FURTHER EDUCATION AND TRAINING(FET) …

1 FET college STAMP[2008] FURTHER EDUCATION AND training (FET) college bursary APPLICATION FORMFor use by the college Central OfficeeducationDepartment: EducationREPUBLIC OF SOUTH AFRICAI mportant NoteUse of correcting fluids, ( Tippex) will invalidate this bursary Application a certified copy of your South African Identity Document. Please use black ink when completing the bursary Application surname, if OF STUDENT:YesNoAfricanColouredWhiteIndianM arriedSingleWidowedDivorcedLevel 2 Level 3 Level 4 FemaleMaleDate of Birth:Identity Number:First names (as reflected on ID):Title:Surname:Disability:If yes please specify:Race (for statistical purposes only):Marital Status:Email Address:Telephone No while studying (Area Code):CellPhone:Address while studying:Code:CellPhone:(Number)Home Telephone No (Area Code):Code.

2 Postal Address (if different from home address) :Code:Home Address (Not a Box): DETAILS: NC(V) Level:Any alterations must be countersigned by the Student and the Name:Student Number:Name of vocational qualification:Civil Engineering and Building ConstructionElectrical Infrastructure ConstructionFinance, Economics and AccountingHospitalityInformation Technology and Computer ScienceManagementOffice AdministrationMarketingPrimary AgricultureTourismSafety in SocietyEngineering and Related Design(Attach proof of status if married, divorced or widowed )(Number)Approved Not ApprovedCampus:This bursary scheme is only for the National Certificate (Vocational).

3 CellPhone:Telephone No (Area Code):(Number)Code:Surname:Initials:Titl e:Residential OF MOTHER/LEGAL GUARDIAN:Code:Full name of employer of mother/legal guardian:Physical Address of that employer:Gross Income (1) ANNUAL INCOME/HOUSEHOULD: (Bring supporting information such as the most recent payslip, salary advice, pension slip, financial statement or death certificate of yourparents or legal guardian).Gross Income (2):Gross Income (3):Number of family members in household:Number of students in OF STUDY:ITEM/DESCRIPTION:AMOUNT:Prescribed BooksTuition FeesRegistration FeesAccommodationTransportTOTALA cademic LeviesInternetEngineeringHospitalityIden tity NumberCellPhone:Telephone No (Area Code):(Number)Code:Surname:Initials:Titl e:Residential OF FATHER:Code:Full name of employer of father: Physical Address of that employer:Identity Number.

4 Relationship (mother, legal guardian) DISCLOSURE - OTHER BURSARIES/STUDY LOANS: (All funding applied for or received/guaranteed )STUDIES FUNDED BY:AMOUNT:APPLICATION (x) or GUARANTEED ( ):123 DECLARATIONI declare that I have read and understood the content of this application form , and that the information supplied is true and 'S SIGNATUREDATE