Coronation Fund Managers Exceptional Student Bursary

Personal Information

Please tick the option that best describes your current status:

Still in High School / Currentlyin a Gap Year / I am an UndergraduateStudent
If you are an undergraduate student, please indicate your current year of study.
Please Indicate Your Gender / Male / Female
Please Indicate Your Race / African / Asian / Coloured / Indian / White
Age in years this December
South African ID Number
Surname
First Name and Other Names
Permanent Home Address
(In Full)
Postal Code
Present Address (Only if different to permanent home address)
Postal Code
Home Telephone No.
Your Cell Phone Number
E-mail Address
Person whom we can call to contact you urgently / Name
Contact number
Relationship
Do you suffer from any chronic or physical handicap?
If yes, please give details :
Have you been convicted of any crime/crimes?
If yes, please state which crimes you have been convicted of:

Parental and Guardian Details

  1. Father
/ Father's Name
Contact Number
Name, address and telephone number of father's employer.
Do you live with your father?
  1. Mother
/ Mother's Name
Contact Number
Name, address and telephone number of mother's employer.
Do you live with your mother?
C. Guardian details if you do not live with your parents / Guardian's Name
Telephone Number
Name, address and telephone number of guardian's employer.

Please Indicate the following details for all individuals currently dependent on the family income

Dependent 1 / Dependent 2 / Dependent 3 / Dependent 4 / Dependent 5
Full Name
Age
Current Activity (if studying, please indicate the level of study)
Relationship
Cell Phone Number
What is the total household Income
(Please provide documentation of such income i.e. copies of salary slips, tax, returns etc.)
If accepted, will you be the first person in your immediate family to attend a university?

Schooling Details

Name of Secondary School/s Attended / Dates Attended / Grades Completed
To which education region does your School belong?

Please list your grade 12/matriculation results for the listed courses only(for students currently in matric). If you did not do any of the courses, please indicate with "N/A"

Subject / Second Term Average / Third Term Average
English (Home Language or First Additional Language)
Mathematics (Not Math literacy)
Physical Science
Accounting

Extra-Curricular Activities and Awards Received

Activities:

List the details of your 5 most significant activities at school/universityor in the community and your role in them e.g. leadership, founder, participant. Please be brief but detailed enough for us to understand the activity and your involvement. Remember you can only mention 5 so pick carefully.

Awards Received

List the 5 most important/significant awards that you have received in school/university or within your community. Once again, please be brief but detailed enough for us to understand theawards.Remember, you can only mention 5 so pick carefully.

Field of Study

Please indicate the degree which you hope to study for. If you are currently a tertiary student, please indicate the name of the degree you are studying in option 1 and leave the other options blank.

CHOSEN DEGREE / MAJORS
1st Option
2nd Option
3rd Option

Additional Documents

The following documents must accompany this application: / a)Write a 1-page statement, clearly setting out why you have chosen the 1st option above and how you intend to use it after graduation.
b)Reference: Please submit one letter of recommendation from an individual who can speak to your personal character and/or your academic performance. This person should not be a relative. Please include their contact details.
c)Please include a certified copy of your ID.
d)All high school applicants must attach a certified copy of their grade 11 reports and matric reports to date.
e)All tertiary students must submit a certified copy of their official transcript and a certified copy of their matric results.
f)All "gap year" students must submit a certified copy of their matric results.
g)Please submit proof of your family's monthly income or a signed affidavit indicating as such.

NOTES AND INSTRUCTIONS

Please read these notes and instructions carefully before completing the form. Be sure to read every section and that the information you provide is accurate.

  • Applications that are incomplete and applications that indicate misrepresentations will be immediately disregarded. Please ensure that you attach ALL of the abovementioned documents.
  • Closing date for applications is: 30 September 2017
  • Bursarieswill be allocated for next year (2018)
  • It is your responsibility to apply for entrance to your intended course and university. Please ensure that you meet the entrance requirements stipulated for your course.

COMPLETED APPLICATIONS MUST BE RETURNED BY EMAIL TO:

OR BY FAX TO:086 535 6089.

You will receive a confirmation e-mail or SMS once we have received your application.You will also be contacted if your application is unsuccessful. Only shortlisted applicants will be invited to attend interviews.

GOOD LUCK!

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