Cput Application Online PDF Details

Are you a college student looking for an extra computer science credit? Are you interested in the field of Computer Science but don't know where to start? The Cput Application Online is a course available to students at any level who are looking for a quick and easy way to earn their first credit. For those not enrolled in the course, it can be helpful as an introduction or refresher on key concepts such as data structures and algorithms. The Cput application is organized into six modules: Introduction, Data Structures and Algorithms, Software Development Processes, Web Development Processes, Theory of Computation I and II. Each module has three lessons that cover important topics related to that module's focus area.

Below is the information regarding the PDF you were in search of to complete. It will show you the time you'll need to fill out cput application online, exactly what fields you will need to fill in and a few other specific facts.

QuestionAnswer
Form NameCput Application Online
Form Length9 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min 15 sec
Other namescput application form 2021 pdf download, online application at cput, how to apply online at cput, apply at cput

Form Preview Example

GUIDE TO THE COMPLETION OF THE APPLICATION FORM

Please read the information and instructions contained in the following pages carefully before completing the application form.

PLEASE NOTE:

The University is currently in the process of consolidating programmes on its campuses and service points, and, while everything will be done to accommodate you at the campus of your choice, placement remains at the discretion of the University. Certain programmes are only offered at certain campuses.

Information pages to be retained by the student

SECTION A: INSTRUCTIONS

PLEASE READ THE FOLLOWING CAREFULLY BEFORE COMPLETING THE APPLICATION FORM

1General

1.1This form must be completed by all students applying to the Cape Peninsula University of Technology for the first time.

1.2It is in your own interest to ensure that this form is completed in full and that certified copies of all supporting documents are enclosed. If any questions are left unanswered or certified documents are not enclosed, or the contract is not signed, it will cause a delay as the form will be returned to you for completion. Please write in black ink and use block letters.

1.3A separate questionnaire for RADIOGRAPHY QUALIFICATION (ONLY) must be completed, including the application form.

1.4The undergraduate nursing qualification is only open to candidates from the Western Cape.

1.5The closing date for applications for the following year is 31 August, except for all design and architecture programmes for which it is 31 July.

Late application procedures do not apply to international students.

1.6If you do not have a Portfolio or a questionnaire, please contact the Admissions Office at 021 959 6256/6270 (Bellville Campus) or

021 460 3733/3861 (Cape Town Campus).

2Admission requirements

2.1Consult Faculty brochures for minimum admission and specific qualification requirements.

2.2All candidates with Senior Certificate on Higher and, or Standard Grade are still accepted.

2.3All candidates who comply with the minimum requirements are still subject to selection procedures.

2.4In addition to the minimum requirements, all applicants for the design and architectural technology programmes must submit a prescribed portfolio. Please ensure that you obtain the portfolio requirements booklet with this application form.

2.5CPUT offers the opportunity for qualifying individuals to apply for Recognition of Prior Learning (RPL). Before applying please read what the RPL process entails on the CPUT website under “Admissions”. You may apply for Recognition of Prior Learning:

a)If you are 25 years old or older.

b)You have sufficient work experience of at least 5 years.

c)Your work experience is relevant to the qualification that you are applying for.

NB: Closing date for RPL is 31 August.

i

Information pages to be retained by the student

3Documents to be submitted with your application form

3.1A certified copy of the first page of your Identity Document must accompany your application.

3.2A certified copy of your Senior Certificate or equivalent qualification must be submitted with your application. If you are still in Grade 12, your marks obtained in Grade 11 together with your most recent Grade 12 marks must be submitted. If you attended any other higher education institution, an original Academic Record and a Certificate of Conduct, or certified copies of other certificates/ diplomas/ degrees obtained previously, must also be submitted.

3.3Should the name on the Senior Certificate or equivalent qualification differ from the name on the application form, proof should be provided to explain the change in name.

3.4International students must also meet the requirements set out in paragraph 4 below.

4International Students (non-South African citizens)

4.1Certified copies of the following documents must accompany this form:

Your passport / refugee permit / proof of permanent resident and an evaluation of your qualification (if you are an Asian undergraduate) by the South African Qualifications Authority (SAQA).

SAQA can be contacted at: Postnet Suite 248, Private Bag X06, Waterkloof 0145, South Africa.

Tel:

+27 +12 431 5000

Website address : http://www.saqa.org.za

• Your school-leaving certificate (with English translations where necessary)

5Application Fee

5.1A R100 non-refundable application fee must accompany this form. A late application fee of R150 is applicable from 1 September to 31 October. The following payment methods are accepted:

Only crossed postal orders and bank guaranteed cheques will be accepted, and they must be made out to Cape Peninsula University of Technology.

Cash payments can be made at any time, directly to the Cashiers' Office on your preferred campus.

Bank deposit:

Account Name:

Cape Peninsula University of Technology

Bank Name:

ABSA Bank

Branch:

Public Sector Cape Town

Branch code:

632005

Account Code:

405 354 8487

Swift Code (for payment outside SA):

ABSA ZA JJ (for payments outside South Africa)

Deposit Reference:

ID Number, Surname and Initials

NB: Please attach a copy of the proof of payment to the Application Form

SECTION B: WHERE TO SEND YOUR APPLICATION

Address your application to the ADMISSIONS OFFICE at the postal address as indicated below.

For easy reference the programmes and the campus where it is offered, is shown on the next page. Please check the campus(es) and address your completed application form to the campus where the programme is offered.

BELLVILLE CAMPUSPO Box 1906, Bellville, 7535, Republic of South Africa

CAPE TOWN, MOWBRAY &

GRANGER BAY CAMPUSES PO Box 652, Cape Town, 8000, Republic of South Africa

WELLINGTON CAMPUS Private Bag X8, Wellington, 7654, Republic of South Africa

PLEASE NOTE:

The University is currently in the process of consolidating programmes on its campuses and service points, and, while everything will be done to accommodate you at the campus of your choice, placement remains at the discretion of the University. Certain programmes are only offered at certain campuses.

ii

FACULTY OF APPLIED SCIENCES

Programme

Campus where programme is offered

Agricultural Management •

Wellington

Agriculture (Animal Production, Crop Production, Viticulture and Oenology) •

Wellington

Analytical Chemistry

Bellville

Biotechnology

Cape Town

Consumer Science: Food and Nutrition

Cape Town

Environmental Health/Management

Cape Town

Food Technology

Bellville

Horticulture

Bellville

Landscape Technology

Cape Town

Mathematical Technology

Bellville

Nature Conservation

Cape Town

Oceanography

Cape Town

Information pages to

FACULTY OF BUSINESS STUDIES

Programme Accountancy leading to

Accounting or Cost and Management Accounting or Internal Auditing Entrepreneurship

Events Management Financial Information Systems

Hospitality Management: Accommodation

Hospitality Management: Food & Beverage

Hospitality Management: Professional Cookery Human Resource Management Management

Marketing

Office Management & Technology Printing Management

Public Management Real Estate

Retail Business Management Sports Management Tourism Management

FACULTY OF EDUCATION AND SOCIAL SCIENCES

Programme

BED: Further Education and Training (FET) Economic and Management Sciences

BED: FET (General) or FET (Specialisation): Natural Science or Technology

BED: General Education & Training (GET) Foundation Phase (Grade R - 3)

BED: General Education & Training (GET)Intermediate & Senior Phases (Grade 4-9)

FACULTY OF ENGINEERING

Programme

Building

Cartography

Clothing Management •

Engineering: Chemical

Engineering: Civil

Engineering: Electrical

Engineering: Industrial

Engineering: Computer Systems

Engineering: Mechanical

Engineering: Mechanical: Marine

Engineering: Mechatronics

Maritime Studies

Operations Management

Surveying

Textile Technology

FACULTY OF HEALTH AND WELLNESS SCIENCES

Programme Biomedical Technology Dental Assisting Dental Technology Emergency Medical Care Nursing (Basic qualification) Optical Dispensing

Radiography (Diagnostic, Therapy, Nuclear Medicine, Ultrasound) •• Somatology

FACULTY OF INFORMATICS AND DESIGN

Programme

Architectural Technology •••

Fashion •••

Film and Video Technology •

Graphic Design •••

Information Technology

Interior Design •••

Jewellery Design and Manufacture •••

Journalism

Multimedia Technology

Photography ••

Public Relations Management

Surface Design •••

Three-Dimensional Design •••

Town and Regional Planning

Campus where programme is offered

Bellville, Cape Town and Wellington

Cape Town

Cape Town

Cape Town

Granger Bay

Granger Bay

Granger Bay

Cape Town

Cape Town

Cape Town

Cape Town and Wellington

Cape Town

Cape Town

Cape Town

Cape Town

Mowbray

Cape Town and Wellington

Campus where programme is offered

Mowbray and Wellington

Mowbray

Mowbray and Wellington

Mowbray and Wellington

Campus where programme is offered

Bellville

Bellville

Bellville

Bellville and Cape Town

Bellville

Bellville and Cape Town

Bellville

Cape Town

Bellville

Granger Bay

Bellville

Granger Bay

Bellville

Bellville

Bellville

Campus where programme is offered

Bellville Campus

Tygerberg Hospital

Tygerberg Hospital

Bellville Campus

Athlone: Western Cape College of Nursing (old Nico Malan College)

De Villiers Street Building, Cape Town

Tygerberg Hospital (Afrikaans) and Grootte Schuur Hospital (English)

Cape Town

Campus where programme is offered

Thomas Patullo Building: Cape Town

Cape Town

Bellville

Bellville and Cape Town

Cape Town

Thomas Patullo Building: Cape Town

Cape Town

Bellville

Bellville

Bellville

Cape Town

Cape Town

Cape Town

Thomas Patullo Building: Cape Town

be retained by the student

LETTER/ESSAY = Applicants are required to submit a motivational letter/essay explaining why they want to study a specific course. •• QUESTIONNAIRE = Applicants applying for any Radiography programme must also complete the radiography questionnaire.

•••PORTFOLIO = Applicants applying for design programmes must submit a portfolio.

iii

Information pages to be retained by the student

CHECKLIST

Please note that the University does not consider incomplete applications. Before submitting your application, please check that you have done everything that applies to you, as shown on the list below.

We suggest you tick the box next to each point when you have checked it.

Have you filled in all sections of the form that apply to you?

Have you ensured that you meet the minimum admission requirements for the qualification you are applying for?

Have you signed the “Legal Undertaking” declaring that the information given is complete and correct?

If you are under 18, have you obtained your parent’s/guardian’s signature?

Have you included your application fee? This is an administration fee and is non-refundable.

If you wish to be considered for a place in residence, have you completed the Residence Application Form?

NB: applying for accommodation in residence does not guarantee that you will be allocated room in a residence.

Have you provided all the contact details requested in the form?

Have you provided your ID number and attached a certified copy of your ID document?

If you already have a Grade 12 Certificate, have you enclosed a certified copy of it?

If you are already a student with another higher education institution or if you have already studied at one, have you enclosed a detailed academic record and a certificate of conduct from the institution where you studied last?

If you have completed a qualification at another Higher Education institution, have you attached a certified copy of your highest completed qualification?

Have you completed a separate questionnaire for the RADIOGRAPHY qualification?

If you are an international student, have you attached a certified copy of your passport, refugee permit or proof of permanent resident and your school leaving certificate.

If you are an Asian undergraduate student, or Master’s and Doctorate international student did you attach the SAQA certificate.

Have you completed the prescribed portfolio for the design or architectural technology programmes?

iv

STUDENT NUMBER

For office use only

APPLICATION FOR ADMISSION FOR THE YEAR

20

Please read GUIDE TO THE COMPLETION OF THE APPLICATION FORM, the insert in the middle of this form, carefully before completing this application form.

Have you studied at/applied to the Cape Peninsula University of Technology before, or at the Cape or Peninsula Technikon

Yes No

If YES, please supply your student number

TITLE (e.g. Mr, Mrs)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INITIALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SURNAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First names

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MARITAL STATUS

 

SINGLE

 

 

MARRIED

 

 

DIVORCED

 

WIDOWED

 

OTHER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MAIDEN NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NB: Applications will not be processed without a copy of the applicant’s ID or birth certificate and the number in full entered below.

IDENTITY NUMBER

PASSPORT NUMBER

DATE OF BIRTH

D

D

M

M

Y

Y

Y

Y

 

GENDER

 

 

 

 

 

 

 

 

 

 

 

MF

NB: The following question allows the institution and the Government to track the progress of transformation in Higher Education.

ETHNIC GROUP

AFRICAN

 

 

COLOURED

 

 

INDIAN

 

 

 

WHITE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

HOME LAMGUAGE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPOSED QUALIFICATION (e.g. ND: Mechanical Engineering

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Choice 1

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full-time

Part-time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Choice 2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Full-time

Part-time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NB Please note that the second choice qualification will only be processed if the first choice application has not been successful.

STUDY PERIOD

e.g. 1st, 2nd, or 3rd year of attendance

Are you applying for RPL

Yes No

 

Are you applying for residence

 

Yes

No

 

If YES please complete the Residence Application

 

 

 

and Contract on page 5

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FOR OFFICE USE ONLY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Choice 1

Accepted

Provisionally

Not accepted

Waiting list

Signature

Date

accepted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Choice 2

Accepted

Provisionally

Not accepted

Waiting list

Signature

Date

accepted

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reason for rejection

 

 

 

 

 

 

 

 

(compulsory)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Receipt number

Date

Amount

Cashier

 

ARE YOU AT PRESENT:

 

 

 

 

UNIVERSITY STUDENT

 

GRADE 12 STUDENT

 

 

 

 

 

UNIVERSITY OF TECHNOLOGY STUDENT

 

OTHER (e.g. housewife, travelling, employed, unemployed)

 

 

FET COLLEGE STUDENT

 

Please specify

 

 

 

 

 

 

 

CONTACT DETAILS

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(where you live

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

permanently or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

where you can be

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

contacted)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POSTAL CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone (home)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone (work)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cell phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ACCOUNT

SURNAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title and initials

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Name and

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

address of person

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

responsible for

Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

payment of fees)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POSTAL CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone (home)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone (work)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cell phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Email address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CONTACT DETAILS OF PARENT/LEGAL GUARDIAN/FRIEND/RELATIVE RELATIONSHIP (e.g. father)

TITLE (e.g. Mr, Mrs)

 

 

 

INITIAL

 

SURNAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POSTAL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(where abovemen-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

tioned person lives

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

permanently or can

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

be contacted)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POSTAL CODE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone (work)

Telephone (home)

Cell phone

Email address

NON SOUTH AFRICAN CITIZENS

PLEASE SPECIFY YOUR

COUNTRY OF ORIGIN

CITIZENSHIP

IF NOT A SOUTH AFRICAN CITIZEN, PLEASE TICK ONE OF THE OPTIONS BELOW:

(A) AFRICAN (African countries)

 

(E) EXCHANGE STUDENT

 

 

 

 

 

 

 

(F) FOREIGN (outside Africa)

 

(N) PERMANENT RESIDENT

 

 

 

 

 

 

 

(R) REFUGEE (Refugee permit)

 

 

 

 

 

 

 

 

 

Please note that international applicants will be required to be in possession of a Study Permit in order to register.

2

HIGH SCHOOL OR EQUIVALENT INFORMATION

GRADE 12 EXAMINATION NUMBER

DATE OF GRADE 12 EXAM

Y Y Y

Y

M

M

 

 

 

 

 

NAME OF HIGH SCHOOL/COLLEGE

VERY IMPORTANT: if you are currently in Grade 12, please submit a certified copy of the following results: Grade 11 final results and Grade 12 results if available.

PREVIOUS HIGHER EDUCATION

If you have already been a student at a Higher Education Institution (for eg. at a Technikon, University, University of Technology or College), please complete this section. Provide the details of your most recent enrolments.

PERIOD

From year To Year

NAME OF INSTITUTION

NAME OF QUALIFICATION

STUDY SUCCESSFULLY COMPLETED (Yes or No)

STUDENT NUMBER

Please attach certified copies of academic record and certificate of conduct.

If you would like to gain academic credit, or if you are applying for exemption or recognition of subjects, please request an application form from the faculty office at the campus to which you are applying.

Include with your application an original academic record and a certificate of conduct; or a certified copy of your previously obtained certificate / diploma / degree.

DISABILITY STATUS

This information will not disadvantage your application.

Do you have any disabilities/special needs

 

 

 

Yes

No

 

 

 

 

 

 

If yes, please indicate by ticking the relevant blocks:

 

 

 

 

 

 

 

 

 

NONE

000

 

MULTIPLE

007

 

 

 

 

 

 

 

SIGHT

001

 

DISABLED BUT UNSPECIFIED

009

 

 

 

 

 

 

 

HEARING (WITH HEARING AID)

002

 

ASTHMA

010

 

 

 

 

 

 

 

COMMUNICATION (TALK, LISTEN)

003

 

EXTRA TIME CONCESSION

1005

 

 

 

 

 

 

 

PHYSICAL (MOVE, STAND, GRASP)

004

 

UNKNOWN DISABILITY

U

 

 

 

 

 

 

 

INTELLECTUAL (LEARNING DIFFICULTY)

005

 

 

 

 

 

 

 

 

 

 

EMOTIONAL (BEHAVIOUR, PSYCHO)

006

 

 

 

 

 

 

 

 

 

 

PROCESSING OF APPLICATION AND/OR RESIDENCE APPLICATION FORM

Applications will not be processed without the required copies of documents listed in the GUIDE TO THE COMPLETION OF THE APPLICATION FORM (see the insert in the middle of this Application Form).

Applications will not be processed unless the Legal Undertaking on page 4 of this Application form has not been completed and signed by all the parties concerned.

Applications for Accommodation in a University Residence will not be processed unless the Contract on page 5 of this Application form has not been completed and signed by all the parties concerned.

3

LEGAL UNDERTAKING (COMPULSORY)

I,……………………………………………………………………ID/Passport number ……………………………………………………......

declare that all the particulars supplied by me in this form are true, complete and correct. I accept that incorrect or misleading information could lead to the cancellation of this application.

1.I undertake:

1.1to comply with all the rules and regulations, any amendments thereof as published from

including the disciplinary rules, of the Cape Peninsula University of Technology, including time to time and to acquaint myself with all the provisions thereof;

1.2to notify the Faculty Office immediately if I abandon my qualification of studies and/or change my address;

1.3to acquaint myself with and adhere to all the rules and general regulations applicable to the qualification for which I wish to enroll as well as the rules regarding the payment of fees;

2.I undertake that I will not hold the Cape Peninsula University of Technology liable nor make any claim against the University for any compensation and/or any expenses incurred or damages suffered as a result of or in respect of any injury to me or illness or my death, irrespective of whether any such damages, injury or death may have been attributable to any degree of negligence on the part of the University or one or more of its employees or other person (s) for whose actions it might, but for this undertaking, have been responsible.

3.I am aware that my enrolment is valid only if it complies with the regulations governing the qualification concerned, notwithstanding the acceptance of this enrolment by the University.

4.I accept that, if I abandon or change my qualification of study at any time, no cancellation or reduction of fees will be considered and that I will remain liable for the payment of all fees in full.

5.I agree that the university may provide me with statements of account and any other communiqués by way of electronic communication through data messages. These data messages may be sent to the cellular number provided by me. I am also prepared to accept such messages at my CPUT student e-mail address or at an alternative e-mail address nominated by myself in writing.

SIGNED AT …………………………………… ON THIS …………… DAY OF ……………………......................................….…20. ……………

……….….…………………………………

SIGNATURE OF APPLICANT

Herein assisted as far as may be necessary while the applicant/student is still under the age of eighteen years

I,………..……………………………………………………………ID/Passport Number .………………………………………………………..

the undersigned, hereby acknowledge myself to be jointly and separately responsible for monies which the above-mentioned applicant may at any stage be owing to the Cape Peninsula University of Technology in terms of the agreement that he/she concluded with the Cape Peninsula University of Technology, as set out above, including any change thereto.

SIGNED AT …………………………………… ON THIS …………… DAY OF ………………......................................……….…20. ……………

……….….…………………………………

SIGNATURE OF PARENT/LEGAL GUARDIAN

N.B It is compulsory that this contract is signed by all parties concerned.

WHERE TO SEND YOUR APPLICATION

Address your application to the ADMISSIONS OFFICE at the postal address as indicated.

For easy reference the programmes and the campus where it is offered, is shown on page 3 of the GUIDE TO THE COMPLETION OF THE APPLICATION FORM (see the insert in the middle of this Application Form). Please check the campus(es) and address your completed application form to the campus where the programme is offered.

BELLVILLE CAMPUS

PO Box 1906, Bellville, 7535, Republic of South Africa

CAPE TOWN, MOWBRAY &

 

GRANGER BAY CAMPUSES

PO Box 652, Cape Town, 8000, Republic of South Africa

WELLINGTON CAMPUS

Private Bag X8, Wellington, 7654, Republic of South Africa

4

STUDENT NUMBER

 

 

 

 

RESIDENCE APPLICATION AND CONTRACT

 

 

 

 

 

 

 

 

 

If you require accommodation in a University residence, please

Full year

Semester 1

Semester 2

indicate the period, complete the form below and sign the contract

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TITLE (e.g. Mr, Mrs)

 

 

 

 

 

 

INITIALS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SURNAME

First names

ID/PASSPORT NUMBER

ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

POSTAL CODE

 

 

 

 

TELEPHONE CODE & NUMBER (h)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TELEPHONE CODE & NUMBER (w)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I, the undersigned, .…………………………………………… (the Applicant), hereby apply for admission to Residence for the

abovementioned period, and undertake:

1. To pay the required deposit within 14 days from the date of the notification of the reservation of accommodation for me in the Residence, failing which the reservation may be cancelled.

2. To give the Registrar of the University notice, in writing, at least thirty (30) days before the proposed date of admission, of any intention not to take up the accommodation, and accept that, on failure to take up the accommodation without such notice, the University may summarily cancel such accommodation, in which event I shall forfeit the said deposit as liquidated damages.

3. To allow the University, should the accommodation be taken up, to set off the said deposit against the first residence fees becoming due and to retain the balance as a deposit until after the period of residence and I accept that I shall forfeit the deposit as liquidated damages if I fail to take up the said accommodation.

4. In order to ensure accommodation on returning to the Residence, to pay the deposit within such period as may be stipulated in the notification of the reservation of accommodation for me in the Residence. This deposit will be offset against my residence fees on my recommencing such accommodation and I accept that I shall forfeit this deposit as liquidated damages if I fail to take up the said accommodation.

5. In the event of my discontinuing residence for any reason before the end of a semester, or having my accommodation terminated, to forfeit the deposit as liquidated damages, without prejudice to the right of the University to claim payment of any other amounts I may owe it, whether as a result of my breach of contract or otherwise.

6. In the event of having booked accommodation for both semesters in any year, to give the Registrar written notice by no later than 1 April in that year, of any intention not to return to the Residence for the second semester and I accept that, on failure to give such notice, the University shall have the right to summarily cancel my accommodation, in which event I accept liability of payment, as liquidated damages, of the second semester’s residence fees, without prejudice to the right of the University to claim payment of any other amounts I may owe it, whether as a result of my breach of contract or otherwise.

7. To accept the tariff of residence fees and other charges laid down by the University from time to time.

8. To pay residence fees in full prior to taking up accommodation each semester. No student will be admitted unless the full fees are paid in advance.

9. To accept as final the decision of the Registrar of the University in all cases of dispute in connection with or arising out of this agreement.

10. To accept and comply with the House Rules laid down by the University in respect of the Residence from time to time.

I acknowledge that a reduction of fees will not be granted should residence be taken up after commencement of a semester or in the event of termination of residence before the end of a semester, unless specifically agreed to by the University under special circumstances.

I acknowledge that residence fees and other charges are subject to increase from time to time without prior notice.

I acknowledge that the University shall have the right to summarily terminate my accommodation and eject me from the Residence should I breach any aforesaid undertakings, or should I cease to pursue my aforesaid course of study, without prejudice to the rights of the University in respect of any amounts I may owe it and the right of the University to claim forfeiture of any balance of the deposit still held by it.

 

SIGNED AT …………………………………… ON THIS …………… DAY OF ……………………......................................….…20. ……………

 

……….….…………………………………

 

SIGNATURE OF APPLICANT

 

I, the undersigned …………………………………………………………….. ID/Passport Number …………………………………………………,

 

(the legal guardian of the Applicant), do hereby assist the Applicant as far as may be necessary in contracting with the University on the

 

terms above stated, and I undertake personally to the University to fulfill all the financial obligations of the Applicant to the University in

 

respect of the period while the Applicant is still under the age of eighteen (18) years.

 

SIGNED AT …………………………………… ON THIS …………… DAY OF ………………......................................……….…20. ……………

5

……….….…………………………………

 

SIGNATURE OF PARENT/LEGAL GUARDIAN

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