SIOC-CDT 2025 Online Bursary Application Form

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 the 25 November 2024) *

Yes

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

Yes

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

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)

Title: *

Initials: *

First Name (As per ID Document) *

Surname (As per ID Document) *

Identity number: *

Address:

Physical Address *

Address Line 1

City

State / Province / Region

Postal Code

Postal Address is the same as Physical Address *

Yes
No

Contact details

Applicant cell number *

Applicant WhatsApp number *

Home telephone number

Confirm applicant cell number *

Alternate contact number (can not be the same as your 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 *

Title *

Initials *

Identity number *

Nature of relationship *

First Name (As per ID Document) *

Surname (As per ID Document) *

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

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

Option 1

Institution - option 1 *

Student number / ID number - option 1

Field of study or course name - option 1 *

Year of study - option 1 *

Option 2

Institution - option 2

Student number / ID number - option 2

Field of study or course name - option 2

Year of study - option 2

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

Name of high or secondary school *

School telephone number *

Local municipality *

School Address *

Address Line 1

City

State / Province / Region

Postal Code

NSC Academic Results

Please select the following from the dropdown list: Results submitted

Note: all final results must be submitted by the 17th of January 2025. (late submissions will not be accepted)

Name of subject / Module 1

Percentage obtained 1

Name of subject / Module 2

Percentage obtained 2

Name of subject / Module 3

Percentage obtained 3

Name of subject / Module 4

Percentage obtained 4

Name of subject / Module 5

Percentage obtained 5

Name of subject / Module 6

Percentage obtained 6

Name of subject / Module 7

Percentage obtained 7

Name of subject / Module 8

Percentage obtained 8

Name of subject / Module 9

Percentage obtained 9

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

Do you have a relationship with any persons working for SIOC-CDT or DUX? *

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 not older than three (3) months. *