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    Department of Correctional Services External Bursary Application Form 2022 Academic Year

    Uploaded by

    Tandolwethu Mali
    This document is an application form for an external bursary from the Department of Correctional Services for the 2022 academic year. It requests personal details from applicants, including identity number, address, contact information, and disability status if applicable. It also asks for course details like the qualification sought, institution attended or to be attended, admission requirements, period of study, subjects, and any previous bursaries received. Applicants must attach documents like ID copies, academic records, course fees, and acceptance letters. The form concludes with references, a declaration of truth, and places for signatures and dates.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Department of Correctional Services External Bursary Application Form 2022 Academic Year

    Uploaded by

    Tandolwethu Mali
    59 views3 pages
    This document is an application form for an external bursary from the Department of Correctional Services for the 2022 academic year. It requests personal details from applicants, including identity number, address, contact information, and disability status if applicable. It also asks for course details like the qualification sought, institution attended or to be attended, admission requirements, period of study, subjects, and any previous bursaries received. Applicants must attach documents like ID copies, academic records, course fees, and acceptance letters. The form concludes with references, a declaration of truth, and places for signatures and dates.

    Original Title

    ANNEXURE-G5-2022-APPLICATION-FORM

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    © © All Rights Reserved

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    This document is an application form for an external bursary from the Department of Correctional Services for the 2022 academic year. It requests personal details from applicants, including identity number, address, contact information, and disability status if applicable. It also asks for course details like the qualification sought, institution attended or to be attended, admission requirements, period of study, subjects, and any previous bursaries received. Applicants must attach documents like ID copies, academic records, course fees, and acceptance letters. The form concludes with references, a declaration of truth, and places for signatures and dates.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    59 views3 pages

    Department of Correctional Services External Bursary Application Form 2022 Academic Year

    Uploaded by

    Tandolwethu Mali
    This document is an application form for an external bursary from the Department of Correctional Services for the 2022 academic year. It requests personal details from applicants, including identity number, address, contact information, and disability status if applicable. It also asks for course details like the qualification sought, institution attended or to be attended, admission requirements, period of study, subjects, and any previous bursaries received. Applicants must attach documents like ID copies, academic records, course fees, and acceptance letters. The form concludes with references, a declaration of truth, and places for signatures and dates.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    ANNEXURE G5

    DEPARTMENT OF CORRECTIONAL SERVICES


    EXTERNAL BURSARY APPLICATION FORM
    2022 ACADEMIC YEAR

    This form will be considered as incomplete and will be eliminated if the following documents are not attached
    to this application:

     Certified copy of ID
     Certified copy of matric
     Course fee outline/quotation
     Acceptance Letter

    A. PERSONAL DETAILS:

    1. Identity number: …………………………………….. 2. Date of birth: ………………………….

    3. Title: …………………………………………………     4. Gender: M F

    5. Surname ……………………………………………. 6. Race: Black White Coloured Indian

    7. Full names: ……………………………………………………………………………………………….

    8. Disabled/Not disabled: If disabled, state the nature of disability…………………………………………

    9. Physical Address:

    ……………………………………………………………………………………………………………

    ……………………………………………………………….. Postal Code ……………………………

    10. Postal Address:

    ……………………………………………………………………………………………………………

    ……………………………………………………………….. Postal Code ……………….

    11. Region/(Province) : …………………………………..

    12. Telephone no: ……………………………..

    Cell phone no: …………………………….. : E-mail address:…………………………………………

    13. Next of kin:

    Name: ………………………………………………………………………… Relation: …………………………..

    Contact telephone numbers (H): ……………………………………………………………………………


    (Cell) ………………………………………………………………………….

    Residential Address…………………………………………………………………………………………………………
    …………………………………………………………………………………………………………………………………

    14. If employed, name and address of employer: …………………………………………………………

    …………………………………………………………………………………………………………
    B. COURSE DETAILS

    1. Which qualification is this application for? ………………………………………………………………………………….

    2. At which education institution are you enrolled /going to enroll? ………………………………………………..………..

    2.1 Do you comply with the admission requirements: YES / NO


    ( If full-time studies please attach acceptance letter or proof of application for acceptance for both accommodation and
    tuition)

    3. Minimum period (if not commenced with studies yet) /remaining period of studies? ……………………………………….

    4. In which academic year are you now? ………………………………………..


    (attach results of previous years)

    5. Type of tuition (Proof from the tertiary institution, confirming that the qualification/course is only offered on a full-time
    basis, needs to be attached)

    Part-time Full-time

    6. Which subjects will be your major/s?

    ……………………………………………… …………………..……………………………………….

    ……………………………………………… …………………..……………………………………….

    7. What is your highest qualification at present?........................................................................................................................

    8. Are / were you a recipient of a bursary YES / NO


    If yes, please complete:

    a) Study field…………………………………………………………………………………………….
    b) Bursary granted by: …………………………………………………………………………………..
    c) Bursary period: ……………………………………………………………………………………….
    d) Nature of obligations: …………………………………………………………………………………
    e) Have you fulfilled the obligations: …………………………………………………………………….

    9. Give your motivation why you want to do this course, what is the direct link of this
    Qualification/course of study to your personal development plan?

    ……………………………………………………………………………………………………………………………..

    …………………………………………………………………………………………………………………………….

    2
    C. DECLARATION BY APPLICANT

    I ……………………………………………………………………ID NO:……………………………………..

    HEREBY DECLARE THAT THE INFORMATION GIVEN BY ME ABOVE IS TRUE AND BINDING TO MY
    CONSCIENCE.

    …………………………………………. …………………………….                                                  ………………….. …


    Name in Bold Signature                                                 Date
    D. REFERENCES:

    Reference 1:

    Full name: ………………………………………………………… Id Nr: ……………………………………………….

    Relationship: ………………………………………………………….

    Contact Details:

    Work: ……………………………….. Home: ………………………….. Cell: ………………

    E-mail: ………………………………………………………………………

    Reference 2:

    Full name: ………………………………………………………… Id Nr: ……………………………………………….

    Relationship: …………………………………………………….

    Contact Details:

    Work: ……………………………….. Home: ………………………….. Cell: ………………

    E-mail: ………………………………………………………………………

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