M30 Form – Fill Out and Use This PDF

Unisa student number (if issued)

OFFICIAL USE ONLY
AME Evaluation: ………………	W.E.F: ……………...........…
Initials: ………………	Application fee: …………………	Initials: ……………

SECTION H

MATRICULATION BOARD M30 (Unisa)

Application for a Certificate of Conditional Exemption

FOR ADMISSION TO BACHELOR`S DEGREE STUDIES (not for BTech degree studies)

IN ADDITION TO THE DOCUMENTS REQUIRED BY UNISA FOR THE APPLICATION PHASE THIS FORM MUST BE ACCOMPANIED BY THE FOLLOWING:

1Original educational qualifications (high school and post-school qualifications) or only copies certified correct by the Registrar of a South African university or by a South African Embassy, Consulate, High Commission, Trade Mission or by a Public Notary in a foreign country. Original sworn translations in either English or Afrikaans must accompany documents issued in another language.

2Holders of American High School Diplomas must submit a letter issued by the Registrar of an accredited university in the United States of America to the efect that the holder is eligible for unconditional admission to degree studies at such a university, or submit SAT results.

3An original oial academic record reflecting the courses passed in diferent years, if the application is based on the grounds of post-school qualifications, with a prescribed minimum duration of at least three years uninterrupted study.

(RSA/SADC students only).

4A certified copy of the particulars in the applicant’s identity document or passport reflecting his or her date of birth and full names or the applicant’s birth certificate.

5A married woman must also submit a certified copy of her marriage certificate or divorce decree.

6 Fees payable: R400.

7 Applications for exemption from the matriculation endorsement must be submitted together with your application to study.

FAXED OR E-MAILED DOCUMENTS ARE NOT ACCEPTABLE FOR THIS CONDITIONAL EXEMPTION APPLICATION.

APPLICANT’S FULL NAME (BLOCK LETTERS PLEASE):

1 Present surname:

2 Maiden or previous surname(s):

3 First names:		4 Date of birth:

5 Postal address:

v

Unisa student number (if issued)

6 Full particulars regarding applicant’s educational qualifications:

a) School certificate:

b) Post-school qualification (where applicable):

Name of certificate:

Name of diploma/degree eg Nat. Dip. Accounting:

Name of examining body, eg Cambridge International

Examinations, IEB, Umalusi

Institution where obtained:

Year of completion:

Y

Y

Y

Y

In which province did you write your senior certificate

examinations? (RSA applicants)

Year of completion:

Y

Y

Y

Y

7 Full particulars regarding applicant’s educational qualifications:

School subjects passed

Month/year

Grade/level

Symbol

8 Degree for which applicant proposes to study, eg BTh

CHECK LIST (to be completed by the applicant before submitting the application):
1	Did you complete all questions on the form?
				Yes			No
2	Did you sign the form?
				Yes			No
3	Are your documents (ID/passport, educational qualifications and marriage certificate/divorce decree attached?
				Yes			No
4	Are the documents the originals or certified as explained on the previous page?
				Yes			No
If you answered NO to any of these questions, your application will not be processed.
Applicant’s signature		Date

Y Y Y Y M M D D

vi