King Hintsa Public

REPORT 191 (NATED) APPLICATION FOR REGISTRATION CAMPUS ______YEAR: 20_____

For office use only: Type of Student Previous New Student Number

Residence Yes No

Section A: Qualification Details

MANAGEMENT ASSISTANT CARPENTRY

MARKETING MANAGEMENT BRICKLAYING

FINANCIAL MANAGEMENT PLUMBING

HUMAN RESOURCES MANAGEMENT MECHANICAL ENGINEERING

PUBLIC RELATIONS ELECTRICAL ENGINEERING

PUBLIC MANAGEMENT FARMING MANAGEMENT

CIVIL ENGINEERING

LEVEL N 1 N 2 N 3 N 4 N5 N6

BLOCK T1 T2 T3 S1 S2

SUBJECT CODE

NSFAS/Private Bag X4/ Plumstead 7801/Cape Town / apply @nsfas.org.za/www.nsfas.org.za/Tel:0860 067 327 Fax: 086 644 2822 Section B: Personal Details

Surname Initials Title Mr Miss Mrs

First Names 1 2 3 ID Gender Male Female Date of d d m m y y Marital Status Single Married Divorced Birth Nationality South Other (Specify) Province Eastern Other (Specify) African Cape

Ethnic Black Coloure Indian Other(Specify) Home Language Xhosa English Other (Specify) Group d Activity Previous School Employed FET College Other (Specify Year Highest Grade Passed Grade 9 Grade 10 Grade 11 Grade 12 Matric Date Exam Number : Matric Type Complete Conditional Exemption Other (Specify) Exemption School

Physical Disability (describe) Postal Address Physical Address

Code Code

Cell Number Telephone Number

Section C: Parent/guardian details

Surname Initials Title Mr Mrs Miss

Relationship Occupation

NSFAS/Private Bag X4/ Plumstead 7801/Cape Town / apply @nsfas.org.za/www.nsfas.org.za/Tel:0860 067 327 Fax: 086 644 2822 ID Number Cell Number Phone No. Phone No. (Work) (Home)

Postal Physical Address Address

Code Code

Section D: Declaration and Undertaking

I hereby declare that the information supplied on this form is accurate and correct and should I, the applicant be accepted as a student, I will unconditionally adhere to the rules and regulations of this College.

______FOR OFFICE USE ONLY: ______Applicant Parent/Guardian (where applicable) Admitted by: ______Captured by: ______Date: ______Date: ______Receipt no.: ______Amount: ______Date: ______(In the case that the applicant is a minor, the parents’/guardians’ agreement will be binding)

Section E: Bursary Application Requirements

DOCUMENTS REQUIRED FOR BURSARY In order for your application to be processed, please ensure that you complete all sections of the application form and attach all supporting documents.

Please attach certified copies of the following documents (All the certified copies of income must not be older than Compulsory 3 months) Your documents can be certified at the South African Post Office.  If you are under the age of 18 or if you are 18 and older and are STILL DEPENDENT  T on the house hold income of your parent or legal guardian this also applies to you.

NSFAS/Private Bag X4/ Plumstead 7801/Cape Town / apply @nsfas.org.za/www.nsfas.org.za/Tel:0860 067 327 Fax: 086 644 2822 1. Certified proof of bank account. This can be a bank statement or letter from the bank where you have your Y account. 2. Certified copy of Identity Document Y 3. Certified copy of Identity Document of each household member including parents or legal guardian. Y 4. If you are younger than 16 years of age and do not have a green bar-coded ID, you must submit a certified Y copy of your birth certificate.

5. If you have been exempted from paying school fees, please provide a letter from the school informing Y NSFAS that you have been exempted.

6. Certified or official copy of recent payslip, letter of employment, not older than three months, of each of Y your parents, or the person who supports you, or yourself if you are employed. This is for all types of employment. Proof of income of all members of the household. This includes any income received from SASSA Grants, Unemployed Insurance Fund (UIF), or any retirement, life, disability or other benefits paid as lump sum or in month payment

7. Proof of residence – such as water and electricity accounts or other accounts N 8. If your parents or the person who supports you or your legal guardian are retired, please provide a copy of Y an official pension slip or bank statement showing pension payment. 9. If your or the person who supports or your legal guardian works as an informal trader, please provide an Y affidavit signed by them to confirm this employment. 10. If either of your parents is deceased, please provide a certified copy of death certificate. N 11. If your parents are divorced or separated, please provide a statement detailing the maintenance order. Y 12. If your parents are divorced, please provide a certified copy of divorce decree. N 13. If either of your parents does not live at home, please provide an affidavit explaining the reason N 14. If you are supported by someone who is not your parent or legal guardian, please provide an affidavit Y explain the reason

15. Certified copy of SASSA letter if any of your family members are receiving a social grant and also Y contributing to your household income. This also applies to your legal guardian. 16. If you have a disability, please complete the supporting documents Annexure A and B and submit them Y with your application form.

17. Certified copy of your latest academic transcript or exam results. If you are currently in Grade 12 you are Y excluded from this requirement.

NSFAS/Private Bag X4/ Plumstead 7801/Cape Town / apply @nsfas.org.za/www.nsfas.org.za/Tel:0860 067 327 Fax: 086 644 2822