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Orphan Declaration and Consent Form

SURNAME, INITIALS OF STUDENTID NUMBERSIGNATURE OF SOCIAL WORKERI am completing this form to facilitate the application between NSFAS and an Orphan who presented him/herself to me in my capacity as a registered social worker. As a social worker I can confirm that the learner is currently receiving financial support from the Department ofSocial also confirm that a learner who is an Orphan but not receiving any financial support from the Department of Social Development have proved orphanage circumstance by providing death certificates of their , INITIALSCELL PHONE NUMBER-PRACTICE OR SASSP REGISTRATION NUMBERAPPLICATION FOR FINANCIAL ASSISTANCE TO STUDY AT A PUBLIC UNIVERSITY OR TVET COLLEGEEMAIL ADDRESSPLEASE TICK THE APPLICABLE BOXEXISTING CASE:NEW CASE:Social workerOrphan Declaration and Consent FormNational Student Financial Aid SchemeAPP2020V1By signing this application form , I accept and understand that this application does not guarantee that I will receive NSFAS administered funding.

Orphan Declaration and Consent Form National Student Financial Aid Scheme ... in any form, it constitutes an indefinite, unconditional and specific consent for NSFAS to share such personal information with third parties, and to obtain relevant information from third parties. Third parties

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