APPLICATION FOR SPORT BURSARY
PLEASE COMPLETE ONE APPLICATION FORM PER SPORT
SPORT CODE
Year of Application
Intended Course of Study (First Choice)
PART 1: APPLICANT’S PERSONAL DETAILS
Student Number
Surname
Full Name
RSA ID #
Passport #
(Foreign Students Only)
Home Address
Postal Code
Postal Address
Postal Code
Telephone Number |
Area Code |
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Cellphone Number
E–mail Address
1
Do you have a disability?
If yes, please provide details of your disability
PART 2: ACADEMIC & RESIDENCE INFORMATION
School Attended
Location
Province
Auckland Park Kingsway (APK)
Auckland Park Bunting (APB)
Doornfontein (DFC)
Soweto (SWC)
Do you intend staying in a residence? |
Yes |
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No |
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Name of Residence |
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Campus |
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Do you intend joining a day house? |
Yes |
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No |
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Name of Day House |
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Campus |
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2
PART 3: CONTACT DETAILS OF NEXT OF KIN
Surname
First Name
Home Address
Postal Code
Postal Address
Postal Code
Telephone # |
Area Code |
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Number |
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Cellphone #
E–mail Address
3
PART 4.1: SPORT ACHIEVEMENT (PROVINCIAL AND/OR NATIONAL COLOURS)
(REMINDER TO COMPLETE ONE APPLICATION FORM PER SPORT CODE)
Position/Item 1
Provincial Colours |
Yes |
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No |
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Provincial Federation |
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Age Group |
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Year Obtained |
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Highest Achievement |
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(include Event Name) |
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National Colours |
Yes |
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No |
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National Federation |
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Age Group |
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Year Obtained |
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Highest Achievement |
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(include Event Name) |
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Position/Item 2 |
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(If applicable) |
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Provincial Colours |
Yes |
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No |
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Provincial Federation |
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Age Group |
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Year Obtained |
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Highest Achievement |
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(include Event Name) |
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National Colours |
Yes |
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No |
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National Federation |
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Age Group |
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Year Obtained |
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Highest Achievement |
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(include Event Name) |
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4
PART 4.2: SPORT ACHIEVEMENT (STUDENT NATIONAL COLOURS AND/OR OTHER)
(REMINDER TO COMPLETE ONE APPLICATION FORM PER SPORT CODE)
Position/Item
Student National Colours |
Yes |
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No |
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Federation |
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Year Obtained |
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Highest Achievement |
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(include Event Name) |
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Position/Item |
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UJ Team |
Yes |
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No |
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Team Level (1st, 2nd, etc.) |
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Year Obtained |
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Highest Achievement |
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(include Event Name) |
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Position/Item |
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School Team |
Yes |
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No |
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Team Level (1st, 2nd, etc.) |
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Year Obtained |
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Highest Achievement |
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(include Event Name) |
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PART 4.3: LEADERSHIP ROLES |
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Were you headboy/girl in your matric year? |
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Yes |
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No |
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Did you captain a team during the current year? |
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Yes |
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No |
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If yes, please provide the following information |
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Name of Team |
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Name of Event
Age Group of Event
5
PART 5: DOCUMENTATION REQUIRED
1.Comprehensive Sport CV
2.Proof of Provincial and/or National Colours
3.Copy of RSA ID Document or Foreign Passport
PART 6: DECLARATION
I, the undersigned, declare herewith that the particulars as stated are true and correct, that I am aware that my false statement will declare this application null and void and I hereby accept the bursary conditions.
APPLICANT’S SIGNATURE |
DATE |
PARENT/GUARDIAN’S SIGNATURE |
DATE |
FOR OFFICE USE ONLY
Reason
Bursary Level
Amount
6
PLEASE NOTE THE FOLLOWING REGARDING THE APPLICATION PROCESS
1.All completed applications must be submitted electronically or via the postal service to the UJ Sport Bursary Administrator by 30 SEPTEMBER of the current year.
2.If applicants obtain provincial, regional or national colours after 30 SEPTEMBER, the additional information must be e–mailed to the address given below.
3.Your bursary application will only be considered if this form is completed IN FULL and the required documentation (mentioned in Part 5) is attached.
4.The submission of a sport bursary application form DOES NOT guarantee the allocation of a sport bursary.
5.All current sports bursary holders must APPLY ANNUALLY for bursaries.
6.Late applications will be considered only in exceptional cases.
7.The bursary amount is a CONFIDENTIAL matter between the bursar and the university.
8.Allocation of a bursary is subject to the level of sporting participation and academic results. This may vary between sporting codes.
UJ SPORT BURSARY REGULATIONS PERTAINING TO PAYMENT
1.The bursary applicant must be a registered full time student at UJ for a three/four year course (Undergraduate/Post Graduate National Diploma or Degree).
2.Registration fees (1st payment) are for the bursary holder’s personal account and will not be deductible from his/her bursary. No exceptions will be made.
3.It will be expected of the bursary holder to maintain and/or excel in his/her sport code, thus contribute to the prestige of UJ sport overall.
4.Payment terms (instalments) are subject to individual sport codes.
5.The bursary package is subject to a contract that is signed with UJ Sport and to qualify the bursary holder must at least:
a.Pass 60% of his/her subjects in November of the current year in order for the first payment of the bursary to be credited to his/her account (only applicable to senior students);
b.Pass 60% of his/her subjects in June of the bursary year in order for the second payment to be credited to his/her account.
I hereby confirm that I have read the abovementioned rules and regulations regarding the UJ Sport Application & Payment Process and I am aware of what is required of me should I be allocated a bursary by UJ Sport.
APPLICANT’S SIGNATURE |
DATE |
PARENT/GUARDIAN’S SIGNATURE |
DATE |
7
UJ SPORT BURSARY ADMINISTRATOR DETAILS
Should you have any questions, please do not hesitate to contact the UJ Sport Bursary Administrator, details
as follows:
MELISSA CHANEY |
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Telephone # |
011 559 2760 |
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E–mail Address |
melissac@uj.ac.za |
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Physical Address |
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Postal Address |
University of Johannesburg |
PO Box 524 |
Sport Bureau |
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Auckland Park |
Auckland Park (Kingsway Campus) |
2006 |
C–Parking |
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Ditton Avenue
Auckland Park
8