Fillable Page 1 of 4 "Form 10A 2022 - (North-West University)

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Page 1 of 4 "Form 10A 2022 - (North-West University)

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Page 1 of 4
UCT POSTGRADUATE FUNDING APPLICATION FOR SOUTH AFRICAN & PERMANENT RESIDENT STUDENTS
(HONOURS, MASTER’S, AND DOCTORAL) IN 2022
Completed application forms with all required documents (if possible) must be emailed with the subject line:
"Form 10A 2022 - First Name and Surname" to generalawardsapplications@uct.ac.za by 31 OCTOBER 2021
Name
Surname
Campus ID (e.g. TXXSXX001)
PeopleSoft ID (e.g. 1234545)
Kindly select one option below:
I am applying for merit
only
Merit awards partial funding (R20000 – R30000). Where awarded other funding, the
award can be held up to the live at home Cost of Attendance.
I am applying for need
(and merit if applicable)
Need awards either Financial Aid (Full Cost) or GAP funding (partial - percentage tuition bursary).
Where awarded other
funding, the award is adjusted pro-rata to Cost of Attendance.
I have applied to the NRF for 2022:
Yes, I have applied to the NRF
No, New to UCT (From another institution)
No, I work between 12 and 20 hours a week
No, the Master’s degree that I applied for has less than
50% research component
No, reason:
(e.g. age)
IMPORTANT INFORMATION (PLEASE READ THIS CAREFULLY BEFORE COMPLETING THIS FORM)
1. The closing date for applications is 31 OCTOBER 2021, late applications will be disqualified.
2. Incomplete applications will be delayed due to late submission of supporting documents.
3. UCT aims to cover most of the cost of attendance for students who qualify for financial aid, and a contribution towards
tuition for merit and GAP funded applicants.
4. UCT does not guarantee that an applicant will receive funding. Students must make every effort to apply for funding
or financial support from as many other sources as possible.
5. By completing this application form, it is your undertaking to comply with The University of Cape Town policy
on postgraduate funding, which is subject to change without prior notice.
6. The University cannot be held liable for Students' failure to familiarize themselves with the terms and conditions of
this application. Students are encouraged to seek advice from the Postgraduate Funding Office (PGFO).
7. The University is not liable for any outstanding balance on the fee account of any student funded via the PGFO and
any such outstanding debt is the sole responsibility of that student.
8. The PGFO will not take responsibility for unread emails due to the applicant’s failure to check their UCT email.
9. Renewal is conditional via a separate form for 2
nd
year Master’s and 2
nd
and 3
rd
year Doctoral
10. All applicants applying for financial need support will be means-tested to determine eligibility and level of support.
Eligibility Criteria for UCT Postgraduate General Awards
1. NRF: Applicants are encouraged to apply to the National Research Foundation (NRF) if they are eligible.
2. Nationality: Applicants must either be South African or a South African permanent resident.
3. Employment: Applicants cannot be full time employed (working more than 20 hours per week)
4. Total Funding Limit: Applicants who have exceeded their Cost of Attendance limit
5. Means Test: Applicants over the income threshold will not be eligible for need-based funding
6. Grades: Applicants must obtain a Grade Point Average (GPA) of at least 60% for merit-based funding
7. Admissions: Applicants who have not applied to admissions, was denied, or withdrawn will not be considered.
8. Tenure: Applicants over the degree tenure will not be considered (Years: Honours – 1, Master’s – 2, Doctoral – 3)
9. Qualifications: Applicants cannot be considered for funding for a 2
nd
degree at the same level or lower
10. Degree choice: Applicants who applied for funding for the following in 2022 will not be supported:
I. Undergraduate degrees (including 4
th
, 5
th
year bachelor’s degree, LLB, MbChB and BArch, etc)
II. Postgraduate Diplomas, Postgraduate Certificates and HDE (Higher Diploma in Education)
III. Honours in the Economic Analysis of Financial Markets (EAFM) program, formerly called FAPM
IV. Master’s in MMed, MBA or Professional Master's with research component less than 33%
V. Any other part-time degree or degree with less than 33% research components,
FOR OFFICE USE ONLY: User Edit: Means: AE/RA:
Page 2 of 4
SECTION 1 DETAILS OF APPLICANT (COMPULSORY FOR ALL APPLICANTS)
Title Age
Name Surname
City/Town of Birth Date of Birth (ddmmyyyy)
Ethnic Group Sex
Disability If yes, nature of disability
ID Number ID Attached?
Marital Status
If applying for need, is
marriage/divorce attached?
Contact number Personal email address
ADDRESS:
Home (Street) Address
Postal Code Province
I intend to stay at:
If applying for need, is
lease agreement attached?
APPLICANT’S FINANCIAL INFORMATION:
Have you been placed under Administrative Order by the court? (If Yes, provide reason)
Have you been previously funded by NSFAS Financial Aid for your undergraduate
Do you have an outstanding fee debt at UCT? (If Yes, state outstanding amount)
Have you been in full-time
employment for 3 or more
years before coming to UCT?
If yes, is your curriculum
vitae (CV) attached?
Current employment
(Yes or No)
If yes, is recent payslip or
employer letter attached?
Occupation Number of hours per week
Commencement date Termination date
Employer Name Employer contact number
Self-employed (Yes or no) Nature of Business
Expected employment
(Yes or No)
If different, is contract or
email attached?
Occupation Number of hours per week
Commencement date Termination date
Employer Name Employer contact number
Self-employed (Yes or no) Nature of Business
Current Awards received in 2021: Awards expected in 2022:
Name
Amount in
Rands
Name
Amount in
Rands
1.) 1.)
2.) 2.)
3.) 3.)
Page 3 of 4
NEED ONLY SECTION PLEASE LIST ALL HOUSEHOLD MEMBERS WITH IDENTITY DOCUMENTS AND FINANCIAL INFORMATION FOR THE YEAR
1. If you are employed and no longer living with parents (self-s
upporting), you must submit an affidavit stating proof of residence and a 3-months
ba
nk statement
2. If you are financially dependent on parent(s)/guardian or living with in the same house, provide their marriage certificate, divorce, or affidavit if separated.
3. If you are an orphan, provide the death certificates of both parents as well as an affidavit stating current financial support and a 3-months bank statement
Proof of all identity for ALL household members as below:
Proof of financial information for ALL adult’s household members as below:
o If employed – recent payslip within 3 months
o If self-employed – letter from accountants stating personal salary drawings
o Certified birth certificate for children under 16 years
o Certified ID document for adults
o Certified Marriage/Divorce certificate or affidavit if separated for parents/applicant
o No Driver’s license/passports
o Certification not older than 3 months
o Additional proof of registration for members studying at a tertiary institution
o If pensioner – proof of pension
o If unemployed – 3-months bank statement & affidavit stating this
o If informal selling – a 3-months bank statement & affidavit stating this
o ALL other income (e.g. child grant/support, rental, investment)
No.
Name and Surname
Age
Relation to you
Category
Employment
Income from
employment
State grant
e.g. SASSA
child grant
Maintenance
e.g. child/spouse
support
Other combined income
e.g. rental/investment
/money received
1.)
2.)
3.)
4.)
5.)
6.)
7.)
8.)
9.)
10.)
11.)
12.)
13.)
14.)
NEED ONLY SECTION PLEASE LIST ALL DETAILS OF ASSETS (VALUE OF PROPERTY AND VEHICLES OWNED)
Asset Checklist: Yes/No
Asset Applicant Spouse Mother Father Guardian Other members
If renting, is lease for renting attached? Vehicle value
If own market property, is proof of value attached? Property value
If property not fully paid, is bond statement attached?
Bond balance
Applicant
Tertiary Institution
Value of income per month (if applicable)
Page 4 of 4
SECTION 2 ACADEMIC INFORMATION (COMPULSORY FOR ALL APPLICANTS)
Are you new to UCT?
If yes, is ALL other tertiary
institution’s academic
transcript(s) or mid-year
results attached?
Degree currently registered for
(If registered in 2021)
Date of first registration of degree
:
(ddmmyyyy)
Applying for which degree
I have applied to
admissions for this degree
Year of Study (IN 2022) Faculty (e.g. Humanities)
Department: (e.g.Social Development)
Academic Plan (e.g. Social Work)
QUALIFICATIONS OBTAINED TO DATE
Note: If currently completing first undergraduate degree,
the table below should remain empty)
Qualification Institution Year
MASTER’S AND DOCTORAL ONLY
REFERENCE LETTERS - must be current and dated in 2021
For this application to be considered, you need to approach TWO ACADEMICS who have taught or supervised you
at university who have agreed to provide a reference letter to s
upport this application. It is your responsibility that
your referees email their letter as UCT PGFO will not source references on your behalf. Please ask your
referees to email the letter with the subject line ‘Student Name - 10A referee letter’ to
generalawardsapplications@uct.ac.za. If attached instead, the reference must have the tertiary institution's letterhead
Referee 1 Full Name Referee 2 Full Name
Academic Institution Academic Institution
Has been contacted to email
reference or attached?
Has been contacted to email
reference or attached?
Degree structure
Is Degree by research only or
contain coursework
component
If research only, provide a
ONE-page abstract of
proposal, confirm if
attached?
Publications: Are you an
author on any peer-reviewed
academic publications:
If yes, is proof of publication
attached?
DECLARATION BY APPLICANT:
UCT will take legal action if signatures or information have been wilfully forged or falsely given
By signing, I, the applicant, hereby declare that the information provided and stated in this application, including the information
about my parents / spouse / legal guardian is true to the best of my knowledge and belief. I have submitted this information knowing
that, if I wilfully stated in it anything which I know to be false or which I do not believe to be true, I would be liable for prosecution and
may be declared ineligible for all financial assistance, and any financial assistance already granted may be withdrawn and any sums
paid to me or on my behalf may be recovered from me and disciplinary action may be taken against me, either in the university
courts or in the civil courts. I further undertake to inform the Postgraduate Funding Office of any change in my circumstances. I
acknowledge that should I fail to do so and continue to receive financial assistance which I would not be entitled to by reason of my
changed circumstances, the University may have recourse against me in any of the ways set out above. In the interest of good
governance and accountability for public funds, I agree that the University may request my individual profile from the TransUnion
Credit Bureau to verify my/or my parents, spouse, or guardian's employment details.
SIGNATURE or INITIALS
DATE (ddmmyyyy)
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Completed 29 September 2021

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