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KWAZULU - NATAL GOVERNMENT

1 KWAZULU - NATAL GOVERNMENT provincial BURSARY APPLICATION FORM 2013 2 Please print when completing this form. Mark appropriate blocks with an X Failure to complete this application form fully and correctly may prejudice the applicant s chances of obtaining a bursary. Submit the completed application form and the relevant attachments to the Directorate: HUMAN CAPITAL DEVELOPMENT 330 Langalibalele Street PIETERMARITZBURG 3201 OR post to Private Bag X9078 PIETERMARITZBURG,3200 PERSONAL PARTICULARS FIRST NAMES:_____ _____ SURNAME: _____ IDENTITY NUMBER: _____ DATE OF BIRTH:_____ POSTAL ADDRESS: _____ _____ _____ PHYSICAL ADDRESS: _____ _____ _____ TELEPHONE NUMBER: (____)_____ FAX NUMBER :(_____)_____ CELL PHONE NUMBER: _____ ALTERNATE CONTACT NUMBER: _____ NATIONALITY: MARITAL STATUS: Single/Ma

6 REVIEW, SUSPENSION AND EXTENSION The Provincial Administration reserves the right, at any time and on any terms or conditions …

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