SACTA NPC Bursary Application

Trust/Agency

Maize Trust BursarySasol Agricultural Trust Bursary

Sorghum Trust ScholarshipSACTA NPC Bursary

SECTION A: PERSONAL PARTICULARS

Title*

E-mail Address

Student Number*

Population Group*

First Name*

Phone Number*

Gender*

MaleFemale

Profile Password*

Last Name*

ID Number*

Nationality*

Certified SA ID/Passport [Not older than three (3) months]*

Upload

Address Details

Permanent Physcial Address*

City*

State / Province / Region*

Zip Code*

Country

Postal Address

City

State / Province / Region

Zip Code

Country

Banking Details

Account Holder*

Branch Code*

Account Type*

Bank Name*

Account Number*

Colour ID Photo (JPG, JPEG or PNG)*

Upload

SECTION B: STUDENT REPORT

Field of Study*

Qualification Applied For*

Other Field of Science*

Estimated Completion Date*

Institution Applying To*

Institution Applied To*

Study Years Left*

Proof of registration and fee statement for Year 1

Upload

Updated Curriculum Vitae *

Upload

The latest academic transcript/record on an official University / College / Technikon letterhead*

Upload

Supervisor Details

Supervisor Title*

Supervisor Telephone Number*

First Name*

Supervisor Email*

Last Name*

Co-Supervisor Title

Co-Supervisor Other Title

Co-Supervisor Telephone Number

Co-Supervisor First Name

Co-Supervisor Email

Co-Supervisor Last Name

SECTION C: PROPOSED RESEARCH DETAILS

Working Research Title*

Research Description*

Supporting Gantt Chart*

Upload

SECTION D: MOTIVATION

Motivate Your Application*

SECTION E: LEGAL UNDERTAKING (COMPULSORY)

I undertake:

That I understand and will comply with all the requirements and conditions contained herein.
To notify L&L Agricultural Services immediately should:
1. I fail, cancel or abandon my studies.
2. I need to rectify any information that has been submitted within this application form.
That the information is supplied voluntarily, without undue influence from any party and not under any duress.
To familiarise myself with and adhere to all the rules and general regulations applicable to the bursary for which I intend to apply.
That I will not hold the Trust and its affiliates liable, nor make any claim against the Trust and its affiliates for any compensation and/or any expenses incurred or damages suffered as a result of or in respect of any injury to me or illness or my death, irrespective of whether any such damages, injury or death may have been attributable to any degree of negligence on the part of the Trust or one or more of its affiliates or other person(s) for whose actions it might, but for this undertaking, have been responsible.
That I am aware that the bursary is only valid if it complies with the applicable prescripts and regulations governing the bursary concerned.
That I accept that, if I abandon, cancel or change my qualification or my studies at the University at any time, no cancellation or reduction of fees will be considered and that I will remain liable for the payment of all fees payable to the Trust in full.
That I accept the responsibility for the payment of fees (tuition, residence and any other applicable fees).
That I hereby give permission that information about my academic progress be divulged to the Trust and person liable for the payment of fees.
That I consent to my study being used on industry websites.
That I agree, understand, consent and irrevocably authorise L&L Agricultural Services to keep, use, process and verify information in paper and electronic format, including information supplied by me during the bursary application process.
To inform L&L Agricultural Services of any disciplinary and criminal proceedings (finalised or pending) against me prior to applying for the bursary.
That I have not secured funding from alternate sources and understand that the Masters or Doctoral bursary awarded to me by the Trust can be cancelled at the discretion of the Trust.

SECTION F: CHECKLIST

Please take note that L&L Agricultural Services will not consider incomplete applications. Before submitting your application, please check that you have done everything that is applicable, as shown in the list below. However, due to the variations in registration periods, please submit the application form although you may have not yet obtained proof of registration and a fee structure. You may forward these documents once you have registered.

We suggest you tick the box next to each point when you have completed it.

Have You:*

1) Completed the sections in the application form that apply to you?2) Ensured that you can meet the requirements and conditions of application?

3) Have you signed the “Legal Undertaking” declaring that the information provided is complete and correct?4) Attached a certified copy of a South African identity document/passport (less than 3 months old)?

5) Updated and attached a copy of your curriculum vitae? 6) Included the latest academic transcript/record on an official letterhead?

7) Included your proof of registration and the latest fee statement?

By submitting this application form, I acknowledge and accept that I have read, understand, and agree to abide to the terms of this document, and I so here certify with my printed name.

Print Name*

Only fill in if you are not human