Declaration Of Financial Position (Page 2 of 2) in pdf

INCOME – DOCUMENTS TO BE SUBMITTED:

Per

Per Month

Annum

(a) Recent pay slip if employed (not older than three months)

(b) Certified copy of most recent balance sheet if self-

For office use only

employed

or pension(s)

Annual Salary

Gross income (including commission) of father / spouse/

guardian

Gross income (including commission) of mother / guardian

Income of applicant if part-time student is self-employed

Pension if received by father / mother / guardian/ spouse/self

Gross income from investment/shares/savings

Any other income (eg. rent from property, maintenance)

Total R

BASIC MONTHLY EXPENDITURE

Per Month

Rent / Bond repayments / Board (Please specify)

Deductions for PAYE

Deductions for Pensions

Deductions for Medical Aid

Other:

Total R

Nett disposable income R

Any other information or expenditure the deponent wishes to bring to the

attention of the University –

–––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––––

FALSE INFORMATION PROVIDED IN THIS DECLARATION W IL L DISQUALIFY AN APPLICANT FROM

RECEIVING FINANCIAL ASSISTANCE. IT MAY ALSO DISQUALIFY AN APPLICANT FROM ADMISSION

TO THE UNIVERSITY. IN THE CASE OF RETURNING STUDENTS, DISCIPLINARY ACTION, WHICH MAY

LEAD TO EXPULSION FROM THE UNIVERSITY, WILL BE INSTITUTED.

This section must be sworn to and signed in the presence of a Commissioner of Oaths /

Justice of the Peace. The application will not be considered unless this has been sworn to

and signed in the presence of a Commissioner of Oaths.

Signature of parent / guardian / spouse/self

Date

I certify that the deponent has acknowledged that he / she knows and understand the

contents of this affidavit / declaration which was sworn before me.

this

(day)

(month)

(year)

Signature of the Commissioner of Oaths / Justice of the Peace

NOTE: THIS FORM MUST BE RETURNED TO THE FINANCIAL

THE OFFICIAL STAMP

AID AND SCHOLARSHIPS OFFICE TOGETHER WITH YOUR

APPLICATION FOR POSTGRADUATE FUNDING AND ALL

MUST BE AFFIXED HERE

REQUIRED SUPPORTING DOCUMENTATION.

Declaration Of Financial Position Page 2

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