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948 1859 Email: info prestigeacademy.co.za Website: www.prestigeacademy.co.za Registered with the Department of Education under the Higher Education Act 1997 Registration Certificate No. 2001/HE07/005 Company Registration No: 2002/014082/02 B U R S A R Y A P PL I C A T I O N : 2 0 1 2 Date of Application d Surname of Applicant d / m m / y y Full Names S EC TI O N A: P E R SO N AL D E T AI LS O F AP P LI C AN T ( St ude nt) ( pl ea s e pr i nt i n bl oc k l e tter s) Title: Phone No (home).

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