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Application For Re-Admission: Faculty Stamp

This document is an application for re-admission to a university academic program. It requests personal information from the applicant such as name, ID number, gender, contact details, as well as academic details like student number, qualification and field of study. It specifies the type of enrollment and campus preferred. It includes a declaration by the applicant confirming the accuracy of the information provided. The reverse side lists important instructions, requiring certified copies of documents such as ID, senior certificate or previous academic records depending on if the applicant is a pre-diploma or post-diploma student. It emphasizes notifying the university of any changes to contact details.

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Ayändämäntombäzäne Msïzä
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56 views2 pages

Application For Re-Admission: Faculty Stamp

This document is an application for re-admission to a university academic program. It requests personal information from the applicant such as name, ID number, gender, contact details, as well as academic details like student number, qualification and field of study. It specifies the type of enrollment and campus preferred. It includes a declaration by the applicant confirming the accuracy of the information provided. The reverse side lists important instructions, requiring certified copies of documents such as ID, senior certificate or previous academic records depending on if the applicant is a pre-diploma or post-diploma student. It emphasizes notifying the university of any changes to contact details.

Uploaded by

Ayändämäntombäzäne Msïzä
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FOR RE-ADMISSION

ACADEMIC YEAR
2 0

STUDENT NUMBER QUALIFICATION


CODE
QUALIFICATION NAME FIELD OF STUDY

SURNAME INITIALS

FIRST NAMES AS PER ID BOOK

DATE OF BIRTH

ID NUMBER

GENDER

CELL NUMBER

EMAIL

CORRESPONDENCE ADDRESS
………………………………………………………………………………………………………………………………………………………………………..

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

………………………………………………………………………………………………………………………………………………………………………..
TYPE OF ENROLMENT YEAR SEMESTER

CAMPUS (subject to availability) Vanderbijlpark Science and Technology Park


MAIN ACTIVITY IN THE YEAR/SEMESTER PRECEDING PLANNED STUDY:

Student Labour Force


IF STUDENT, STATE NAME OF
INSTITUTION

I declare that all the information provided (including attachments as requested in Point 2 on the reverse side) is complete and correct.
I understand that any false information supplied would disqualify my application.

…………................................ …………………………………………
SIGNATURE OF STUDENT DATE

FOR OFFICE USE ONLY


Please mark the appropriate blocks with an X

PERIOD OF STUDY 1 2 3 4 5 APPROVED NOT APPROVED

REMARKS: ______________________________________________________________

____________________________________________________________________________ FACULTY
STAMP
NAME OF HOD: ______________________________________________________________

SIGNATURE: ______________________________________________________________

DATE: ______________________________________________________________

1
IMPORTANT INSTRUCTIONS AND GENERAL INFORMATION

1. CAMPUS SELECTION

Confirm beforehand whether the course of your choice is offered at the campus
concerned.

Please take note that your application will be considered for one campus only.

2. DOCUMENTS

NO application form will be accepted without CERTIFIED COPIES of the following


compulsory documents:

2.1 Pre-diploma applicants –

➢ Senior certificate or equivalent qualification;


➢ Identity document;
➢ Certificate of conduct (if previously enrolled at another tertiary institution); and
➢ An academic record of studies (if previously enrolled at another tertiary institution);
and
➢ Financial statement of the relevant tertiary institution, not more than three months
old.

2.2 Post-diploma applicants –

➢ Confirmation letter and/or proof that you have complied with all the requirements for
a diploma/degree (copy and/or statement results is not acceptable).

3. GENERAL INFORMATION

The Vaal University of Technology should be notified immediately of any changes of


contact/personal details.
Ensure that your student number appears on all correspondence to the University.

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