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2020 Readmission Application Form

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0% found this document useful (0 votes)
10 views10 pages

2020 Readmission Application Form

Uploaded by

sphumeleleanna
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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UKUFAKWA KWESICELO SOKUFUNDELA

IZIQU ZOKUQALA/
APPLICATION FOR ADMISSION
(Local)

Qaphela: Izicelo ezigcwalisiwe kumele zidlulisekwe eHhovisi Lezicel Nu noLwazi ku:/


Note: Completed applications for all campuses must be forwarded to the Applications and Information Office at:

Ikheli Leposi/Postal Address Ikheli Lendawo/Physical Address


University of KwaZulu-Natal University of KwaZulu-Natal
Applications and Information Office Applications and Information Office
Durban Shepstone Building Level 4
4041 Howard College Campus
King George V Ave/Mazisi Kunene Rd
Glenwood
Durban

OKWEHHOVISI KUPHELA/FOR OFFICE USE ONLY:


NAME: –––––––––––––––––––––––––––––––––––––––––––––––––––––––

STUDENT NO:

DEGREE/DIPLOMA: –––––––––––––––––––––––––––––––––––––––––––

LOCAL:

INTERNATIONAL:
Please read these notes before completing the attached application form
1. The non-refundable application fee or proof of payment MUST accompany this application form. Application fees sent by post should be paid by
cheque or postal order, not cash. Please ensure that cheques or postal orders are made out to the University of KwaZulu-Natal.
International and local applicants: Application fees can be paid by electronic transfer/bank deposit. The banking details are as follows:
Name: UKZN Main Bank: Standard Bank
Acc. No: 05 308 0998 Branch: Westville
Branch Code: 045426 Reference: F001 11402 with applicant’s full name
Type of Account: Business Current Account
2. The application form MUST be completed as fully and as accurately as possible to avoid delay in processing. Use names appearing on
the identity document when completing this form.
3. The University of KwaZulu-Natal is an English medium university. International students from non-English speaking countries must provide proof
of English proficiency. Please refer to the Undergraduate Prospectus for further information.
4. Applicants whose previous degrees were obtained at a university other than University of KwaZulu-Natal must submit certified copies of their
previous degree certificates with their application.
5. If you have attended another university please submit a full academic record or you must arrange for the Registrar of that University to
submit a full academic record for all years of study and a certificate of conduct to the University of KwaZulu-Natal.

Entrance Requirements: Needing Assistance:


Legal entrance requirements: If you need assistance in selecting programmes, choosing your
The NSC for degree admission or Secior Certificate with matriculation exemp- majors, career or personal guidance, or testing you can contact a
tion (or equivalent) is required for admission to degree studies in South Africa. counsellor at one of our Student Support Services:
College entrance requirements: Howard College – Tel: +27 (0)31 260 2668/2669
In addition to the legal entrance requirements, South African applicants should Pietermaritzburg – Tel: +27 (0)33 260 5233
meet the minimum points for specific programmes. All applicants should meet Westville – Tel: +27 (0)31 260 7337/7751
subject requirements and levels of performance for admission to certain pro-
Edgewood – Tel: +27 (0)31 260 3653
grammes. Also note that the number of applications received by far outnumber
the spaces available at University. Therefore, meeting the minimum requirements
for application does not g­ uarantee admission to the University.

Financial Aid Queries:


Closing dates and Application Fees: Agriculture, Engineering and Science –
Tel: +27 (0)31 260 7705/7064
A. Undergraduate Applications Closing Applic. Fee +27 (0)33 260 5195/6145
1. South African Applications – Semester 1 Health Science – Tel: +27 (0)31 260 2912/4359/7889
1.1 Medicine (no late applications accepted) 30 June R200 Humanities – Tel: +27 (0)31 260 3258
1.2 All other programmes 30 Sept +27 (0)33 260 5758
1.3 Late applications for 1.2 (excluding Health Law and Management – Tel: +27 (0)31 260 7912/1106
Sciences) R400 +27 (0)33 260 5837
2.1 For semester 2 (Aug – Dec) 30 Apr of R200

Students with Disabilities: Residence Queries:


Please contact the Co-ordinator at the Student Counselling For all residence queries please phone the relevant campus:
Centre for information on services, equipment and support avail- Edgewood – Tel: +27 (0)31 260 3611
able to students. Howard College – Tel: +27 (0)31 260 2282
Medical School – Tel: +27 (0)31 260 2282
Howard College – Tel: +27 (0)31 260 3070/3140
Pietermaritzburg – Tel: +27 (0)33 260 6226
Pietermaritzburg – Tel: +27 (0)33 260 5213/5233 Westville – Tel: +27 (0)31 260 8070
Westville – Tel: +27 (0)31 260 7706/7888
Edgewood – Tel: +27 (0)31 260 3665

2
Sicela ufunde leziziqondiso ngaphambi kokuthi ugcwalise ifomu lokufaka isicelo:
1. Leli fomu kumele lihambe kanye nemali yokufaka isicelo engabuyeli emuva noma sicela ulithumele nobufakazi ukuthi usuyikhokhile imali yokufaka isice-
lo. Imali yokufaka isicelo ethunyelwe ngeposi kumele ikhokhwe ngesheke noma nge-postal order hhayi ukheshi. Sicela uqinisekise ukuthi amasheke
noma ama-postal order enziwa aqondiswe ngqo kwi-Nyuvesi yaKwaZulu-Natali. Izimali zokufaka isicelo zingakhokhwa ngeposi noma uyifake
ebhange qobo. Imininingwane yase bhange imi kanje:
Igama: UKZN qobo Ibhange: Standard Bank
Inombolo ye-akhawunti: 05 3080998 iGatsha: Westville
Ikhodi yegatsha: 045426 Ubufakazi: F001 11402 namagama agcwele wofaka isicelo
Uhlobo lwe-akhawunti: Business Current Account
2. Ifomu lokufaka isicelo kumele ligcwaliswe ngokugcwele futhi ngokucophelela ukuze kungathathi isikhathi eside ukuhlungwa kwesicelo sakho.
Sebenzisa amagama akumazisi wakho ngesikhathi ugcwalisa leli fomu.
3. The University of KwaZulu-Natal is an English medium university. International students from non-English speaking countries must provide proof
of English proficiency. Please refer to the Undergraduate Prospectus for further information.
4. Izicelo zalabo abaneziqu abazithola kwamanye amanyuvesi kuzomele zithunyelwe kanye namakhophi agunyaziwe ezitifiketi zabo ezedlule. Kulabo
abafake izicelo abavela emazweni angaphandle lapho isiNgisi singasetshenziswa khona?: sicela amakhophi ahunyushiwe lapho kudingeka khona.
5. Uma sewake wafunda kwenye iNyuvesi sicela uthumele imiphumela yezifundo zakho, noma uhlele no-Mbhalisi wakuleyo nyuvesi ukuba athume-
lele iNyuvesi yaKwaZulu-Natali imiphumela yakho yezifundo ephelele yeminyaka yonke owayifunda khona kanye nesitifiketi sakho sokuziphatha

Imibandela yokungena: Usizo:


Uma udinga usizo ekukhetheni uhlelo lwezifundo nokukhetha
Okudingeka ngokusemthethweni kokungena:
izifundo zakho ezimqoka kakhulu, imikhakha noma ukwelulekwa
Isitifiketi sikaMatikuletsheni (NSC) esisezingeni elikugunyazayo ukuthi ungenza izifu-
ndo zeziqu eNingizimu Afrika. okuqondene nawe-ngqo, noma ukuhlolwa, ungaxhumana noMe-
luleki kwezinye zalezi zikhungo zokweluleka abafundi:
Okudingekayo kokungena eKolishi:
Ngaphezu kwalokhu okusemthethweni okudingekayo kokungena, labo abafaka izicelo base eHoward College – Ucingo: +27 (0)31 260 2668/2669
Ningizimu Afrika kumele bahlangabezane okungenani namaphuzu ezinhlelo eziqondene- ePietermaritzburg – Ucingo: +27 (0)33 260 5233
ngqo. Bonke labo abafake izicelo kumele bahlangabezane nalokhu okudingekayo kwezi- eWestville – Ucingo: +27 (0)31 260 7337/7751
fundo kanye namazinga athile adingekayo kulezo zinhlelo. Qaphela futhi ukuthi umthamo
wesibalo sezicelo ezitholwa iNyuvesi seve kakhulu kunezikhala ezikhona zokufunda
eNyuvesi, ngalokho-ke, ukuhlangabezana nalokhu okudingakalayo akuqinisekisi neze ukwa-
mukelwa eNyuvesi.

Imibuzo ngosizo lwezimali:


eZolimo, ubuNjiniyela kanye neSayensi –
Izinsuku zokuvala kanye nezimali zokufaka isicelo: Ucingo: +27 (0)31 260 7064
+27 (0)33 260 6145
A. Izicelo zalabo abangenaziqu Ukuvala Imali yesicelo
iSayensi yezeMpilo – Ucingo: +27 (0)31 260 2912/4359/7889
1. Izicelo zabase Ningizimu Afrika ezoBuntu – Ucingo: +27 (0)31 260 3258
1.1 Ubudokotela (azivunyelwe izicelo ezizofika +27 (0)33 260 5758
sezidlulelwe Isikhathi) 30 Juni R200 ezoMthetho kanye nokuPhatha – Ucingo: +27 (0)31 260 7839/
1.2 Zonke ezinye izinhlelo 30 Sept R200 1106/+27 (0)33 260 5757
1.3 Izicelo esezidlulelwe isikhathi ku 1.2
(singabali abe Sayensi yezeMpilo) R400
2.1 iSimesta-2 (Agasti – Disemba) 30 Ephreli R200
kunyaka
ophezulu Imibuzo ngezindawo zokuhlala:
Ngemibuzo maqondana nezindawo zonke zokuhlala sicela uthin-
tane namakhempasi aqondene-ngqo:
Abafundi abanokukhubazeka: eEdgewood –
eHoward College –
Ucingo: +27 (0)31 260 3611
Ucingo: +27 (0)31 260 2282
Sicela uthintane no Mxhumanisi weSikhungo Sokweluleka eMedical School – Ucingo: +27 (0)31 260 2282
Abafundi – ngolunye ulwazi maqondana nesikwenzayo, esinakho ePietermaritzburg – Ucingo: +27 (0)33 260 6226
kanye nokweseka abafundi okukhona. eWestville – Ucingo: +27 (0)31 260 8070
eHoward College – Ucingo: +27 (0)31 260 3070/3140
ePietermaritzburg – Ucingo: +27 (0)33 260 5213/5233
eWestville – Ucingo: +27 (0)31 260 7706/7888
eEdgewood – Ucingo: +27 (0)31 260 3665

3
APPLICATION FOR OFFICE USE ONLY:

Student no:

FOR App Fee Pd: R____________ Date:_______________


Receipt No:__________________________________

ADMISSION Into ITS By:________________ On:_______________

• Have you been registered as a student at University of Natal/University of Durban Westville/University of KwaZulu-Natal before? YES NO
• If yes, what was your Student No. (if available)?

1. TERM OF ENTRY AND CHOICE OF PROGRAMME/ISIKHATHI OZOQALA NGASO KANYE NOHLELO OLUKHETHAYO
Year of entry:
2 0 Entry Term: Semester: 1 2 Year of study for this degree/diploma (eg. 1st):
Degrees/Diplomas/Programmes applying for: OFFICIAL USE
Choice
Full or Approved Date
Order Campus Name of Degree/Diploma Majors part-time
1
2
3
4

Please ensure that the programme name/s are indicated.

2. PERSONAL DETAILS/IMINININGWANE YAKHO


Title: Mr Mrs Miss Ms Other________________________

Surname:_______________________________________________________________________________________________________________________

First Names:____________________________________________________________________________________________________________________

Maiden Name:___________________________________________________________________________________________________________________

ID No: (South African applicants only)

Persal number: (teachers only)


DAY MONTH YEAR

Date of Birth:

Marital Status: Married Single Divorced Widowed

Race: African Coloured Indian White Other:__________________________________ (specify)

Gender: Male Female


Home Language:_____________________________________________________________ Nationality: _____________________________

Religion (optional): _______________________________________________________________________________________________________________

3. RESIDENCY/INDAWO YOKUHLALA
• Are you a permanent resident of SA? YES NO
• If not, what is your country of permanent residence?_______________________________________________________________________________

• Passport No.:
DAY MONTH YEAR
• Expiry Date

• Residence Permit No: (if in possession)


DAY MONTH YEAR
• Expiry Date:

4
4. FINANCIAL ASSISTANCE/USIZO NGEZEZIMALI
NOT APPLICABLE TO INTERNATIONAL APPLICANTS
Do you wish to apply for financial assistance? YES NO

5. POST-SCHOOL ACTIVITIES/IZINTO OZENZILE EMUVA KOKUQEDA ISIKOLE


Present activity (Please tick)
*University student 01 Technical College student 05

Teacher’s Training College 02 Labour Force (Employed) 07

Technikon Student 03 Standard 10 pupil/Grade 12 learner 08

College of Nursing student 04 OTHER (______________________________) 09

* If university student, please state name of the last institution in section 8 on page 5 and submit academic record and certificate of good conduct:
NOTE: The code structure has been set up (by ITS) in terms of government reporting requirements.

If you are employed please complete the following:

Name of Company/Institution

Address of Company/Institution

Post Code Telephone No. (Work): Area dialling code:

Fee Account to Employer Yes No

6. ADDRESS AND CONTACT DETAILS/IKHELI KANYE NEMINININGWANE YOKUXHUMANA

Postal Address: _____________________________________________ Guardian/Parent (if under 21) or next of kin:


___________________________________________________________ Name:_________________________________________________________
___________________________________________________________ Address:_______________________________________________________
Town/City:__________________________________________________ ______________________________________________________________
Country:____________________ Postal Code: ___________________ ______________________________________________________________
_______________________________ Postal Code: __________________
Physical address: ________________________________________
______________________________________________________
Telephone Numbers:
______________________________________________________
Work: Dial code:________________ No:_________________________
Town/City:___________________________________________________
Home: Dial code:_______________ No:_________________________
Country:____________________ Postal Code: ____________________
Cell phone:_____________________________________________________
Email:_________________________________________________________
Telephone Numbers:
Cell phone:____________________________________________________ Relationship:
Work: Dial code:_______________ No:__________________________ Father Mother Spouse
Home: Dial code:______________ No:__________________________ Brother G/Parent Sister
Email address:___________________________________________
Child Guardian Other
Work/Home Fax:__________________________________________

5
7. HIGH SCHOOL DETAILS/IMINININGWANE YESIKOLE SAMABANGA APHEZULU
Year of last school leaving certificate (equivalent to Grade 12):
Name of school certificate/diploma:_________________________________________________________
Examination No:_________________________________________________________________________

Type of Matriculation Exemption already held: (Please tick one)


01 Full Exemption 07 Other Senior Certificate
03 Ordinary Conditional 08 NTC3/N3/NSC
04 Mature Age Exemption 09 Standard 10 Practical
05 Foreign Exemption 10 Other
06 Immigrants Exemption 11 Discretionary Provision (Senate exemption)

NOTE: The code structure has been set up (by ITS) in terms of government reporting requirements.

HIGH/SENIOR SCHOOL NAME YEAR Examination Authority Grades/Forms Passed


From To
1

High School subjects (International Students: state subjects of last Final grade II/‘0’ levels Trial/Mocks Grade 12 Matric or ‘A’ levels
school leaving certificate) HG/SG/O Symbol SG/HG/A Symbol SG/HG/A Symbol
1

8. PREVIOUS STUDIES/IZIFUNDO OSUKE WAZENZA NGAPHAMBILI


DEGREE/DIPLOMA/CERTIFICATE DEGREE YEARS ATTENDED
INSTITUTION NAME Complete AWARD DATE
Name From To
Yes No
1
2
3
4
5
6
7

• Student number(s) at previous institution:______________________________________________________________________________________


• Have you ever been refused entry to, expelled or excluded from another institution? YES NO
If “Yes”, provide the details: ________________________________________________________________________________________________
• Have you ever been refused entry to, expelled or excluded from a residence of any institution? YES NO
If “Yes”, provide the details:________________________________________________________________________________________________
• Do you owe fees to another institution? YES NO
If “Yes”, provide the details: ________________________________________________________________________________________________

6
9. MEDICAL INFORMATION/IMINININGWANE YEZEMPILO

9.1 DISABILITY INFORMATION/IMINININGWANE NGOKUKHUBAZEKA


The University is sensitive to the needs of students with disability, and will attempt to provide support where possible.
Do you have any disability, physical or otherwise, that might require support? YES NO If “Yes”, please indicate:
Persons with a Visual Impairment Persons with a Physical Impairment Persons with Diabetes
Blind Uses a wheelchair Persons with Epilepsy
Partially sighted Uses crutches/callipers Persons with Cerebal Palsy
Persons with a Hearing Impairment Persons with paraplegia/quadriplegia/ Persons with Intellectual/Psychiatric/
hemiplegia/post-polio paralysis Psychological Impairment
Partially deaf
Other (please specify) Persons with Medical/Chronic Ailments
Mild to moderately deaf that require support (Please specify)
Other (Please specify)
9.2 COMPULSORY FOR INTERNATIONAL APPLICANTS ONLY/KUPHOQELEKE
KULABO ABAFAKE IZICELO ABASUKA EMAZWENI ANGAPHANDLE KUPHELA
Health Insurance
I _____________________________________ (name) confirm that I will/have applied for medical cover with a medical scheme registered in terms
of the Medical Schemes Act, 1998 Act 131 of 1998.

10. RESIDENCE APPLICATION/ISICELO SENDAWO YOKUHLALA


Do you wish to apply for admission to University Residence? YES NO

If yes, which campus? Howard College Pietermaritzburg Edgewood


Medical School Westville
If you are unsuccessful in obtaining accommodation in a University Residence, where will you stay?_________________________________________

11. GENERAL INFORMATION/IMINININGWANE EJWAYELEKILE

By submitting this form you are giving UKZN permission to process and assess your personal information for any purpose connected with this
application and to verify any information contained herein.

The University is committed to maintaining your privacy at all times.

Do you wish your personal information to be kept confidential between yourself and the University? YES NO

Note: Disclosure is subject to the Promotion of Access to Information Act, Protection of Personal Information Act and other relevant laws.

Did any of your immediate family study at this University? YES NO

If yes, state relationship to you: __________________________

7
12. DECLARATION AND UNDERSTANDING
To be completed with the assistance of Parent/Guardian where applicant is not financially independent and under the age of 18 (a minor).

If my application is successful and I accept the offer of a place to study at the University of KwaZulu-Natal,
1. I undertake
1.1 To comply with the procedures, rules and regulations of the University of KwaZulu-Natal.
1.2 To inform the Registrar immediately, in writing, if I change my address.
1.3 To acquaint myself with all the rules and general regulations that relate to the degree for which I am applying.
1.4 To make alternate arrangement for accommodation should the University accept me for the degree and cannot offer me accommodation.

2. I/We hereby accept liability for the payment of all tuition fees or other fees which may be charged by the University as a result of my/his/her s­ tudies at
the University.

3. I am aware that my enrolment is valid only if it complies with the regulations of the degree concerned, notwithstanding the acceptance of this a­ pplication
by the University.

4. I/We accept the responsibility of submitting all documents required by the University before the stipulated due dates.

5. I declare

5.1 That I make this application and give the declarations and understandings with the knowledge and consent of my parent/guardian/employer.
5.2 I warrant that the information contained herein is true and correct and the University shall be entitled to declare the contract void and cancel my reg-
istration if I have made any misrepresentation or omission on this application.

Signature of Student Date Signature of Parent/Guardian Date


SURETYSHIP To be completed where applicant is not financially independent and under the age of 18 (a minor).
I, the undersigned lawful parent/guardian of the applicant, do hereby bind myself to the University of KwaZulu-Natal as surety in solidium and co-­principal debtor
with the above-named applicant for the due payment of all fees and other charges due and payable to the University of KwaZulu-Natal in terms of the relevant
applicable annual schedule of fees. The surety will operate as a continuing covering suretyship. I agree that I will not be released from liability under this surety-
ship in any c­ ircumstances whatever, except with the University of KwaZulu-Natal’s written consent and in particular, I shall not be released by reason of the fact
that the aggregate amount owed to you by the applicant may fluctuate and may at times be nil.
Please print full name of Surety/Parent/Guardian:____________________________________________________________________________________________
Identity no.:____________________________________________________________________________________________________________________________
Address:_______________________________________________________________________________________________________________________________
Which will be my domicilium citandi et executandi (permanent residential address) for all purposes under this document which means that I will accept ser-
vice of all notices, documents and legal proceedings against me. In the event of my changing this address, I agree to inform the Student Debtors Section of
the Finance Department of the University of KwaZulu-Natal of any change in my address.

Signature of Parent/Guardian Date

DISCLAIMER/ISAZISO ESINGOKOMTHETHO

1. The application form was written in English and translated 1. Leli fomu lokufaka isicelo libhalwe ngesiNgisi labuye
to an isiZulu language version of the form. Whilst we hope lahunyushelwa olimini lwesiZulu. Yize noma sinethemba
that the translation/s of the application form are accurate, in lokuthi ifomu lethu lihunyushwe kahle, uma kungaba
the event of any differences in meaning between the original nokwehlukana phakathi kokushiwo yifomu lesiNgisi
English version and a translation, the original English version nelesiZulu, kuyosetshenziswa ifomu lesiNgisi
takes precedence. njengelisemthethweni.

2. If any provision or part of a provision of this application form 2. Uma kutholakala ukuthi esinye sezimiso kuleli fomu noma
is found unlawful, void, or unenforceable, that provision or ingxenye yalo ayikho emthethweni, ayisebenzi, ayigcineki leso
part of the provision is deemed severable from the application simiso noma ingxenye yalo itholakala ukuthi ingahlukaniseka
form and all other provisions of the application form will kuleli fomu kusho ukuthi ezinye izimiso zaleli fomu
remain in full force and effect. ziyoqhubeka nokusebenza ngokugcwele.

8
13. IZWI LESINQUMO NESIQINISEKISO SOKUTHI UYAQONDA KAHLE
Makugcwaliswe ngosizo lo mzali noma ilowo ogunyaziwe ukuba umondli womntwana, lapho lowo ofaka isicelo engazimele ngokwezezimali futhi engaphansi kwem-
inyaka engama-18.

Uma isicelo sami siphumelela futhi ngithola isikhala sokufunda eNyuvesi yaKwaZulu-Natali,
1. Ngiyathembisa
1.1 Ukulandela izindlela zokwenza, imigomo, kanye nemithetho yeNyuvesi yaKwaZulu-Natali
1.2 Ukwazisa uRejistra ngokushesha, ngokumbhalela incwadi uma ngishintsha ikheli.
1.3 Ukuzijwayeza imithetho kanye nemigomo exhumene neziqu engifake isicelo kuzo.
1.4 Ukwenza ezinye izinhlelo mayelana nendawo yokuhlala uma kwenzeka iNyuvesi ingamukela kodwa ingeke ikwazi ukunginika indawo yokuhlala.

2. Ngi- / Si- yavuma ukuba ngababhekene nokukhokhwakwazo zonke izimali zokufunda noma ezinye izimali iNyuvesi engazidinga ezingumphumela wokuba
ngumfundi kwami wase Nyuvesi.

3. Ngiyaqonda ukuthi ukubhaliswa kwami kugunyazwe, uma kuphela kuhambisana nemithetho yeziqu ngaphezu kokwamukelwa kwalesi sicelo yiNyuvesi.

4. Ngi- / Si- yazibophezela ukuthumela yonke imininingwane edingwa iNyuvesi kungakashayi izinsuku ezibekiwe.

5. Ngiyafakaza
5.1 ukuthi ngenza lesi sicelo futhi ngiyafakaza ngokolwazi nemvume yomzali wami/ ongumondli wami / umqashi wami.
5.2 ukuthi lonke ulwazi oluqukethwe lapha luyiqiniso futhi iNyuvesi inegunya lokuchitha lesi sicelo uma ngifake okungelona iqiniso noma ngingavezanga
okunye okubalulekile.

Kusayina umfundi Usuku Kusayina umzali Usuku


Ukumela izimali zokufunda (Suretyship) Lengxenye igcwaliswa uma umfundi engazimele ngokwezimali noma engaphansi
kweminyaka engama-18.
Mina, osayine ngezansi njengomzali/ njengomondli waloyo ofaka isicelo, ngiyazibophezela kwiNyuvesi yakwaZulu-Natali ngokubambisasa nofaka isicelo njen-
gokweletayo ekukhokhweni kwazo zonke izimali zokufunda kanye nezinye izindleko ekufanele zikhokhelwe iNyuvesi yaKwaZulu-Natali ngokohlu olushicilelwe
lwezimali zokufunda. Lokhu kumela lezi zimali kuzosebenza njengokumela okuqhubekayo. Ngiyavuma ukuthi ngihlale ngilindeleke ukuba ngikhokhe izimali zoku-
funda ezidingakalayo noma ngabe kunasiphi isimo, ngaphandle uma nginemvume ebhalwe yiNyuvesi yaKwaZulu-Natali. Angeke ngikhululwe ekumeleni isikweletu
yizizathu ezingukuguquguka kwemali ekweletwa ngumfaki wesicelo kanye nokungabibikho kwemali ekweletwayo.
Sicela ubhale igama ngokugcwele laloyo Omele/ onguMzali /onguMondli:_______________________________________________________________________
Inombolo kamazisi.:______________________________________________________________________________________________________________________
Ikheli:__________________________________________________________________________________________________________________________________
Okungaba indawo yami yozinzo, ngokwezizathu zalencwadi lapho ngiyokwazi ukuthunyelelwa izaziso,izincwad kanye nezinyathelo zomthetho. Uma kwenzeka
ngishintsha ikheli, ngiyavuma ukwazisa umnyango wezezimali zabafundi eNyuvesi yaKwaZulu-Natali ngalolu shintsho.

Kusayina komzali/ ongumondli womfundi Usuku

14. CHECKLIST/UHLA LOKUQINISEKISA


Please ensure that the following relevant documents are enclosed with this application:
• Have you indicated your choice of degree/diploma and campus? YES NO
• Have you enclosed the proof of payment or non-refundable
application fee? YES NO
• Have you enclosed all the required certified documentation:
– Copy of ID Document/Passport YES NO


Academic Record (if studied previously)

Degree Certificate (if studied previously) } English translation YES


if applicable YES
NO
NO

– Senior Certificate/Matric Certificate/O/A Levels


YES NO
or relevant school leaving qualification/certificate

• Have you read and understood the medical insurance requirements YES NO
(applicable to International Applicants only)
YES NO
• Have you completed the residence section (10) if applicable?
• Have you filled in the application form in full? YES NO

9
Applications and Information Office

www.ukzn.ac.za

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