Bursary Application form

Bursary Student Application Form

SECTION A: APPLICANT INFORMATION

To be completed by the parent/guardian

What is the learner’s full name?

Last name

What is the learner’s date of birth?

What is the learner’s age?

What is the learner’s gender?

Male

Female

What is the learner’s ID number?

What is the learner’s home language?

What is the learner’s second language?

What career does the learner want to pursue?

What are the learner’s hobbies or interests?

Does the learner have any disabilities or medical conditions?

Parent/Guardian Contact Information:

Relationship to Applicant

Father

Mother

Guardian

Father Details

First Name

Last Name

Father ID/ Passport Number

Father Occupation

Father Phone/Mobile

Father Residential Address

Does the applicant live with you?

Yes

Mother Details

Mother First Name

Mother Last Name

Mother ID/ Passport Number

Mother Occupation

Mother Phone/Mobile

Mother Email

Mother Residential Address

Does the applicant live with you?

Yes

Guardian Details

Guardian First Name

Guardian Last Name

Guardian ID/ Passport Number

Guardian Occupation

Guardian Phone/Mobile

Guardian Email

Guardian Residential Address

Does the applicant live with you?

Yes

SECTION B: ACADEMIC INFORMATION

To be completed by the school representative

Name of Current School

Principal’s Name

Phone/Mobile

Academic Performance (Attach certified reports for the past 3 terms)

Mathematics

Science

English

Choose Files

Has the applicant achieved Level 7 in all subjects?

Yes

Extracurricular Involvement (Sports, Leadership, Community Service)

SECTION C: FINANCIAL INFORMATION

Total Household Income (Attach Proof of Income Below)

(Household income below R300,000)

Upload Proof of Income

Choose File

Do you have other Financial Support (if applicable)

Yes

Type of Support

Value per month (R)

Do you have any other bursaries or scholarships?

Yes

If yes, provide details

SECTION D: PERSONAL STATEMENT

(Write a short essay of 300-500 words explaining why you are applying for this bursary, your career aspirations, and how this opportunity will impact your future.)

SECTION E: CHECKLIST & SUPPORTING DOCUMENTS

(Attach copies of the following documents – Incomplete applications will not be considered.)

Birth Certificate/ID of Applicant

Choose File

ID of Parent(s)/Guardian(s)

Choose File

Latest 3 months Bank statements (both parents where applicable)

Choose File

Latest Academic Report (Certified)

Choose File

Proof of Income (Certified)

Choose File

Affidavit (if unemployed)

Choose File

Letter of acceptance from an accredited high school

Choose File

Motivation letter from applicant

Choose File

Recommendation letter from school principal/teacher

Choose File

Grades 4 & 5 reports (and grade 6 report if applicant is in grade 7)

Choose File

Bursary Application form

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