2015 Academic Year - Financial Aid Application Form

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WALTER SISULU UNIVERSITY
FINANCIAL AID APPLICATION FORM
2015 ACADEMIC YEAR
CLOSING DATE (currently registered students): 30 SEPTEMBER 2014
CLOSING DATE (first time entrants to WSU): 30 NOVEMBER 2014
NO LATE APPLICATIONS WILL BE ACCEPTED
PLEASE NOTE:
• Only South African students currently registered (continuing students) or new students that have applied for, received
confirmation of or provisional acceptance for admission (first-year students) can apply for financial aid.
• If you provide incorrect or false information on this application form, you will be disqualified and you will forfeit your
NSFAS Loan.
• Incomplete application forms (including those with missing documents) will NOT be accepted.
• Only original application forms will be accepted and should be submitted at any one of the four campus Student
Financial Aid Services Offices. Students can download the application form from the website or from their email, and
submit this as an original form.
• No emailed or faxed documents will be accepted.
• If your application is approved, and you do not sign a pre-agreement quotation AND a loan agreement form OR
bursary agreement form after registration, the University reserves the right to withdraw your loan/bursary funding
and you will be responsible for settling your student fee account.
PLEASE READ THE INSTRUCTIONS ON PAGES 5 AND 6.
SIGNATURE OF APPLICANT: _________________________________________ DATE __________________________
Please read the notes and instructions in the financial aid brochure before completing the application form.
FOR OFFICE USE ONLY
NAME AND
DATE RECEIVED:
SIGNATURE OF FAO:
NAME AND
DATE PROCESSED:
SIGNATURE OF FAO:
Total Gross
EFC
Within N+2
YES / NO
Income
value
SECTION 1: STUDENT APPLICANT INFORMATION
(CROSS OUT WHERE APPROPRIATE, USE PRINT LETTERS)
First Names (as per ID document):
Title: Mr / Mrs / Miss /
Surname:
Gender: Male / Female
Marital Status: Married / Unmarried / Divorced / Widowed
Race: African / Indian / Coloured / White / Asian
ID:
Student No:
Home address (where your family lives):
Home Tel No:
City:
Province:
Postal Code:
Postal Address :
Postal Code:
Email Address:
Cell No:
Do you have a physical disability, or a visual or hearing impairment? (If so, please ask the FAO for more
YES / NO
information on the bursaries for persons with disabilities and the requirements for this bursary).
Would you like to receive a book allowance as part of your loan?
YES / NO
1

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