Application for academic admission - CUT, South …

1 Application for academic admission Please complete all pages of this form in BLOCK CAPITAL letters, and return to academic Structure and Student Enrolment Services. Every section must be filled in. Mark boxes with X , where appropriate. NBT TESTING IS COMPULSORY FOR ALL FIRST YEAR STUDENTS APPLYING FOR admission : Student Signature: . UNDERGRADUATE STUDIES. 2ND SEMESTER INTAKE. Application DATES. Application fees End of June 2017 (only the following programmes in Engineering: Civil, Electrical - light and heavy current, Mechanical). 2nd Semester 2017 JANUARY INTAKE End of August 2018 (all undergraduate programmes). On or before 31 May 2017 On or before 30 June 2017* (Late Application ) INTERNATIONAL STUDENTS. No applications for the 2nd semester intake will be accepted 2ND SEMESTER INTAKE End of May after 30 June 2017.

2 2017 (only the following programmes in Engineering: Civil, Electrical - light and heavy current, Mechanical). 2018 JANUARY INTAKE End of August 2018 (all undergraduate programmes). On or before 31 August 2017 On or before 30 September 2017* (Late Application ). BANKING DETAILS. Check the Application Guide or CUT website, Name: CUT. Amounts payable are subject to change. Bank: Standard Bank Branch: Brandwag Branch code: 055534. Account no.: 240454405. Reference no.: Student number or ID number Use this checklist to ensure that you have all the information/documents . Your academic record in respect of studies at another higher education institution, if 1. Proof of payment ( Application fee) attached. applicable. CHECKLIST.. 2. Qualification selection section completed (in full). A certificate of good conduct if you are/were registered at another higher education institution.

3 3. Form signed by you and your parent/guardian (if a minor). Undergraduate applicants: National Senior Certificate (Grade 12) or equivalent qualification. NB: National Benchmarking Test (NBT) is compulsory. Visit for more information. Identification document/passport document Applicants are requested to take note and sign for confirmation. Postal address Physical address Contact details Application status BLOEMFONTEIN. Private Bag X20539 Lapeng Building Tel.: +27 (0) 51 507 3911. Bloemfontein 1 Park Road Fax: +27 (0) 51 507 3199. 9300 Bloemfontein E-mail: You will receive an e-mail and/or sms Website: communication with regard to the outcome of your Application status. It is therefore important to provide both your e-mail and cellphone contact details on this form. WELKOM. PO Box 1881 Mothusi Road Tel.

4 : +27 (0) 57 910 3500 You can also check your admission status online, Welkom Thabong Fax: +27 (0) 57 396 3331 9460 Welkom E-mail: Website: Receipt number Amount Date OFFICE USE. Student number Year Page 1 of 10. GENERAL INFORMATION AND INSTRUCTIONS. Complete only one form per person and indicate the choice of study. This form must be completed using block letters and in full. An incomplete Application form will delay your Application process. Proof of payment must be attached to your Application form and should be submitted to one of the addresses provided on the first page. Applicants are subject to academic selection for all courses. This form should be submitted to one of the addresses provided on the first page. CUT must immediately be notified of any change in address. Quote your reference number in all correspondence with CUT.

5 If you decide not to continue your studies after you have submitted your Application , or if you would like to change your course, immediately notify Student Enrolment Services in writing. CUT reserves the right to refuse an Application without providing reasons, but a student has the right to appeal against an unsuccessful Application . admission requirements A National Senior Certificate (Grade 12) or equivalent qualification. A candidate must score at least 27 or more points on the CUT scoring scale for the National Senior Certificate (NSC) examination. Subject requirements as per course. You may apply with your Grade 12 June examination marks. International Students All Foreign nationals who are interested to study at CUT and are in possession of a foreign qualification must be evaluated by the South African Qualifications Authority (SAQA) or must be done before an Application form is forwarded to the CUT.

6 It is the responsibility of the prospective student to forward his/her documentation SAQA. NB. Please note that without such an evaluation the CUT is unable to make a valid assessment of your Application . The following documentation should accompany your Application to CUT: 1. Certified copy of your SAQA evaluation certificate 2. Certified copies of your foreign qualifications 3. Certified copy of your passport 4. Proof of payment of CUT required Application fee Physical facilities and students with special needs CUT does not discriminate against students with special needs. Students with special needs should ensure that they are satisfied with the available physical facilities at CUT before applying for admission . If a student with special needs is admitted, special examination procedures will depend on the specific case and will be authorised based on the statement of results.

7 Page 2 of 10. Student number (for office use only). WHAT COURSE WOULD YOU LIKE TO STUDY? QUALIFICATION SELECTION. Course, NDip (Marketing): Please ensure that you qualify for the above programme choice. Campus selection Bloemfontein campus Welkom campus Full-time study (day classes) Full-time study (day classes). Bloemfontein campus Welkom campus Part-time study (evening Part-time study (evening classes) classes). Title E-mail (Mr/Ms/Mrs/ ). Tel. (work). Surname Initials Tel. (home). First names (in full) Cellphone number Maiden name (if Fax applicable). Identity number Population African Coloured PERSONAL DETAILS. International students group Indian White only: Passport number Other Passport expiry date Date of birth Y Y Y Y M M D D Current and Current Previous previous Grade 12. activity learner (please University of indicate your technology/.)

8 Male Female technikon current and previous student Gender activity TVET/FET. mark all college student relevant Labour blocks) force/employed (work). Other Page 3 of 10. Student number (for office use only). International Countries Swaziland Single Married students in Europe only: Divorced Widow/er Citizenship Namibia Mozambique Marital status (indicate your country of Zimbabwe Angola origin) Lesotho Zambia PERSONAL DETAILS (continued). Botswana Malawi Other Home language Did you know? English isiZulu The Central University of Technology, Free State has campuses located in Sesotho siSwati Bloemfontein and Welkom. In 2016, 48% of students were enrolled in priority Science, Technology, Afrikaans Tshivenda Engineering and Mathematics (STEM) fields. isiXhosa isiNdebele CUT has 24-hour study venues. Sepedi Setswana CUT campuses are blanketed in Wi-Fi.

9 Xitsonga Other (please specify). PO Box/Private Bag Physical address Suburb/township City/town STUDENT ADDRESS. Province City/town Postal code Postal code Tel. (work). Tel. (home). Cellphone number E-mail Fax Page 4 of 10. Student number (for office use only). Title PO Box/Private Bag (Mr/Ms/Mrs/ ). ACCOUNT PAYEE (BILLING) ADDRESS. Surname Suburb/township Full names City/town Postal code Address Suburb/township City/town Province Postal code Tel. (work). Tel. (home). Cellphone number Title (Mr/Ms/Mrs/ ). Surname PARENT/GUARDIAN/NEXT OF KIN (compulsory). Full names Company Relationship to student Physical address City/town Province Postal code Tel. (work). Tel. (home). Cellphone number E-mail Fax Page 5 of 10. Student number (for office use only). Have you ever been suspended or refused admission to Types of Certificates acceptable any post-secondary institution?

10 School-leaving certificate with university exemption Yes No (Matriculated in 2007 or before). National Senior Certificate - Grade 12 (Completed If yes, the NSC in 2008 and thereafter) please provide Certificate of conditional exemption on the grounds details of mature age (23 and above). NATED 191/NC(V) (TVET/FET Colleges'. qualifications)). Other School-leaving details Have you been found guilty of a criminal offence? admission REQUIREMENTS. Highest grade passed Yes No to date Date of school-leaving examination Examination no. (if already available). If yes, Name of school where please Grade12 / equivalent provide passed details City/town Province Postal code Please indicate whether you are a CUT staff member or a Will you apply for subject recognition or exemption? dependant of a staff member.