finansiËle steundienste financial support...
TRANSCRIPT
NWU NG Honneurs 2017 / NWU PG Honours 2017 / SvdW
A. PERSOONLIKE BESONDERHEDE / PERSONAL DETAILS Titel Titel
Voorletters Initials
Van Surname
ID/Paspoortnr ID/Passport nr
Nasionaliteit Nationallity
E-pos Adres E-mail Address
STUDENT TEL: STUDENT TEL:
Sel Cell
Huis Tel Home Tel
B. STUDENT SE FINANSIËLE BESONDERHEDE / STUDENT’S FINANCIAL DETAILS Werk jy? Do you work?
Ja* Yes*
Nee No
Beroep* Occupation *
Werkgewer Employer
Werkgewer tel Employer tel
Opmerkings mbt werk Remarks regarding work
* Werkende studente omskryf as studente wat vir ‘n werkgewer werk (meer as 15 ure per week), ‘n salaris verdien en werk die hoofaktiwiteit is. * Working students defined as students who work for an employer (more than 15 hours per week), earning a salary and work the main activity.
C. AKADEMIESE BESONDERHEDE VAN 2017 GRAAD / ACADEMIC DETAILS OF 2017 DEGREE Studierigting 2017 (Bv. Phd Ing) Study Field 2017 (E.g. Phd Eng)
Jaar in Phd-graad 2017Year in Phd degree 2017
Voltyds Full Time
Deeltyds* Part-Time*
Fakulteit Faculty
* Werkende studente word as deeltydse studente beskou. * Working students are considred part-time students.
D. NASKOOLSE (TERSIÊRE) AKADEMIESE geskiedenis: Grade of diplomas verwerf /
POST-SCHOOL (TERTIARY) ACADEMIC history: Degrees or diplomas achieved
AKADEMIESE KWALIFIKASIE / ACADEMIC QUALIFICATION INSTANSIE / INSTITUTION JAAR VOLTOOI / YEAR COMPLETED
Studentenommer Student Number
1
NWU Doktorale Beurs
NWU Doctoral Bursary Voltyds / Full Time : R24 000 per jaar/year Deeltyds / Part-Time : R12 000 per jaar/year
AANSOEKVORMOEKVOR APPLICATION FORM
Neem kennis: Lees die inligting met voorwaardes vir kwalifisering deeglik deur alvorens u die vorm invul. Geen fakse word aanvaar nie.
Please note:Carefully read the information with conditions for qualification before completing this form. No faxes will be accepted.
Alle velde verpligtend / All fields compulsory
Slegs vir studente in die EERSTE JAAR van die Doktorale graadeenheid. Studente moet die akademiese rekord van dievoorafgaande kwalifiserende graad aanheg. Onvolledige aansoeke is ongeldig en kan daartoe lei dat dit afgekeur kan word.
Only for students in the FIRST YEAR of the Doctoral degree unit. Students must attach the academic script of the precedingqualifying degree. Incomplete applications are invalid and may lead to disapproval of the application.
FINANSIËLE STEUNDIENSTE FINANCIAL SUPPORT SERVICES
M2017
Slegs vir Kantoorgebruik / Office use only Akad Rekord % Acad Record %
Verslag Report
Voltyds / Full time Deeltyds / Part-Time
Beurse reeds ontvang / Bursaries already received
J/Y R
J/Y R
J/Y R
Toekenning Allocation
R
GOEDGEKEUR APPROVED O nsuksesvol of Onvolledig
Unsuccesful or Incomplete
Registrasiekampus / Campus of Registration
Mafikeng
Potche fstroom
Vaal Driehoek/Triangle
NWU NG Honneurs 2017 / NWU PG Honours 2017 / SvdW
2
E. VERKLARING DEUR STUDENT / DECLARATION BY STUDENT
Die beursbedrag is terugbetaalbaar indien ’n student enige van die voorwaardes nie nakom nie, studies staak of nie die kursus binne die voorgeskrewe tydperk voltooi nie.
The bursary amount is repayable if a student fails to comply with any of the conditions, terminates studies or does not complete the course within the prescribed period.
Ek, die ondergetekende, verklaar dat die gegewens op die beursaansoek volledig en korrek is. Ek het die voorwaardes vantoepassing op hierdie beurs bestudeer en lê my neer by die voorwaardes indien my aansoek suksesvol is.
I, the undersigned, declare that the information supplied in this bursary application is complete and correct. I have studied theconditions applying to this bursary and undertake to comply with the conditions if my application is successful.
Stuur aansoekvorm en rig beursnavrae aan u registrasiekampus: FINANSIËLE STEUNDIENSTE KANTOOR Send application and direct your bursary enquiries to your campus of registration: FINANCIAL SUPPORT SERVICES OFFICE
MAFIKENG
Margaret Maphike (+27) 18 389 2349 E-POS / EMAIL:
[email protected] Privaatsak / Private Bag X2046, MMABATHO, 2735
Gebou/Building A2F
POTCHEFSTROOM
Susan vd Westhuizen TEL: (+27) 18 299 2051
E-POS / EMAIL: [email protected]
Privaatsak / Private Bag X6001, POTCHEFSTROOM, 2520
Gebou/Building F19, Kamer/Room G01
VAALDRIEHOEK / VAAL TRIANGLE
Ruth Kgabung TEL: (+27) 16 910 3157
E-POS / EMAIL: [email protected]
Posbus / PO Box 1174, VANDERBIJLPARK, 1900
Gebou/Building 24, Kamer/Room G07
Slegs vir Kantoorgebruik / Office use only
Gekontroleer deur Checked by
Sluitingsdatum: 31 Maart 2017 Closing date: 31 March 2017
Handig aansoekvorms vroeg in vir tydige verwerking. Laat aansoeke sal op aanbeveling van die studieleier oorweeg word. Subm it applications forms soon for timely qualification. Late applications will be considered with a recommendation from the study leader.
Merk toepaslike blokkie / Mark applicable box:
NWU-Student Student of NWU
Nie nodig om akademiese rekord/s van vorige graad aan te heg nie Not necessary to attach preceding academic record/s
Student van ‘n ander Universiteit Student from another University
MOET akademiese rekord/s van vorige graad aanheg (geen sertifikate)* MUST attach preceding academic record/s (no certificates)*
Student Handtekening / Signature
Klik blok vir digitale handtekening Click block for digital signature
Datum / Date
Stoor ALLE AKADEMIESE REKORDS IN EEN LêER as "Naam met studentenr" Save ALL ACADEMIC RECORDS in ONE FILE as "Name with Student no"
Kies kampus om te stuur / Select Campus to Submit
Nee m asb kennis dat die dokument nie gestuur kan word as alle velde nie ingevul is nie / Please note that the document will not submit if all fiels are not completed