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Fairtree Application Form

Application form for bursary

Uploaded by

Njabulo S. Ngwenya
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
Download as pdf or txt
33 views6 pages

Fairtree Application Form

Application form for bursary

Uploaded by

Njabulo S. Ngwenya
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
You are on page 1/ 6

BURSARY APPLICATION FOR TERTIARY STUDIES

PLEASE COMPLETE ALL THE SECTIONS

1. PERSONAL DETAILS
Title: Mr Miss Mrs Ms
First Names: Surname:
ID Number: Home Language:
Nationality: Gender:
Date of Birth (dd/mm/yyyy): Age:
Employment Equity Classification: African Coloured Indian White

2. CONTACT DETAILS
E-Mail Address: Mobile Number:
Current Address: Home Address:

Home Town: Home Province:

3. HIGH SCHOOL EDUCATION


Name of school Highest Grade obtained Subject Level

Tel +27 21 943 3760 Willowbridge Place


Fax +27 21 914 3103 Cnr Carl Cronje Drive & Old Oak Road
www fairtree.com Bellville 7530, Cape Town, South Africa

Fairtree Asset Management (Pty) Ltd Registration Number 2004/033269/07, VAT Registration Number 4730 226 125, Directors A Malan, JA Nel, B Anthony
4. TERTIARY STUDIES
Current Institution you are registered at: Technikon University
Studying towards which type of qualification: National Diploma Degree
Field of study: Finance Investments Economics
Name of the Institution you are studying at?
What year did you begin studying towards your qualification?
Currently what year of your studies are you in? 1st 2nd 3rd 4th Honours
What year do you expect to complete your studies?
Where will you reside during your studies? Other University Res Home

5. ACHIEVEMENTS
SPORTS HOBBIES AWARDS

6. PREVIOUS STUDIES & EMPLOYMENT


CURRENT PAST
Details of other studies:
Past work experience:
Are you currently employed? Part-Time Full Time
Please provide details to above question if your answer was yes:

7. PREVIOUS/CURRENT BURSARY OBLIGATIONS


Have you previously had a bursary? Yes No
If yes, please provide us with additional information
Year Company Amount Obligation

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8. FINANCIAL IMPLICATIONS
What do you expect the cost of your studies will be?
Fees Books Accommodation Meals Transport Other

How much can you / your family contribute towards the costs?
How much is your parent’s / guardians combined (before deductions) monthly income?
R0 – R30,000 R30,001 – R50,000 R50,001 and above
If you do not get funding, how will you cover the costs?

9. MOTIVATION
Please provide us with the reason why you have requested a bursary.

Please provide us with a short motivation as to why you should be selected.

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What are your career plans after qualifying:

Signature of applicant: Date (dd/mm/yyyy):

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10.PARENT / GUARDIAN DETAILS
FATHER
Surname: Title:
First Names:
Occupation:
Employer:
Contact Details: Home Employer
Contact Number:
Address:

MOTHER
Surname: Title:
First Names:
Occupation:
Employer:
Contact Details: Home Employer
Contact Number:
Address:

Signature of Parent / Guardian: Date (dd/mm/yyyy):

11.UNDERTAKING

I hereby certify that to the best of my knowledge the above information is true and correct. In
the event of assistance being granted, I am prepared to enter into the required agreement
with Fairtree Asset Management in terms of the bursary conditions.

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12. PLEASE PROVIDE THE FOLLOWING DOCUMENTATION WITH THE
APPLICATION FORM
 Matric Certificate
 Tertiary Academic record (to date)
 Proof of Registration
 CV
 Copy of ID (certified)
ALL DOCUMENTATION REQUESTED MUST BE SUBMITTED TO ENSURE THAT YOUR
APPLICATION IS NOT REJECTED

YOUR APPLICATION AND SUPPORTING DOCUMENTS TO BE SUBMITTED TO:


careers@fairtree.com

Page 6 of 6

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