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UNISA NSFAS 2014 Application Form

This document contains an application form for student funding from the University of South Africa (Unisa). The form requests personal details such as identity number, employment status, highest qualification, and institution and year of graduation. It provides the application schedule for undergraduate and postgraduate programs. It asks for employment details if employed, marital status, and financial obligations. Sections are dedicated to details of parents/guardians for dependent applicants and next of kin. The form requires a declaration that the information provided is true and warns that falsified information will result in disciplinary action. It states that faxed applications will not be accepted.

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JaidenMinnaar
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
120 views

UNISA NSFAS 2014 Application Form

This document contains an application form for student funding from the University of South Africa (Unisa). The form requests personal details such as identity number, employment status, highest qualification, and institution and year of graduation. It provides the application schedule for undergraduate and postgraduate programs. It asks for employment details if employed, marital status, and financial obligations. Sections are dedicated to details of parents/guardians for dependent applicants and next of kin. The form requires a declaration that the information provided is true and warns that falsified information will result in disciplinary action. It states that faxed applications will not be accepted.

Uploaded by

JaidenMinnaar
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Identity number

Are you employed?


If yes, please state the sponsor
State your highest qualication eg
Grade 12, B. Degree, N. Diploma
or Postgraduate Degree
Name of institution
Year of completion
Undergraduate Postgraduate
Application schedule
Semester 1:
1 August 19 September 2013
Semester 2:
1 April 2014 18 April 2014
Postgraduate funding applicantions
1 August 2013 10 February 2014
1 Personal particulars
2 Employment details
If yes, please complete section 2.1. If no, please complete sections 3 or 3.1.
2.1 Applicants employment details (attach certied proof of income not older than three months)
Name of employer
Address
Tel number
Salary Wages Other Monthly
Weekly
Student no
Yes
Marital
status:
Single Married If married Widowed Divorced
In community of property
Antenuptial contract (ANC)
Prenuptial contract (PNC)
Yes
No
Are you under nancial administration order (insolvency) for unpaid debt? Yes No
Do you have any other
form of funding?
Yes No
Prison student
If yes, please attach the prisoners prole from authorities indicating term of sentence,
years already served and remaining years to be served
Yes No
Have you been declared mentally unt by a court of law to enter into any legal agreement? Yes No
2014 Student Funding Application Form
Undergraduate/Postgraduate Studies
ONLY South African citizens are eligible for NSFAS oferings
*Only one application per academic year
*Please supply us with an applicable certied copy: marriage certicate, ANC, PNC, death certicate (widowed), divorce decree
i
File no (for ofce use only)
Section J
*If married please complete section 3.1 with spouses employment details
Yes
Title Initials Surname Mr Mrs Ms
FOR OFFICE USE ONLY
Students income Number of lawful H/H Number of tertiary students
Gross income 1 Remaining term of sentence Screened by
Gross income 2 Comments:
3 Details of parent/s for a dependants application
Please attach certifed copies of ID, death certifcate or divorce decree. If one or both parents are unknown,
the guardian must conrm this in an afdavit (not the student).
Please attach latest payslip if employed, last 3 months bank statements and an afdavit if self-employed or unemployed.
3.1 Legal guardian/spouse (please attach latest payslip if employed, last 3 months bank statements and
an afdavit if self-employed or unemployed)
4 Particulars of next of kin: mother, father, sister, brother, cousin, partner, aunt or uncle
Surname Initials Title
Relationship to applicant (Girlfriend or boyfriend not acceptable)
Postal address
Telephone number Cell number
ii
Name Surname ID number
Relationship to
applicant (1)
Age
Currently busy
with (2)
5 Particulars of lawful household (eg parent/s, guardian, other dependents starting with applicant):
NB: Please use a separate page if space provided below is insufcient
Attach certifed copies of RSA identity documents or birth certifcates of all members of lawful household
(1) Spouse/partner/brother/sister/daughter/son/uncle/aunt/grandparent/other
(2) Primary school/secondary school/out of school/unemployed/employed/university (of technology)/FET college/other
*Please attach certied copies of proof of income for employed members of household stated in section 5, excluding members
already mentioned in sections 3 and 3.1.
6 Declaration
I declare that I have read and understood the contents of this loan application form, and information supplied by me is true and correct. I also
understand that should any of the information/documents herein be proved to be incorrect or falsied, disciplinary action will be taken against me.
7 Faxed application forms will not be accepted. Hand deliver to any Unisas Regional Ofce or Post to Division
Student Funding, P.O.Box 392, Unisa 003
----------------------------------------------------------------- --------------------------------------------------------------------------
Students signature Date
----------------------------------------------------------------- --------------------------------------------------------------------------
Parent/guardians signature (if student is under 18) Date
Father Mother
Name & Surname
ID Number
Residential address:
House No and Street Name
Suburb
City and Code
Name of employer
Employers address
Tel number
Salary Wages Other Monthly
Weekly
Name & Surname Name of Employer
ID Number Work address:
Residential address:
House no and Street
Tel Number
Suburb
Salary Wages
Monthly
City and code Weekly

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