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Uwt Application Form 2018

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Application form for Umamawothando Trust Bursary

Please ensure that you fill in all the correct details and upload and send all the necessary documentation to the Umamawothando Office. Any
application forms which are not completed in full will not be considered for funding. The Umamawothando Trust and trustees reserve the right to
not award any bursaries if the applications fail to meet our minimum criteria.

Please send this form and all attached documents to charmaine@infundo.co.za. For more information Contact us at the office on 011 783 7288

Section 1 Applicant Details

Applicant Name Physical Address Postal Address


Applicant Surname
ID Number
Date of Birth DD MM YYYY

Contact details (C)


(H)
(W)

Email address Postal Code Postal Code

Present job title and description

Age at date of application

Area of Study - FACULTY

Date of expected graduation

Student no

Institution
Section 2 Please attach and send the following documents with this application form (official documents must be VERIFIED by a Commissioner of Oaths stamp less than 3 months before application
date); tick if attached to the application

Copy of ID Copy of most recent exam results

Personal letter of motivation, please include proof of


Application photo (Head and Shoulders)
any community service and/or reference contact details

Information on under or post-graduate course you are


Copy of All Certificates/Diplomas/Degrees obtained
applying for, incuding proof of registration/acceptance
prior to this application
for 2018

Breakdown of projected costs e.g tuition; textbooks etc


Salary Slip showing cost to company or gross monthly
(please use the form attached and submit with quote
income (recent payslip ie less than 3 months old)
from the relevant institution)

Section 3 Additional Information


City of residence
City of University
I require accommodation near place of study YES NO
Have own transport YES NO
Medical Conditions or Disability to be aware of YES NO If yes please specify:

Have you applied for any other financial support from other organisations or your employer and
YES NO
been declined?

if yes; please elaborate on the reason for the declination; and to whom you applied

NETT SALARY
Gross Salary or CTC p/m
MONTHLY COSTS

PLEASE COMPLETE THE MONTHLY HOUSEHOLD EXPENSES FORM AND SUBMIT

I verify that all information on this form is correct Signature SIGN Date DD MM YYYY

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