DAC/UNISA Linguistics Bursary

Bursary Application Form

for the DAC Linguistics Bursary

INSTRUCTIONS: 1. Read carefully before completing, signing or submitting this form. 2. Ensure that this form is completed in full. 3. Complete in BLOCK LETTERS. 4. Note that this bursary cannot be used to pay for existing loans or debts. 5. Ensure that this form is duly signed. 6. Application forms with incomplete information will be disqualified. 7. Application forms with incorrect information will lead to your application being disqualified. 8. No faxed application forms will be accepted. 9. Attach ALL of the following documents REQUIRED: 9.1 Proof of your admission to the relevant degrees at UNISA. 9.2 Certified copy of a valid South African identity document. 9.3 Applications received after the closing date will not be considered.

CRITERIA: 1. Only students registered for a BA majoring in Linguistics or African Languages; a BA Hons in Linguistics, African Languages or Translations Studies; or an MA in African Languages or Linguistics or Translation Studies. 2. Should a recipient fail to successfully complete his/her studies, UNISA reserves the right to recall the money with interest at the going rate.

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Department of Arts & Culture 2017 Application for Linguistics Bursary File no (for Office use only) BA degree Hons or MA Application schedule Applications close 30 January 2017 (Only SA citizens need apply) *Only one application per academic year 1. Personal particulars

Title Mrs Initials Surname

Identity number Student no

Do you have any other If yes, please state the sponsor forms of funding? (this does not preclude the bursary being allocated) Name of institution State your highest qualification YesNo Year of No completion

If yes, please attach the prisoner’s profile from authorities indicating term of sentence, years already Prison student served and remaining years to be served. 2. Employment details

Are you employed? If yes, please complete section 2.1.

2.1 Applicant’s employment details Name of employer Address Tel number Monthly Salary Wages Other Weekly

3. Declaration I declare that I have read and understood the contents of this bursary application form, and information supplied by me is true and correct. I also understand that should any of the information/documents herein be proved to be incorrect or falsified, disciplinary action will be taken against me.

…………………………………………………………………… …………………………………………………….. Student’s signature Date

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