2015 Academic Year - Financial Aid Application Form Page 2
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6WALTER SISULU UNIVERSITY
Would you like to receive a meal allowance as part of your loan? (Value still to be determined)
YES / NO
Has there ever been an administration order against you? (If so, please attach details)
YES / NO
Have you ever been declared mentally unfit by a court of law?
YES / NO
SECTION 2: 2015 STUDY INFORMATION
FAILURE TO COMPLETE THIS SECTION IN FULL MAY MEAN THAT YOUR APPLICATION WILL NOT BE PROCESSED
Course of Study: Degree / Diploma / Certificate
Name of course:
Campus: Buffalo City / Butterworth / Mthatha / Queenstown
Site:
P
In 2015, I will be a ....... (please mark appropriate block with a
)
1
time student
time as a student in 2015
You will be registering for the 1
st
st
Senior student / Continuing Student
You are continuing your studies in 2015 and 2016
Final Year Student
You will write your final year examinations in November 2015 to graduate in 2016
Post Graduate Student
You will be registered for a Honours, Masters or Doctoral programme in 2015
In 2015 I will be in my 1st / 2nd / 3rd / 4th / 5th year of the course I am studying (circle the year of study you are in)
SECTION 3: STUDENT EMPLOYMENT INFORMATION
Are you currently employed (full-time or part-time): YES / NO (if yes, answer all questions in Section 3)
Current employer:
Position:
Gross Annual Income (before deductions):
SECTION 4: DETAILS OF PARENTS AND/OR GUARDIAN - PLEASE COMPLETE IN FULL
A. FATHER / STEPFATHER (IF LIVING WITH YOU)
First Names (as per ID document):
Surname:
ID No:
Status: Married / Single / Divorced / Deceased / Widowed (death certificate to be submitted)
Gross Annual income (before deductions):
Tel/Cell (Father):
E-mail:
Tel (Employer):
Any other income: YES / NO
Source:
Amount (yr):
B. MOTHER / STEPMOTHER (IF LIVING WITH YOU)
First Names (as per ID document):
Surname:
ID No:
Status: Married / Single / Divorced / Deceased / Widowed (death certificate to be submitted)
Gross Annual income (before deductions)
Tel/Cell (Mother):
E-mail:
Tel (Employer):
Any other income: YES / NO
Source:
Amount (yr):
C. GUARDIAN AND/OR GRANDPARENT (IF LIVING WITH YOU)
Relationship: Guardian / Grandmother / Grandfather
ID No:
First Names
:
Surname:
(as per ID document)
Status: Married / Single / Divorced / Deceased / Widowed (death certificate to be submitted)
Does the guardian support the family financially? If yes, complete section in full YES / NO
Gross Annual income (before deductions):
Tel/Cell (Guardian):
E-mail:
Tel (Employer):
Any other income: YES / NO
Source:
Amount (yr):
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