BURSARY APPLICATION FOR TERTIARY STUDIES
PLEASE COMPLETE ALL THE SECTIONS
1. PERSONAL DETAILS
Title: Mr Miss Mrs Ms
First Names: Surname:
ID Number: Home Language:
Nationality: Gender:
Date of Birth (dd/mm/yyyy): Age:
Employment Equity Classification: African Coloured Indian White
2. CONTACT DETAILS
E-Mail Address: Mobile Number:
Current Address: Home Address:
Home Town: Home Province:
3. HIGH SCHOOL EDUCATION
Name of school Highest Grade obtained Subject Level
Tel +27 21 943 3760 Willowbridge Place
Fax +27 21 914 3103 Cnr Carl Cronje Drive & Old Oak Road
www [Link] Bellville 7530, Cape Town, South Africa
Fairtree Asset Management (Pty) Ltd Registration Number 2004/033269/07, VAT Registration Number 4730 226 125, Directors A Malan, JA Nel, B Anthony
4. TERTIARY STUDIES
Current Institution you are registered at: Technikon University
Studying towards which type of qualification: National Diploma Degree
Field of study: Finance Investments Economics
Name of the Institution you are studying at?
What year did you begin studying towards your qualification?
Currently what year of your studies are you in? 1st 2nd 3rd 4th Honours
What year do you expect to complete your studies?
Where will you reside during your studies? Other University Res Home
5. ACHIEVEMENTS
SPORTS HOBBIES AWARDS
6. PREVIOUS STUDIES & EMPLOYMENT
CURRENT PAST
Details of other studies:
Past work experience:
Are you currently employed? Part-Time Full Time
Please provide details to above question if your answer was yes:
7. PREVIOUS/CURRENT BURSARY OBLIGATIONS
Have you previously had a bursary? Yes No
If yes, please provide us with additional information
Year Company Amount Obligation
Page 2 of 6
8. FINANCIAL IMPLICATIONS
What do you expect the cost of your studies will be?
Fees Books Accommodation Meals Transport Other
How much can you / your family contribute towards the costs?
How much is your parent’s / guardians combined (before deductions) monthly income?
R0 – R30,000 R30,001 – R50,000 R50,001 and above
If you do not get funding, how will you cover the costs?
9. MOTIVATION
Please provide us with the reason why you have requested a bursary.
Please provide us with a short motivation as to why you should be selected.
Page 3 of 6
What are your career plans after qualifying:
Signature of applicant: Date (dd/mm/yyyy):
Page 4 of 6
[Link] / GUARDIAN DETAILS
FATHER
Surname: Title:
First Names:
Occupation:
Employer:
Contact Details: Home Employer
Contact Number:
Address:
MOTHER
Surname: Title:
First Names:
Occupation:
Employer:
Contact Details: Home Employer
Contact Number:
Address:
Signature of Parent / Guardian: Date (dd/mm/yyyy):
[Link]
I hereby certify that to the best of my knowledge the above information is true and correct. In
the event of assistance being granted, I am prepared to enter into the required agreement
with Fairtree Asset Management in terms of the bursary conditions.
Page 5 of 6
12. PLEASE PROVIDE THE FOLLOWING DOCUMENTATION WITH THE
APPLICATION FORM
Matric Certificate
Tertiary Academic record (to date)
Proof of Registration
CV
Copy of ID (certified)
ALL DOCUMENTATION REQUESTED MUST BE SUBMITTED TO ENSURE THAT YOUR
APPLICATION IS NOT REJECTED
YOUR APPLICATION AND SUPPORTING DOCUMENTS TO BE SUBMITTED TO:
careers@[Link]
Page 6 of 6
