SIOC-CDT 2024 Online Bursary Application Form

Please make sure you have the following documents ready to upload

A certified copy of your South African ID (Not older than 3 months)
A certified copy of your latest academic results (Grade 12 June results, OR Grade 12 Prelims results, University 1st semester results OR Final results)
A certified copy of your final NSC result if completed before 2023
Proof of acceptance or provisional acceptance at a publicly recognised institution of higher learning
Recent proof of residence (not older than 3 months. Example of proof of residence: A copy of a utility bill in your own or parents/guardian’s name reflecting your physical address e.g. rates and taxes or water and electricity account, letter from landlord or affidavit from you local counsellor.
Proof of income of Parent(s) or guardian (most recent payslip) or certified declaration of unemployment listed in the application (not older than 3 months)
Medical note of type of disability (if applicable)

1. Requirements – Only check the box if the criteria applies to you

I am a South African Citizen *

Yes

I am not older than 35 years of age (as at 10 January 2024) *

Yes

I have an average pass mark of 65% or above (based on my latest academic results) *

Yes

My household income is less than R600 000. (This must include both parents if they are working) *

Yes

Full time or part time studies (please select from dropdown list) *

I am living with a disability (if applicable) *

Yes
No

- I live in / or come from one of the following areas: : (please select from dropdown list) (copy) *

I have proof of acceptance (or provisional acceptance) at a public recognised institution of higher learning, OR proof of application *

Yes
No

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2. Personal Details (Applicant)

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Title: *

Initials: *

First Name (As per ID Document) *

Surname (As per ID Document) *

Identity number: *

Address:

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Physical Address *

Address Line 1

City

State / Province / Region

Postal Code

Postal Address is the same as Physical Address *

Yes
No

Contact details

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Applicant cell number *

Applicant WhatsApp number *

Home telephone number

Confirm applicant cell number *

Alternate cell number *

Email address *

Email

Confirm Email

Marital status *

Single
Married

9. Do you have any form of chronic illness or physical handicap? *

Yes
No

Have you been convicted of any crime? *

Yes
No

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3. Personal details (Parent / Guardian)

Please select what is applicable from the dropdown list *

Parent / Guardian 1

Title *

Initials *

Identity number *

Nature of relationship *

Parent / Guardian 1

First Name (As per ID Document) *

Surname (As per ID Document) *

Parent / Guardian 1

Occupation (Please select what applies to you from the dropdown list) *

Place of work

Work telephone number

What is your parent/guardian's highest qualification (Please select what applies to you from the dropdown list) *

If employed, nature of work

Cell number *

Alternative contact number

Parent / Guardian 1 E-Mail address

Email

Confirm Email

Parent / Guardian 2

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4. University / TVET college & field of study accepted for?

Option 1

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Institution *

Student number / ID number

Field of study *

Year of study *

Option 2

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Institution option 2 *

Student number / ID number option 2

Field of study option 2 *

Year of study option 2 *

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5. School where you have completed/ are completing your NSC

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School name *

School telephone number *

Local municipality *

School Address *

Address Line 1

City

State / Province / Region

Postal Code

NSC Academic Results

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Please select the following from the dropdown list: Results submitted

Note: All final results must be submitted by the 20th of January

Subject 1

Name of subject / Module 1

Percentage obtained 1

Subject 2

Name of subject / Module 2

Percentage obtained 2

Subject 3

Name of subject / Module 3

Percentage obtained 3

Subject 4

Name of subject / Module 4

Percentage obtained 4

Subject 5

Name of subject / Module 5

Percentage obtained 5

Subject 6

Name of subject / Module 6

Percentage obtained 6

Subject 7

Name of subject / Module 7

Percentage obtained 7

Subject 8

Name of subject / Module 8

Percentage obtained 8

Subject 9

Name of subject / Module 9

Percentage obtained 9

Subject 10

Name of subject / Module 10

Percentage obtained 10

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6. How did you hear about SIOC-CDT community development trust?

As an applicant I have benefited from another SIOC-CDT programme: *

Yes
No

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7. Attach the following supporting documents? *compulsory

All certified documents must not be older than 3 months You may NOT upload the same document twice - please name files correctly

A certified copy of your South African ID (PDF, JPG or Doc formats only - Maximum file size 2mb) *