University Of Mpumalanga Online Application PDF Details

The University of Mpumalanga online application form is now available. All prospective students are urged to apply as soon as possible, as the application deadline is fast approaching. The online application process is simple and easy to complete, so don't miss out on this opportunity! Available courses include: business administration, information technology, economics, electrical engineering and many more! Don't wait any longer - apply today! For those who have always dreamed of a tertiary education but never had the chance to go due to various reasons such as distance or cost, your time has come. The University of Mpumalanga offers more than 60 courses 100% online.

Here is the information concerning the form you were seeking to fill in. It will tell you the time it will take to complete university of mpumalanga online application, exactly what fields you will have to fill in and several additional specific facts.

QuestionAnswer
Form NameUniversity Of Mpumalanga Online Application
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesuniversity of mpumalanga late application 2021, university of mpumalanga late application, ump late applications, ump online application 2020

Form Preview Example

studentapplications@ump.ac.za

APPLICATION FORM FOR ADMISSION IN 2015

ALL APPLICANTS MUST COMPLETE THIS FORM

Please complete this form carefully and in block letters, then return it to us by either physically dropping it o University of Mpumalanga, c/o Lowveld College of Agriculture, corner R 40 White River Road & D725 Road, Riverside, Mbombela, 1200; or by posting it to: The Admissions O

You can get the process started by sending a scanned copy of this form to us at:

Your application will only be confirmed once we receive the original, signed copy of this form.

A non-refundable fee of R100 is payable upon application. Payment details are given on page 8. Please do not enclose cash and postal orders if you are returning this form by post.

SECTION A ACADEMIC APPLICATION

1. CHOICE OF STUDY PROGRAMME

Please tick the box indicating your choice of study area. You may tick more than one box)

Bachelor of Education: B Ed (Foundation Phase Teaching)

Diploma: Hospitality Management

Bachelor of Agriculture: B Agric (Agricultural Extension)

Diploma: Plant Production

Please indicate your: 1st choice 2nd choice 3rd choice 4th choice

Note that these are

all for the first year

of study in 2015

2.PERSONAL DETAILS

Title

Last Name/Surname

First Name

Gender (please tick )

FOR OFFICE USE ONLY

Registration fee received

Form captured by

Mr

 

Mrs

 

Ms

 

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Name(s)

 

 

 

Female

Male

Date of Birth

D D

M M

Y Y Y Y

Date

Date

1 OF 8

3. CITIZENSHIP

Are you a South African citizen? (please tick

)

Yes

If yes, South African ID Number

 

 

 

 

 

 

(Please submit a certified copy of your ID)

 

 

 

 

 

 

If not South African permanent resident, state nationality If not South African resident, passport number

(Please submit a certified copy of your passport)

If not South African permanent resident,

state the country where you have permanent residence

No

4. GENERAL PERSONAL BACKGROUND

Note that this information is required for statistical purposes and for us to ensure that we accommodate your study needs wherever we can (please tick the appropriate box)

Population Group

Marital Status

Home Language

Black

 

Coloured

White

 

Indian

 

Chinese

Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Single

Married

 

Widow/er

 

 

Divorced

 

Separated

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Afrikaans

 

English

IsiZulu

 

IsiNdebele

 

Sepedi

Xitsonga

 

 

 

 

 

 

 

 

 

 

 

 

SeSotho

 

Setswana

Siswati

 

IsiXhosa

 

Tshivenda

 

 

 

 

 

 

 

 

 

 

 

 

 

Other (Please specify):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Christian

Hindu

 

Jewish

 

 

 

Muslim

 

None

 

 

 

 

 

 

 

 

 

 

 

 

Other (Please specify):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Disability or

It is important to inform us of your special needs at the time of application. You should also attach any

Special Needs

supporting documentation that may assist us in trying to accommodate your needs

 

 

 

 

 

 

 

 

 

Blindness

Deafness

 

Partial Hearing

Partially Sighted

Learning Disability

 

 

 

 

 

 

 

 

Quadriplegic

Cerebral Palsied

 

Impaired Mobility

ADD/ADHD (chronic)

Paraplegic

 

 

 

 

 

 

 

 

Speech

Other (Please specify):

 

 

 

Sport Involvement

 

 

 

 

 

The sport you formally participated in and the level of your participation

 

Sport

Level (School, Club, Junior/Senior Provincial: Junior/Senior National)

2 OF 8

5.CONTACT DETAILS - APPLICANT’S DETAILS

It is essential to carefully enter all your details here

Physical Address

 

 

 

 

 

 

 

 

 

 

 

City

 

Province

 

Country

 

 

 

 

 

 

Postal Code

 

 

 

 

 

Postal Address

City

Country

Telephone Contact Home number Details

Business number

Province

Postal Code

Cell number

Fax number

e-mail

NEXT OF KIN DETAILS

Relationship

Next of Kin Surname

Next of Kin Name

Next of Kin Initials

Next of Kin Title

Next of Kin ID Number

Next of Kin Postal Address

City

Country

Next of Kin Contact Details

MotherFather Other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Province

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Home number

 

 

 

 

Cell number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business number

 

 

 

 

Fax number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Next of Kin e-mail

3 OF 8

DETAILS OF PERSON LIABLE FOR SETTLEMENT OF FEES (This information is compulsory)

Person to sign at the end of this form

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Last Name/Surname

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Initials

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ID Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal Address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Province

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Country

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Telephone Contact

Home number

 

 

 

 

 

 

Cell number

Details

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Business number

 

 

 

 

 

 

Fax number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

e-mail

6. ACADEMIC HISTORY - SOUTH AFRICAN QUALIFICATIONS

If you have matriculated or previously attempted

Matric, please submit a certified copy of your Matric certificate

School Attending/

Name of School

 

 

 

Attended

 

 

 

 

 

 

 

 

 

 

Address of School

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Postal Code

 

 

Telephone Number

Grade 11Results

 

 

 

 

 

 

 

To be completed by applicants writing South African Matric in 2014. You may also attach a certified copy

 

of your Grade 11 report.

Subject

Mark(%)

Subject

Mark(%)

Grade 12 Particulars

To be completed by applicants writing a first attempt Matric in 2014.

 

School at which you will write

Your Examination

 

your examination

Number

 

 

 

 

 

 

 

 

4 OF 8

NSC Subjects to be written in 2013

Grade 12 Particulars

1.

6.

 

 

2.

7.

 

 

3.

8.

 

 

4.

9.

 

 

5.

10.

 

 

To be completed by applicants who are upgrading their Matric in 2014.

Month and year in which examination will

School at which you will write

be rewritten.

your examination

 

 

 

 

 

 

Your Examination Number

NSC Subjects to be written in 2014

Examining Authority

1.

6.

 

 

2.

7.

 

 

3.

8.

 

 

4.

9.

 

 

5.

10.

 

 

To be completed by all applicants who will be writing a South African Matric in 2014. (Please tick

)

 

 

 

 

 

Eastern Cape

Free State

Gauteng

KwaZulu-Natal

Limpopo

 

 

 

 

 

 

Mpumalanga

Northern Cape

North-West

Western Cape

IEB

 

 

 

 

 

 

 

INTERNATIONAL QUALIFICATION

Complete this section only if you are writing or have written a NON-SOUTH AFRICAN EDUCATIONAL QUALIFICATION and require exemption from the Matriculation Board

Have you completed your

Yes

qualification? (please tick )

No

If yes, please submit certified copies of your school-leaving certificates

If your qualification examinations are still to be written, please complete the section below

Month of Examination

Examining Authority

 

 

 

 

 

 

Exam Number

Centre Number

A-Level Subjects

AS-Level Subjects

HIGCSE Subjects

If A, AS and HIGCSE levels are not applicable to you, please supply details in this column

5 OF 8

PREVIOUS AND CURRENT TERTIARY EDUCATION STUDIES

Certified copies of academic transcripts and code of conduct must be attached for all applicants. You are required to disclose all tertiary registration, even if you de-registered in the course of the year of study.

1.Study Programme (Degree/Diploma/Certificate)

Institution

Student Number

Dates of Registration

From

Date of Graduation

(If applicable)

Full-time

To

Part-time

Status: P ( Passed); F (Failed); C (still to complete year / results not available); Z (C ancelled)

2.Study Programme (Degree/Diploma/Certificate)

Institution

Student Number

 

 

Full-time

 

Part-time

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Dates of Registration

From

 

To

 

 

 

Date of Graduation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(If applicable)

 

 

 

 

 

 

 

 

 

 

 

 

Status: P ( Passed); F (Failed); C (still to complete year / results not available); Z (C ancelled)

SECTION B APPLICATION FOR RESIDENCE ACCOMMODATION

The University will have limited residence accommodation space. This will generally be shared accommodation and will be only be available to students registered on a full-time basis.

Do you wish to apply for University residence accommodation? (please tick

)

Yes

No

SECTION C APPLICATION FOR FINANCIAL AID

Do you wish to apply for Financial aid support? (please tick

)

Yes

No

If yes, please complete the NSFAS application form at www.nsfas.org.za. If yes and you are applying for the B Ed programme, you qualify to apply for a Funza Lushaka bursary, managed by the Department of Education. You should apply directly at www.funzalushaka.doe.gov.za Please contact our admissions o

You may also be eligible for support from one of the University of Mpumalanga bursary programmes and we will inform you if you have been successful for such bursary support.

6 OF 8

SECTION D LEGAL DECLARATION OF INDEMNITY AND UNDERTAKING

Applicants under the age of 18 years old must be assisted by their parent or guardian, (must be the same person listed under Next of Kin in Section 5 above).

I, THE APPLICANT, AND I, THE PARENT / GUARDIAN / NEXT OF KIN OF THE APPLICANT -

1.Acknowledge that the University does not accept responsibility for damage or loss in respect of property of the applicant or in respect of property brought onto University premises by the applicant.

2.Do hereby indemnify the University in respect of any damage caused by the applicant to University property actions either whilst on the University premises or whilst engaged in any activity related to the University.

3.Undertake, during the orientation period and for any period during which I am a registered student, to be bound by the rules and regulations of the University for the time being in force, including the rules and regulations of any University residence, club or society to which I may be admitted or become a member and by any requirements or conditions imposed by the University on me as a prerequisite to my registration as a student of the University in any faculty.

4.Certify that the information provided in this form and all supporting documentation is accurate and acknowledge that furnishing any false information may result in disciplinary proceedings being taken against the applicant.

5.Declare that I have furnished the University with all the information necessary to make an informed decision about my admission.

6.Undertake to pay unconditionally all fees, charges and equipment surcharges payable to the University as they fall due for payment for any period for which I am or may become a registered student of the University.

7.Consent to my examination results being made available to the relevant bursary donor(s) and / or lenders.

ALL APPLICANTS MUST SIGN BELOW

Signature of Applicant

 

Date

 

AND, if the applicant is under the age of 18 years, assisted by (Full name of parent or legal guardian or next of kin):

First Name

Last Name/Surname

 

 

 

Signature of parent/legal guardian

Date

PERSON LIABLE FOR SETTLEMENT OF FEES

I undertake to settle all tuition and miscellaneous fees due to the University by due date. I may make suitable arrangements to settle the outstanding charges as per the University’s Credit Policy as stipulated by the National Credit Regulator. If I do not settle by due date, I will pay interest at the rate prescribed by the University. I also consent to the University imposing credit control restrictions if the debt is not settled.

Full Name

Signature

Date

7 OF 8

APPLICATION FEE AND PAYMENT

ALL APPLICANTS are required to pay an application fee of R100.

Methods of Payment: 1. Deposit exact amount into University’s account: Standard Bank,

Account Number: 333270347,

Branch code: 052852, Nelspruit,

Account name: University of Mpumalanga. (Please attach a copy of the deposit slip).

2.Cheque/postal order/bank draft made out to University of Mpumalanga. Write the applicant’s name on the back.

Lowveld College of Agriculture / University of Mpumalanga

Cnr R 40 White River Road & D725 Road, Mbombela.

4. For EFTs Use the applicant’s Initials and Surname as the reference

8 OF 8

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