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BURSARY APPLICATION FORM

For South African citizens ONLY

Instructions:

1.Only use BLOCK LETTERS.

2.Please read the Notes and Instructions on the last page before completing this application form..

3.Only signed applications containing full particulars of applicants will be considered.

4.Mark appropriate block with X.

5.Send applications to: State Information Technology Agency, P.O BOX 26100 Monument Park, 0105

1.Personal Information:

1.1.Surname

1.4.Gender

Male

Female

1.2. Title		1.3. Population group
		1.5. Disability?
		1.5. Disability?

Black	White	Coloured	Indian


Yes	No

1.6.First names (As they appear in your Green coded ID or passport)

1.7. Identity number

1.8. Home address:

Postal Code

1.9. Contact details:

a. (H)

c. (C)

(Please provide a certified copy)

b. (W)

d.(e-mail)

2.EDUCATIONAL QUALIFICATION (Please attach a copy of matric certificate & any other qualification acquired.)

Secondary qualifications:

2.1

Name of school ______________________________________________________________________________________

2.2

Highest grade passed

________________________________

2.3

Date

2.4

Subject Details

Subject

Symbol

Subject

Symbol

2.5 Tertiary qualifications (from highest to lowest in any)

Qualification

Year

Institution where obtained

obtained

CURRENT STUDIES

3.1

Are you currently studying?

Yes

What is current year of study?

3.2

Name of degree / diploma

(e.g. ND: Information Technology, BSC: Computer Science):

______________________________________________________________________________________________________

3.3

Major Subjects

(1)

_______________________________

(2)

____________________________________

3.4

Institution (University/University of Technology):

_______________________________________________________________________________________________________

3.5

Are you currently a bursary holder? (Please attach letter from sponsor)

Yes

3.6

What is the normal duration of the course?

3.7

Is the study area in line with your career aspirations?

Yes

3.8

If “yes”, briefly describe where you

see yourself ten years from now?

3.9

Mark the year of study for which you are applying

3.10

Period of bursary

From

4. MOTIVATION:

Give details of any activity (academic or otherwise) in which you have done EXCEPTIONALLY well either academically/or In your community: (*Please attach a separate sheet of paper if this space is not sufficient)

_______________________________________________________________________________________________________________

5. CHECKLIST: Please check and make sure that you have attached the following:

ITEM	Tick

Certified copy of your Id/ passport.

Certified copy of matric certificate.

A copy of your semester results of final results if applicable.

A copy of the registration certificate/ proof of acceptance by relevant institution

4.Declaration

4.1I realise that this is a bursary scheme with a contractual obligation that I am applying for and I undertake to abide by the conditions pertaining to the granting thereof.

4.2I declare that the above-mentioned particulars are complete, truthful and correct.

___________________________________________	_____________________________
Signature of applicant	Date

Question	Answer
Form Name	Sita Bursary Application Form
Form Length	4 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	1 min
Other names	seta bursary 2021 online application, seta application form 2021, sita bursary application form 2021 pdf, etdp seta bursary application form 2021 pdf

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