APPLICATION FOR A BURSARY 30 September 2011
CLOSING DATE FOR SUBMISSION OF APPLICATIONS: ALL APPLICATIONS MUST BE SENT TO:
City of Johannesburg Municipality Corporate &Shared Services(Organisational Capacitation) P O Box 1049 P.O. JOHANNESBURG (2000) Attention: Bursary Office
IMPORTANT INFORMATION: Ensure that you complete sections 1 to 4. Please write clearly in CAPITAL LETTERS, using a black pen. 1. APPLICANT'S PERSONAL DETAILS a. Title:
Surname:
b. Date of birth: c. Postal Address:
Name: Identity number:
P t lC Postal Code: d d. Residential Address:
Postal Code: e. Home telephone number:
Cellphone number:
f. e-mail address (if any) : g. Home language: h. Gross annual income of your household (if any)
Second language: R
2. APPLICANT'S ACADEMIC INFORMATION a. Current studies and level (in 2011) or highest standard passed: b. Name of university/technikon/college/school and contact number in 2011:
c. Proposed study programme in year 2012: d. Education institution of study in year 2012:
(Matric students must give an indication of where they have made applications for further or higher education studies)
e. Student number (where applicable) :
f. Professional career after completion of (intended) studies:
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3. STATEMENT BY APPLICANT (brief motivation in support of the application)
4. APPLICANT'S DECLARATION (All applicants MUST complete this section)
All information contained in this application form is true. I understand that should the information provided found to be false at any stage, my bursary application shall be disqualified.
Signature of applicant:
Date:
5. FOR OFFICE USE ONLY (To be completed by the official within Corporate Human Resources who receives the application on behalf of the City of Johannesburg)
Surname & initials: Position:
Signature:
Date:
PLEASE NOTE: Certified copies of the following documents must accompany applications: Most recent academic records; South African Identity Document; Proof of residency in Johannesburg (Statement of Water & Lights, Rates and Taxes)
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