Transcription of 2022 BURSARY APPLICATION FORM Closing date : 07 …
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1 SIGNATURE OF APPLICANT:_____ DATE:_____ SECTION A NB: All sections of this APPLICATION form must be completed in full by the applicant 1. APPLICANT S DETAILS: NB. Surname and all Names as they appear on the Green Bar coded Identity Document) / Smart card Surname: _____Name/s: _____ Gender:_____ ID NO: _____E-mail Address _____ Postal Address: _____Code _____ Student Contact No.: _____ alternative number: _____ Parents / Guardian Contact/s _____ / _____ Permanent Residential /Home Address: House No:_____ Street /Section / Block / Unit / Extension:_____ Name of Village / Town / Farm / Township: _____ DISTRICT MUNICIPALITY (Tick block with X): LOCAL MUNICIPALITY: DISABILI
the conditions governing the grant of the bursary by the North West Provincial Government that any false information will automatically disqualify me from obtaining a bursary. By signing this application form, I accept and understand that this bursary application does not guarantee that I will receive a bursary. If I am not
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