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APPLICATION FORM - Distance

Page 1 of 6 Revised 01/06/2017 UNIVPREP STUDENT NUMBER (Office use) only) APPLICATION FORM North-West University Preparatory Programme (UnivPrep) A. PERSONAL DETAILS Surname First Name(s) Maiden Name (if applicable) Title (Mr / Ms) Date of Birth y y y y m m d d Age Gender Male Female Marital Status Married Single Population Group: African Coloured Indian White Asian Citizenship: SA Other Please specify Other South African ID Number Foreign Nationality: Indicate country of origin - Study Permit Number Attach copy of study permit - Expiry Date of Permit - Passport Number Attach copy of passport Home Language Disability Yes No If Yes , please specify: B.

1.2 In accordance with the RPL (Recognition of Prior Learning) policy of the NWU, candidates may also apply for proposed credits and recognition of prior learning of relevant modules successfully completed during the UnivPrep phase. 1.3 Admission to formal Degree/Grade R Diploma study and granting of recognition of prior learning (proposed ...

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