WFSA Bursary Application

WFSA Bursary Application Form

Full Name of Applicant

Date of Birth

Identity Number

Current Grade / Year of Study

Institution Currently Attending

Applying for:

Field of Study (if tertiary)

Full Name of Parent/Guardian

Home Contact Number

Work Contact Number

Mobile Contact Number

Email Address

Residential Address

Employment Status

Employer Name

Institution you are applying to/enrolled at

Type of Institution: Semi-private (ex-Model C) / Government university

Subjects chosen (for secondary learners)

Degree/Career choice (for tertiary learners)

Current Institution

Average Grade/Percentage

Financial Justification Please motivate why financial support is required. Include household income, dependents, and any special circumstances

Applied for NSFAS? (Yes/No)

Outcome of NSFAS application

Applied for institution’s bursary/scholarship? (Yes/No)

Outcome of institution application

Copy of applicant’s ID

Proof of latest academic results

Proof of enrolment/acceptance letter from institution

Proof of income of parent/guardian(s)

Income and expense sheet for the household

Latest 3 months bank statements from parents and applicant

Statement of outstanding fees if applicable

Proof of fees structure for course studying

Section 7: Declaration

I, the undersigned, declare that the information provided is true and correct. I understand that:
• Any misconduct or failing an academic year (without mitigating circumstances) may disqualify me from future funding.
• Awards are at the discretion of the Scheme Committee.
•Awards are given for 1 year at a time.

Applicant Name:

Date

Parent/Guardian Signature:

Date

WFSA Bursary Application Form

Section 7: Declaration

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