Get Bursaries From City Power For Matric Form

Attach ALL of the following documents REQUIRED Certified copy of a valid Matric certificate if you have completed Grade 12. already at university or university of technology. Proof of family income or an affidavit if parent s or legal guardian s are unemployed. Applications received after the closing date will not be considered. Post completed forms to or hand delivered to Learning and Development Administrator Bursaries Human Resource Development City Power Johannesburg Pty Limited P O Box 38766 BOOYSENS City Power Jhb Pty Ltd COMPANY CONFIDENTIAL 40 Heronmere Rd Reuven Page 2 of 7 03/08/2005 SECTION A - PERSONAL DETAILS OF APPLICANT Surname First names Date of birth Place of birth Identity No. SA Citizenship Yes No Gender Male Female Race African Do have a disability Indian Coloured White If YES describe the nature of disability Residential address with postal code Postal address with Contact telephone numbers including dialing codes Email address Have you ever been found guilty of a criminal offence Home Cellular Parent/ Guardian Other Contacts If yes please specify the nature and date of offence Describe your current financial status Attach proof of Family Income such as payslips of both parents HIGH SCHOOL ATTENDED Name of school School address Province Grade Please tick Currently in Grade 12 Completed Grade 12 Years attended From To Subjects List them below Higher Grade Symbol Standard Percentage POST MATRIC QUALIFICATIONS Full name of highest qualification Nature of qualification Degree Diploma Presently studying Discontinued reasons If presently studying which year of study First Year Second Year Third Year Fourth Year Please tick Student number Name of institution Address of institution Telephone number of the registrar s office Major Subjects Marks/ obtained Auxiliary subjects List the subjects INTENDED STUDY FOR THE NEW ACADEMIC YEAR Name of Field of study Electrical Engineering Auditing Are you receiving any other bursary or loan Information Technology Financial Accounting Will you require accommodation Procurement/ Purchasing Management / Logistics Management and any obligations involved and provide the name of the institution that granted the bursary/ loan assistance Stores Distribution If NO state the reason SECTION E DETAILS ABOUT PARENT S / GUARDIAN S / NEXT OF KIN Relationship Mother Father Other specify Work SECTION F DECLARATION 1. I hereby declare that ALL the information provided in this application form is complete and correct. Already at university or university of technology. Proof of family income or an affidavit if parent s or legal guardian s are unemployed. Applications received after the closing date will not be considered. Post completed forms to or hand delivered to Learning and Development Administrator Bursaries Human Resource Development City Power Johannesburg Pty Limited P O Box 38766 BOOYSENS City Power Jhb Pty Ltd COMPANY CONFIDENTIAL 40 Heronmere Rd Reuven Page 2 of 7 03/08/2005 SECTION A - PERSONAL DETAILS OF APPLICANT Surname First names Date of birth Place of birth Identity No. SA Citizenship Yes No Gender Male Female Race African Do have a disability Indian Coloured White If YES describe the nature of disability Residential address with postal code Postal address with Contact telephone numbers including dialing codes Email address Have you ever been found guilty of a criminal offence Home Cellular Parent/ Guardian Other Contacts If yes please specify the nature and date of offence Describe your current financial status Attach proof of Family Income such as payslips of both parents HIGH SCHOOL ATTENDED Name of school School address Province Grade Please tick Currently in Grade 12 Completed Grade 12 Years attended From To Subjects List them below Higher Grade Symbol Standard Percentage POST MATRIC QUALIFICATIONS Full name of highest qualification Nature of qualification Degree Diploma Presently studying Discontinued reasons If presently studying which year of study First Year Second Year Third Year Fourth Year Please tick Student number Name of institution Address of institution Telephone number of the registrar s office Major Subjects Marks/ obtained Auxiliary subjects List the subjects INTENDED STUDY FOR THE NEW ACADEMIC YEAR Name of Field of study Electrical Engineering Auditing Are you receiving any other bursary or loan Information Technology Financial Accounting Will you require accommodation Procurement/ Purchasing Management / Logistics Management and any obligations involved and provide the name of the institution that granted the bursary/ loan assistance Stores Distribution If NO state the reason SECTION E DETAILS ABOUT PARENT S / GUARDIAN S / NEXT OF KIN Relationship Mother Father Other specify Work SECTION F DECLARATION 1. I hereby declare that ALL the information provided in this application form is complete and correct. 2. I hereby acknowledge that if ANY of the information provided in this application form is found to be incomplete and/or incorrect my application will be disqualified. 3. Percentage mark of 75 your field of study must be one of those listed on page 6 of this form You are a South African citizen from poor backgrounds women and people with disabilities are encouraged to apply 9. Attach ALL of the following documents REQUIRED Certified copy of a valid Matric certificate if you have completed Grade 12. already at university or university of technology. Proof of family income or an affidavit if parent s or legal guardian s are unemployed. Applications received after the closing date will not be considered. Post completed forms to or hand delivered to Learning and Development Administrator Bursaries Human Resource Development City Power Johannesburg Pty Limited P O Box 38766 BOOYSENS City Power Jhb Pty Ltd COMPANY CONFIDENTIAL 40 Heronmere Rd Reuven Page 2 of 7 03/08/2005 SECTION A - PERSONAL DETAILS OF APPLICANT Surname First names Date of birth Place of birth Identity No. SA Citizenship Yes No Gender Male Female Race African Do have a disability Indian Coloured White If YES describe the nature of disability Residential address with postal code Postal address with Contact telephone numbers including dialing codes Email address Have you ever been found guilty of a criminal offence Home Cellular Parent/ Guardian Other Contacts If yes please specify the nature and date of offence Describe your current financial status Attach proof of Family Income such as payslips of both parents HIGH SCHOOL ATTENDED Name of school School address Province Grade Please tick Currently in Grade 12 Completed Grade 12 Years attended From To Subjects List them below Higher Grade Symbol Standard Percentage POST MATRIC QUALIFICATIONS Full name of highest qualification Nature of qualification Degree Diploma Presently studying Discontinued reasons If presently studying which year of study First Year Second Year Third Year Fourth Year Please tick Student number Name of institution Address of institution Telephone number of the registrar s office Major Subjects Marks/ obtained Auxiliary subjects List the subjects INTENDED STUDY FOR THE NEW ACADEMIC YEAR Name of Field of study Electrical Engineering Auditing Are you receiving any other bursary or loan Information Technology Financial Accounting Will you require accommodation Procurement/ Purchasing Management / Logistics Management and any obligations involved and provide the name of the institution that granted the bursary/ loan assistance Stores Distribution If NO state the reason SECTION E DETAILS ABOUT PARENT S / GUARDIAN S / NEXT OF KIN Relationship Mother Father Other specify Work SECTION F DECLARATION 1.