKOOL / SCHOOL BEDRAG / AMOUNT UNIVERSITEIT / UNIVERSITY BEDRAG / AMOUNT

R R

R R

R R

R R

R R

BYKOMENDE INKLIGTING I ADDITIONAL INFORMATION

Leierskap en gemeenskapsbetrokkenheid I Leadership and community involvement

Besonderhede van deelname in sport I Details of participation in sport

Stokperdjies en ander belange I Hobbies and other interests

Besonderhede van deelname aan kultuuraktiwiteite I Details of participation in cultural activities

Planne vir die toekoms I Plans for the future

 2024 – DIPPENAAR (EMS students only)

STUDENTENOMMER (8-syfer)
STUDENT NUMBER (8-digit)

MOTIVEER u rede om hierdie studierigting te volg en waarom heirdie beurs aan u

toegeken moet word I MOTIVATE your reason for following this course and why this
bursary should be awarded to you
 2024 – DIPPENAAR (EMS students only)

STUDENTENOMMER (8-syfer)
STUDENT NUMBER (8-digit)
 2024 – DIPPENAAR (EMS students only)

STUDENTENOMMER (8-syfer)
STUDENT NUMBER (8-digit)

ENIGE ANDER INLIGTING wat u wil verstrek ter motivering van u aansoek vir finansiële ondersteuning I
ANY OTHER INFORMATION that you want to provide to motivate your application for financial asisstance

HOE OM TE BEGROOT VIR MY STUDIES I HOW TO BUDGET FOR MY STUDY COSTS

INKOMSTE I INCOME RAND UITGAWES I EXPENSES RAND
BEURSE KLASGELD
BURSARIES TUITION
LENINGS LOSIES
LOANS ACCOMMODATION
OUERS SE BYDRAE ETES
CONTRIBUTION FROM PARENTS MEALS
ANDER BOEKE
OTHER BOOKS
SAKGELD
POCKET MONEY
ANDER
OTHER

TOTAL INKOMSTE TOTAL UITGAWES

TOTAL INCOME TOTAL EXPENSES
SURPLUS INKOMSTE/TEKORT
SURPLIS INCOME/DEFICIT

Hiermee verklaar ek dat die inligting wat verskaf is, is korrek.

I hereby declare that the information provided is correct.

___________________________________________________ _____________________________________
HANDTEKENING VAN APPLIKANT I SIGNATURE OF APPLICANT DATUM I DATE

___________________________________________________ _____________________________________
HANDTEKENING VAN OUER/VOOG I SIGNATURE OF PARENT/GUARDIAN DATUM I DATE