Professional Documents
Culture Documents
Please glue a
passport size
photo here
(Head &
shoulders)
) Information systems
) Computer science
( ) Electronic or electrical engineering
(Light current only)
( ) Computer engineering
(
(
Personal Details
Male
Female
Surname: .....................................................................................................................................................................................
Other names in full: .....................................................................................................................................................................
1.
2.
Name of the proposed university: (If not yet at University / University of technology)
..................................................................................................................................................................................................................................................................................
3.
Postal code:........................................................................................................
School telephone no: .............................................................................
Dialling code:......................................................................
5.
6.
7.
Occupation: ..............................................................................................
Mother: ....................................................................................................
Occupation: ..............................................................................................
8.
9.
10.
11.
Marital status
( ) Single
( ) Married
12.
SA citizen
( ) Yes or
( ) Permanent resident
13.
( ) Yes
) No
..................................................................................................................................................................................................................................................................................
..................................................................................................................................................................................................................................................................................
14.
Have you been convicted of any crime/crimes? If yes, please state which crimes you have been convicted of:
..................................................................................................................................................................................................................................................................................
..................................................................................................................................................................................................................................................................................
B.
Education
1.
Name of school
Dates attended
Standards completed
Please give grade 11 and 12 results: Add additional subjects not listed
Subject
Achievement level
Grade 11
English
Mathematics
( ) Yes
( ) No
3.
HG / SG
Symbol
Subject
HG / SG
Symbol
If you are repeating some of your Matric examinations, please complete the following:
Name of centre / school you are attending: ...................................................................................................................................................................................
Examination date: ...........................................................................................................................................................................................................................
Subject
Achievement level
Achievement level
Symbol
( ) Yes
() No
If yes, please give details of course you are studying at present and qualifications (if any) obtained:
..................................................................................................................................................................................................................................................................................
..................................................................................................................................................................................................................................................................................
5.
) Yes
( ) No
* Please attach your full academic record to date or your application will not be considered
C.
Achievements
1.
Give details of all your activities at school and university or in the community, and your role in them: eg. Leadership, sport,
cultural, etc. (Please include all details as we use this information for your interview CV for company bursary interviews)
2.
3.
Give details of any activity (academic or otherwise) in which you have done well either at school and/or university,
and have maybe achieved awards: (Please attach a separate sheet of paper if this space is not sufficient)
( ) Yes
( ) No
Career
1.
2.
4.
Type of work
To
Write a brief statement setting out clearly why you have chosen this degree and how you intend to use it after graduation:
Please note that if you have not received feedback from us by 30 November note that your application was unsuccessful