Bursary application form Step 1 of 8 12% 1. Personal details of applicantName* First Last Identity numberUpload ID document*First contact number*Second contact number*Citizenship*Language*Email* Gender* Male Female Ethnic grouping* Black Coloured Indian White Disability* Yes No If YES, specify.*What is the occupation of parent 1*Income of Parent 1*Other Income*Attach payslip/proof of other income of parent 1*What is the occupation of parent 2Income of Parent 2Other IncomeAttach payslip/proof of other income of parent 2What is the total household income per annum?*What contribution can be made from the household income towards the study cost of the applicant? If none, please provide detailed explanation.*Is your parent/guardian involved in the table grape industry? YES or NO?* Yes No If yes, in what capacity and where?* 2. Check listCertified supporting documents must be submitted with the completed application form for it to be deemed complete. Certified ID document Yes No Certified Grade 12 final results Yes No Upload Grade 12 Certified*Proof of all post Grade 12 qualifications (section 3 of application form) Yes No File*Tertiary and Further Education programmes: Interim and/or final results (section 3 of application form) Yes No File*Signed declaration by career mentor Yes No Please download declaration documents sign and upload document here Signed bursary application declaration*Proof of acceptance to or registration at a TE or FET institution, or acceptance to pursue a post-graduate qualification as part of research project team. Yes No File* 3. Academic background3.1 Highest academic qualification/s achieved: 4. Proposed study programme for which financial support is requested4.1 Institution’s name and contact details4.2 Study programme and current year of studyFor example: BSc Agric: Viticulture & Soil Science (3rd year) 5. Total cost and funds requested from SATI5.1 Total funds required and costing (could be added as an addendum in the format provided below): Projected expensesStudy feesStudy fees Per Month Study fees Per Year Study fees Per year requested from SATI Study fees Per year contributed by other sponsor/s Study materialStudy material Per Month Study material Per Year Study material Per year requested from SATI Study material Per year contributed by other sponsor/s AccommodationAccommodation Per Month Accommodation Per Year Accommodation Per year requested from SATI Accommodation Per year contributed by other sponsor/s Monthly living expensesMonthly living expenses Per Month Monthly living expenses Per Year Monthly living expenses Per year requested from SATI Monthly living expenses Per year contributed by other sponsor/s Other (specify)Other costs Per Month Other costs Per Year Other costs Per year requested from SATI Other costs Per year contributed by other sponsor/s Specify Month costsSpecify Yearly costsSpecify year requested from SATI costsSpecify year contributed by other sponsor/s costsTotalTotal per month : Price: R0.00 Total per year : Price: R0.00 Total per year requested from SATI Price: R0.00 Total per year contributed by other sponsor/s Price: R0.00 5.2. Name and contact information of any other contributing sponsor/s 6. Career planning6.1 Are there employers that have indicated that they will offer you a position as soon as your studies have been completed? Yes No If YES, please provide the names and contact details of these employers below.6.2 Do you have any work experience in the table grape industry? This can include farm work, input provision, research, etc. Yes No If YES, please provide the names and contact details of these employers below.6.3 Are you involved in any transformation initiative in the industry? Yes No If YES, please give brief details as well as contact details of the initiative below. 7. Motivation:Please write a motivation of maximum two pages of why you are applying for SATI bursary to pursue a study programme/ course relevant to the table grape industry and its value chain, as well as how the proposed qualification will assist you in achieving your personal goals. 8. DeclarationsConsent* I agree that I the applicant has truthfully and lawfully applied the correct information.*PhoneThis field is for validation purposes and should be left unchanged. New applications will open June 2020
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