SANCB OPTIMA COLLEGE
FINANCIAL ASSISTANCE
APPLICATION FORM
Please read the notes and instructions carefully and ensure that the following documents are attached:
Two Certified copies of Your IDProof of parent/s income (payslips)
Certified copies of your parents ID
If unemployed, an affidavit confirming this must be attached
If collecting a social grant, proof of this must be attached
Notes and instructions
Read these notes carefully before you complete the application form. Make sure that you read every section and that the information you provide is accurate.
1. INCOMPLETE APPLICATION FORMS (forms with missing documents) WILL NOT BE ACCEPTED.
2. Postal applications will be accepted before the closing date if all required documentation is included. If documentation is not included the form will be returned and the application will be regarded as unsuccessful.
3. SANCB OPTIMA does not take responsibility for undelivered or missing postal applications.
4. Do not send original documents (excluding affidavits). Attach certified copies to the application form. Only original affidavits will be accepted. No e-mailed or faxed documents will be accepted.
5. The closing date for applications 31 October of every year.
6. Students who are granted a bursary from another organization/institution are obliged to inform the SANCB OPTIMA office at the Pretoria campus. We reserves the right to withdraw an award if the student receives a full bursary elsewhere.
7. Financial Assistance is granted for the tuition and accommodation fees for the course that you are undertaking.
8. Part-time students will not be considered.
9. Non-South African citizens will not be considered.
Kindly send the following documents along with the application form.
1. If both parents are working, recent payslips not older than 2 months are required from each parent. If a parent is paid on a weekly basis four consecutive payslips should be submitted. If a parent is paid on a two-weekly basis (fortnightly) 2 consecutive payslips should be submitted.
2. If a parent is unemployed an affidavit signed by the unemployed parent is required, confirming his/her own unemployment.
3. If a parent is working in the informal sector where official payslips are not issued (e.g. street vending or informal selling) the rand value of the income gained per month must be stated in the affidavit.
4. If a parent is employed as a domestic worker, a letter from his/her employer is required, stating the period of employment and the monthly salary.
5. If there is anybody in the household that receives a state pension or a child support grant, proof is needed. A certified copy of the most recent pension slip, pay point slip or an original 3 month bank statement should be submitted.
6. If the family/student is sponsored an affidavit signed by the sponsor should be submitted stated the monthly rand value of the sponsorship.
7. If the whereabouts of a parent is unknown or if the parent has absconded or does not contribute towards the finances of the family, an affidavit is required from the parent whom the student lives with. The parent writing the affidavit should not only indicate that he/she is single, but also that the other parent’s whereabouts are unknown and that no financial support is received.
8. If a student lives with his/her grandparents, or guardian an affidavit from the guardian or grandparents is required, stating the whereabouts of the biological parents and the rand value of the parents’ monthly support to the student. If R0 it should be stated. Proof of income of grandparents should then also be provided. Guardians should also provide an affidavit stating the monthly contribution to the student.
9. Certified copies of identity documents (or birth certificates where identity documents are not available) for the every member of the household including the applicant should be submitted.
10. All copies of documents must be certified
11. Please make sure all required documentation is attached before submitting the application form, as incomplete applications will not be processed and it will be regarded as an unsuccessful application.
Please tick the course that you are applying to study for and seeking financial aid assistance:
1. PERSONAL INFORMATION OF STUDENT
1.1 Title:______
1.2 Surname: ______
1.3 Full Names: ______
1.4 Gender: ______
1.5 Identity Number:______
1.6 Age: ______Date of Birth: ______
1.7 Telephone Numbers:
(Home) Code: ______-- ______
(Work) Code: ______-- ______
(Cell: ______
1.8 Physical Address: ______
______
______
Postal Code: ______Province: ______
1.9 Postal Address: ______
______
Postal code:______
1.10 Marital Status: ______
1.11 How many children do you have: ______
1.12 Nationality: ______
1.13 Home language: ______
1.14 Do you require Hostel Accommodation Yes ______No ______
1.15 Name of next of kin: ______
Relationship: ______
Physical Address: ______
______
Telephone and Code:
(Home) ______
(Work) ______
(Cell) ______
Email address: ______
2. PARENT/GUARDIAN INFORMATION
2.1 Please indicate if it is your Father: _____ Mother: _____ Guardian: _____
2.2 Surname: ______
2.3 Identity Number: ______
2.4 Physical Address: ______
______
______
Postal Code: ______Province: ______
2.5 Postal Address: ______
______
Postal code: ______
2.6 Married: _____ Single: _____ Divorced: _____Widow/er: _____
2.7 Telephone and Code:
(Home) ______
(Work) ______
(Cell) ______
2.8 Email address: ______
2.9 Occupation of Father: ______
2.10 Name of Employer: ______
2.11 Gross income: ______
2.12 Occupation of Mother: ______
2.13 Name of Employer: ______
2.14 Gross income: ______
2.15 Occupation of Guardian: ______
2.16 Name of Employer: ______
2.17 Gross income: ______
2.18 Name of other family member not living with you: ______
Contact details:
(Home) ______
(Work) ______
(Cell) ______
Email address: ______
3. DECLARATION BY STUDENTI ______hereby declare that I understand
and accept the conditions and arrangements; I further declare that the above given
information is correct.
Identity number: ______
Name of Course: ______
Duration: ______
Signature of Student: ______
Signature of Parent / Guardian: ______
Date: ______
Please use the following contact details below for any enquiries or correspondence with
SANCB Optima College
College Administrator
Mika Dowling
Tel: 012452 3807
Fax 012346 1149
Email:
FOR OFFICE USE ONLY - Acknowledgement of receipt of application
Student No. / Complete / Date Received / Financial Aid Granted / Amount GrantedYes / No / Yes / No
Payment: / Reference Number / Amount / Balance
Date
Comments:
Signature of Coordinator
Date:
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