Bergrivier Municipality Vacancies 2022 – Apply For Eksterne Studiebeurs Aansoekvorm 2023 Jobs In Bergrivier, Western Cape

Website Bergrivier Municipality

BERGRIVIER MUNICIPALITY

EXTERNAL

BURSARY APPLICATION FORM – 2023
PERSONAL DETAILS OF APPLICANT

Surname

First Name

Date of Birth

(dd/mm/yy)

Identity Number

Student Number
(If available)

Gender

Equity Group Black Coloured Indian White
(Mark appropriate block an
X)

Disability (please
provide proof)

Home Language

Marital Status

Home Address

Code

Home Tel Number

Cell Number

BERGRIVIER MUNICIPALITY – EXTERNAL BURSARY APPLICATION FORM 2023 1

E-mail address

Highest
Qualification

PARENT/GAURDIAN DETAILS

Name and
Surname of
Father

Name and
Surname of
Mother

ID Number of
Father

ID Number of
Mother

Contact details

Address

OCCUPATION

Father

Mother

Guardian

QUALIFICATION

Indicate current or intended course which you will be studying towards in
2023(e.g. National Diploma: Human Resources, BA, B Com (Accountancy)

 

BERGRIVIER MUNICIPALITY – EXTERNAL BURSARY APPLICATION FORM 2023 2

Name of Institution:

LEVEL OF STUDY

Description Definition Mark appropriate block with an X

1st Year Student You will be
enrolling for
the first time at
a tertiary
institution

Senior Student You are
continuing
your studies
(i.e. 2nd or 3rd
year)

Final year student You will write
your final
examination in
November to
graduate the
following year

Post Graduate You will be
Student registered for

an Honours or
Higher
qualification in
the year of
application

FUNDING

Please provide a quotation of the actual cost of your studies.

 

BERGRIVIER MUNICIPALITY – EXTERNAL BURSARY APPLICATION FORM 2023 3

SIGNATURE OF APPLICANT

DATE

SIGNATURE OF PARENT/GUARDIAN

DATE

 

 

NOTES AND INSTRUCTIONS FOR COMPLETION

 INCOMPLETE APPLICATION FORMS WILL NOT BE ACCEPTED (this includes forms with
missing documents);

 No late submissions will be accepted;
 The municipality does not accept responsibility and will not be held liable for any

applications which were undelivered or missing;
 E‐mailed applications will not be accepted;
 The closing date for applications is 28 October 2022;
 Only full time students studying towards a degree/ diploma at a Tertiary Institution may

apply;
 Non‐South African citizens will not be considered;
 A senior student must have passed the previous year’s studies to qualify for a bursary;
 If your application is successful, Bergrivier Municipality will require you to enter into an

agreement. Failure to sign the agreement will result in forfeiting your allocation;

Please attached the following documents:
Mark appropriate block with an X

Prescribed bursary application form

Proof of disability (if applicable)

Certified copy of academic record, matric results or previous years tertiary results

Certified copy of South African identity document

Proof of registration at tertiary institution

Proof of monthly household income (salary or pension slip if applicable, affidavit if
unemployed.)
Proof of residence with Bergrivier municipal area

 

BERGRIVIER MUNICIPALITY – EXTERNAL BURSARY APPLICATION FORM 2023 4

To apply for this job please visit www.bergmun.org.za.