BURSARY SCHEME – APPLICATION FORM

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Page 1 of 7BURSARY SCHEME APPLICATION FORMFor South African citizens or permanent residents ONLYNote: Please read the Notes and Instructions on the last page before completing this APPLICATION Name:Please tick {!!!!} the appropriate choice:MaleFemalePlease tick {!!!!} the name of the BURSARY you are applying for:{!!!!}BRIDGING PROGRAMME BURSARY Closing date 31st JulyVOCATIONAL BURSARY Closing date 15th JuneEXTRACTIVE METALLURGY B TECH / TECHNIKONMINING ENGINEERING - TECHNIKONPlease tick {!!!!} the course you wish to study, or are studying. Indicate your first, second andthird choice by writing 1, 2, and 3 in the appropriate column.

Page 1 of 7 BURSARY SCHEME – APPLICATION FORM For South African citizens or permanent residents ONLY Note: Please read the Notes and Instructions on the last page before completing this application form.

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