Application for undergraduate aDMISSION (International and Local)

Note: Completed applications for all campuses must be forwarded to the Applications and Information Office at:

Postal Address University of KwaZulu-Natal Applications and Information Office Durban 4041

Physical Address University of KwaZulu-Natal Applications and Information Office Shepstone Building Level 4 Howard College Campus King George V Ave/Mazisi Kunene Rd Glenwood Durban

FOR OFFICE USE ONLY: NAME: ––––––––––––––––––––––––––––––––––––––––––––––––––––––– STUDENT NO: DEGREE/DIPLOMA: ––––––––––––––––––––––––––––––––––––––––––– LOCAL: INTERNATIONAL:

Please read these notes before completing the attached application form 1. The non-refundable application fee or proof of payment MUST accompany this application form. Application fees sent by post should be paid by cheque or postal order, not cash. Please ensure that cheques or postal orders are made out to the University of KwaZulu-Natal. International and local applicants: Application fees can be paid by electronic transfer/bank deposit. The banking details are as follows: Name: UKZN Main Bank: Standard Bank Acc. No: 05 308 0998 Branch: Westville Branch Code: 045426 Reference: F001 11402 with applicant’s full name Type of Account: Business Current Account Swift Code: SBZAZAJJ 2. The application form MUST be completed as fully and as accurately as possible to avoid delay in processing. Use names appearing on the identity document when completing this form. 3. The University of KwaZulu-Natal is an English medium university. International students from non-English speaking countries must provide proof of English proficiency. Please refer to the Undergraduate Prospectus for further information. 4. Applicants whose previous degrees were obtained at a university other than University of KwaZulu-Natal must submit certified copies of their previous degree certificates with their application. For international applicants: Please provide translated copies where applicable. Also refer to the Undergraduate Prospectus for further information. 5. If you have attended another university please submit a full academic record or you must arrange for the Registrar of that University to submit a full academic record for all years of study and a certificate of conduct to the University of KwaZulu-Natal. 6. All international applicants must have their school leaving credentials evaluated by the Matriculation Board.

Students with Disabilities:

Entrance Requirements:

P

Legal entrance requirements: The NSC for degree admission or Secior Certificate with matriculation exemption (or equivalent) is required for admission to degree studies in South Africa.

lease contact the Co-ordinator at the Student Counselling Centre for information on services, equipment and support available to students.

Applicants with non-South african school leaving qualifications need to submit proof that they qualify for admission to degree studies at South African universities in terms of the guidelines provided by the Higher Education South Africa (HESA) – (Matriculation Board). Please refer to their website at: www.hesa.org.za. Further information can be obtained from: 1. The Matriculation Board at Tel: +27 (0)12 591 4401/2 or 2. University of KwaZulu-Natal Applications Office at Tel: +27 (0)31 260 2212/7877 or +27 (0)33 260 5212 3. University of KwaZulu-Natal International Office at Tel: +27 (0)31 260 1092.

Howard College – Pietermaritzburg – Westville – Edgewood –

Needing Assistance: I

f you need assistance in selecting programmes, choosing your majors, career or personal guidance, or testing you can contact a counsellor at one of our Student Counselling Centres:

NB: Colleges will not consider your application for selection if you have not submitted your HESA evaluations. College entrance requirements: In addition to the legal entrance requirements, South African applicants should meet the minimum points for specific programmes. All applicants should meet subject requirements and levels of performance for admission to certain programmes. Also note that the number of applications received by far outnumber the spaces available at University. Therefore, meeting the minimum requirements for application does not g­ uarantee admission to the University.

Howard College – Tel: +27 (0)31 260 2668/2669 Pietermaritzburg – Tel: +27 (0)33 260 5233 Westville – Tel: +27 (0)31 260 7337/7751

Financial Aid Queries: Agriculture, Engineering and Science – Tel: +27 (0)31 260 7705/7064 +27 (0)33 260 5195/6145 Health Science – Tel: +27 (0)31 260 2912/4359/7889 Humanities – Tel: +27 (0)31 260 3258 +27 (0)33 260 5758 Law and Management – Tel: +27 (0)31 260 7912/1106 +27 (0)33 260 5837

Closing dates and Application Fees: A. Undergraduate Applications

Closing

Applic. Fee

1. South African Applications 1.1 Medicine (no late applications accepted) 30 June R175 1.2 All other programmes 30 Sept R175 1.3 Late applications for 1.2 (excluding Health Sciences) R400 2. International Applications 2.1 For semester 1 (Feb-June) 2.2 For semester 2 (Aug-Dec)

Health Care Insurance:

30 Sept of previous year 30 Apr of current year

Tel: +27 (0)31 260 3070/3140 Tel: +27 (0)33 260 5213/5233 Tel: +27 (0)31 260 7706/7888 Tel: +27 (0)31 260 3665

Residence Queries:

SADC & countries in Africa R470 Countries outside Africa $146

For all residence queries please phone the relevant campus: Edgewood – Howard College – Medical School – Pietermaritzburg – Westville –

Tel: +27 (0)31 260 3611 Tel: +27 (0)31 260 2282 Tel: +27 (0)31 260 2282 Tel: +27 (0)33 260 6226 Tel: +27 (0)31 260 8070

(Applicable to International Applicants only)

In terms of the Immigration Amendment Act 19 of 2004 any prospective student coming to the Republic of South Africa, must provide proof of medical cover with a medical scheme registered in terms of the Medical Schemes Act, 1998 Act 131 of 1998. The University of KwaZulu-Natal thus only accepts South African Medical Aid products approved in terms of the Medical Aid Schemes Act referred to above. To comply with the regulations, the University requires proof of full Medical Aid cover with a South African based medical aid scheme for the full academic period of study (renewable annually). Such cover must cover the minimum of hospitalisation, emergencies and day-to-day cover including medicine and doctor’s visits. It is thus advisable to make the necessary financial arrangements for the medical aid cover prior to your entry into South Africa.

2

Sicela ufunde leziziqondiso ngaphambi kokuthi ugcwalise ifomu lokufaka isicelo: 1. Leli fomu kumele lihambe kanye nemali yokufaka isicelo engabuyeli emuva noma sicela ulithumele nobufakazi ukuthi usuyikhokhile imali yokufaka isicelo. Imali yokufaka isicelo ethunyelwe ngeposi kumele ikhokhwe ngesheke noma nge-postal order hhayi ukheshi. Sicela uqinisekise ukuthi amasheke noma ama-postal order enziwa aqondiswe ngqo kwi-Nyuvesi yaKwaZulu-Natali. Izimali zokufaka isicelo zingakhokhwa ngeposi noma uyifake ebhange qobo. Imininingwane yase bhange imi kanje: Igama: UKZN qobo Ibhange: Standard Bank Inombolo ye-akhawunti: 05 3080998 iGatsha: Westville Ikhodi yegatsha: 045426 Ubufakazi: F001 11402 namagama agcwele wofaka isicelo Uhlobo lwe-akhawunti: Business Current Account i-Swift Code: SBZAZAJJ 2. Ifomu lokufaka isicelo kumele ligcwaliswe ngokugcwele futhi ngokucophelela ukuze kungathathi isikhathi eside ukuhlungwa kwesicelo sakho. Sebenzisa amagama akumazisi wakho ngesikhathi ugcwalisa leli fomu. 3. The University of KwaZulu-Natal is an English medium university. International students from non-English speaking countries must provide proof of English proficiency. Please refer to the Undergraduate Prospectus for further information. 4. Izicelo zalabo abaneziqu abazithola kwamanye amanyuvesi kuzomele zithunyelwe kanye namakhophi agunyaziwe ezitifiketi zabo ezedlule. Kulabo abafake izicelo abavela emazweni angaphandle lapho isiNgisi singasetshenziswa khona?: sicela amakhophi ahunyushiwe lapho kudingeka khona. Ngolwazi olugcwele, sicela ubheke ibhukwana eliqukethe imininingwane yabangakaziphothuli iziqu zokuqala 5. Uma sewake wafunda kwenye iNyuvesi sicela uthumele imiphumela yezifundo zakho, noma uhlele no-Mbhalisi wakuleyo nyuvesi ukuba athumelele iNyuvesi yaKwaZulu-Natali imiphumela yakho yezifundo ephelele yeminyaka yonke owayifunda khona kanye nesitifiketi sakho sokuziphatha 6. Bonke abafake izicelo abavela emazweni angaphandle kumele babe nezimvume ezikhishwe iBhodi likaMatikuletsheni.

Abafundi abanokukhubazeka:

Imibandela yokungena: Okudingeka ngokusemthethweni kokungena: Isitifiketi sikaMatikuletsheni (NSC) esisezingeni elikugunyazayo ukuthi ungenza izifundo zeziqu eNingizimu Afrika. Labo abafake izicelo abangenaso lesitifiketi salapha eNingizimu Afrika, kudingeka ukuthi bathumele ubufakazi obugunyaza ukuthi bafanelekile ukuthathwa ukuze bafundele iziqu emaNyuvesi aseNingizimu Afrika ngokwemibandela ehlinzekwe IsiGaba seMfundo Ephakeme eNingizimu Afrika? (HESA). iBhodi lika-matekuletsheni. Sicela ubheke i-webusayithi ku: www.hesa.org.za. Eminye imininingwane ingatholakala: 1. Kwi-Bhodi kaMatikuletsheni: 11ucingo: +27 (0)12 591 4401/2 noma 2. eHhovisi lokufaka izicelo eNyuvesi yaKwaZulu-Natali: ucingo: +27 (0)31 260 2212 / 7877 noma +27 (0)33 260 5212 3. eHhovisi labavela emazweni angaphandle laseNyuvesi yaKwaZulu-Natali: ucingo: +27 (0)31 260 1092. Qaphela: Amakolishi ngeke asamukele isicelo sakho uma ungayithumelanga imiphumela yakho evala kwa-HESA. Okudingekayo kokungena eKolishi: Ngaphezu kwalokhu okusemthethweni okudingekayo kokungena, labo abafaka izicelo base Ningizimu Afrika kumele bahlangabezane okungenani namaphuzu ezinhlelo eziqondenengqo. Bonke labo abafake izicelo kumele bahlangabezane nalokhu okudingekayo kwezifundo kanye namazinga athile adingekayo kulezo zinhlelo. Qaphela futhi ukuthi umthamo wesibalo sezicelo ezitholwa iNyuvesi seve kakhulu kunezikhala ezikhona zokufunda eNyuvesi, ngalokho-ke, ukuhlangabezana nalokhu okudingakalayo akuqinisekisi neze ukwamukelwa eNyuvesi.

Izinsuku zokuvala kanye nezimali zokufaka isicelo: A. Izicelo zalabo abangenaziqu

Ukuvala

Imali yesicelo

1. Izicelo zabase Ningizimu Afrika 1.1 Ubudokotela (azivunyelwe izicelo ezizofika sezidlulelwe Isikhathi)

30 Juni 1.2 Zonke ezinye izinhlelo 30 Sept 1.3 Izicelo esezidlulelwe isikhathi ku 1.2 (singabali abe Sayensi yezeMpilo) 2. Izicelo zabavela emazweni angaphandle 2.1 iSimesta-1 (Febhruwari - Juni) 2.2 iSimesta-2 (Agasti – Disemba)

Umshwalense Wezempilo:

30 Sept Wangonyaka odlule. 30 Ephreli kunyaka ophezulu.

R175 R175

Sicela uthintane no Mxhumanisi weSikhungo Sokweluleka Abafundi - ngolunye ulwazi maqondana nesikwenzayo, esinakho kanye nokweseka abafundi okukhona. eHoward College: – ePietermaritzburg – eWestville – eEdgewood –

Ucingo: +27 (0)31 260 3070/3140 Ucingo: +27 (0)33 260 5213/5233 Ucingo: +27 (0)31 260 7706/7888 Ucingo: +27 (0)31 260 3665

Usizo: Uma udinga usizo ekukhetheni uhlelo lwezifundo nokukhetha izifundo zakho ezimqoka kakhulu, imikhakha noma ukwelulekwa okuqondene nawe-ngqo, noma ukuhlolwa, ungaxhumana noMeluleki kwezinye zalezi zikhungo zokweluleka abafundi: eHoward College – Ucingo: +27 (0)31 260 2668/2669 ePietermaritzburg – Ucingo: +27 (0)33 260 5233 eWestville – Ucingo: +27 (0)31 260 7337/7751

Imibuzo ngosizo lwezimali: eZolimo, ubuNjiniyela kanye neSayensi – Ucingo: +27 (0)31 260 7705/7064 +27 (0)33 260 5195/6145 iSayensi yezeMpilo – Ucingo: +27 (0)31 260 2912/4359/7889 ezoBuntu – Ucingo: +27 (0)31 260 3258 +27 (0)33 260 5758 ezoMthetho kanye nokuPhatha – Ucingo: +27 (0)31 260 7912/ 1106/+27 (0)33 260 5837

Imibuzo ngezindawo zokuhlala:

R400 Amazwe akwiSADC, R470 Kumazwe angaphandle kweAfrika $146

Ngemibuzo maqondana nezindawo zonke zokuhlala sicela uthintane namakhempasi aqondene-ngqo: eEdgewood – Ucingo: +27 (0)31 260 3611 eHoward College – Ucingo: +27 (0)31 260 2282 eMedical School – Ucingo: +27 (0)31 260 2282 ePietermaritzburg – Ucingo: +27 (0)33 260 6226 Ucingo: +27 (0)31 260 8070 eWestville –

(Uvuleleke kulabo abavela emazweni angaphandle kuphela)

Ngokwesichibiyelo somthetho wabokufika 19 yango-2004 (Immigration Amendment Act of 2004), wonke umfundi ophuma ngaphandle kwezwe onethuba lokufunda eNingizimu Afrika, kumele aveze ubufakazi kobuthi unawo umshwalense wezempilo ohlinzekwa ngabahlinzeki bezempilo ababhalisiwe ngokusemthethweni (Medical Scheme Act, 1998 Act 131 of 1998). Ngakho-ke, iNyuvesi yaKwaZulu-Natali yamukela kuphela imikhiqizo yezempilo yase Ningizimu Afrika egunyazwe ngokomthetho obaluliwe ngenhla. Ukuze ihambisane nale mibandela, iNyuvesi idinga ubufakazi obugcwele bomshwalense wezempilo kanye nabahlenzeki bezempilo abazinze eNingizimu Afrika kuloyo nyaka wonke wokufunda (evuselelekayo minyaka yonke). Lomshwalense kumele ubhekelele ukulaliswa esibhedlela isikhashana, izimo eziphuthumayo kanye nemithi yosuku nosuku kanye nokubonana nodokotela. Ngakho-ke siyakweluleka ukuthi wenze izinhlelo zezimali zomshwalense wezempilo ngaphambi kokufika eNingizimu Afrika.

3

Application for aDMISSION

FOR OFFICE USE ONLY: Student no: App Fee Pd: R____________ Date:_______________ Receipt No:__________________________________ Into ITS By:________________ On:_______________

• Have you been registered as a student at University of Natal/University of Durban Westville/University of KwaZulu-Natal before? YES

NO

• If yes, what was your Student No. (if available)?

1. term of entry and choice of programme/Isikhathi ozoqala ngaso kanye nohlelo olukhethayo 2 0

Year of entry:

Entry Term: Semester: 1

2

Year of study for this degree/diploma (eg. 1st):

OFFICIAL USE

Degrees/Diplomas/Programmes applying for: Choice Campus Name of Degree/Diploma Order 1

Major/Programme

Full or part-time

Approved

Date

2 3 4 Please ensure that the programme name/s are indicated.

2. Personal details/Imininingwane yakho Title: Mr

Mrs

Miss

Ms

Other________________________

Surname:_______________________________________________________________________________________________________________________ First Names:____________________________________________________________________________________________________________________ Maiden Name:___________________________________________________________________________________________________________________ ID No: (South African applicants only) Persal number: DAY

MONTH

(teachers only) YEAR

Date of Birth: Marital Status: Race:

Married

African

Single

Coloured



Divorced

Indian

Widowed

White

Separated

Other:__________________________________ (specify)

Female

Gender: Male

Home Language:_____________________________________________________________ Nationality: _____________________________ Religion (optional): _______________________________________________________________________________________________________________

3. Residency/Indawo yokuhlala • Are you a permanent resident of SA?

YES

NO

• If not, what is your country of permanent residence?_______________________________________________________________________________ • Passport No.: DAY

MONTH

YEAR

• Expiry Date • Residence Permit No: DAY

(if in possession) MONTH

YEAR

• Expiry Date: 4

4. financial assistance/Usizo ngezezimali NOT APPLICABLE TO INTERNATIONAL APPLICANTS Do you wish to apply for financial assistance?

YES

NO

5. Post-school activities/Izinto ozenzile emuva kokuqeda isikole Present activity (Please tick) *University student

01

Technical College student

05

Teacher’s Training College

02

Labour Force (Employed)

07

Technikon Student

03

Standard 10 pupil/Grade 12 learner

08

College of Nursing student

04

OTHER (______________________________)

09

* If university student, please state name of the last institution in section 8 on page 5 and submit academic record and certificate of good conduct: NOTE: The code structure has been set up (by ITS) in terms of government reporting requirements.

If you are employed please complete the following: Name of Company/Institution

Address of Company/Institution

Post Code Fee Account to Employer

Telephone No. (Work): Yes

Area dialling code: No

6. Address and contact details/Ikheli kanye nemininingwane yokuxhumana Postal Address: _____________________________________________

Guardian/Parent (if under 21) or next of kin:

___________________________________________________________

Name:_________________________________________________________

___________________________________________________________

Address:_______________________________________________________

Town/City:__________________________________________________

______________________________________________________________

Country:____________________ Postal Code: ___________________

______________________________________________________________ _______________________________ Postal Code: __________________

Physical address: ________________________________________ ______________________________________________________

Telephone Numbers:

______________________________________________________

Work: Dial code:________________ No:_________________________

Town/City:___________________________________________________

Home: Dial code:_______________ No:_________________________

Country:____________________ Postal Code: ____________________

Cell phone:_____________________________________________________ Email:_________________________________________________________

Telephone Numbers: Cell phone:____________________________________________________

Relationship:

Work: Dial code:_______________ No:__________________________

Father Mother Spouse

Home: Dial code:______________ No:__________________________

Brother G/Parent Sister

Email address:___________________________________________

Child

Work/Home Fax:__________________________________________ 5

Guardian Other

7. high school details/Imininingwane yesikole samabanga aphezulu Year of last school leaving certificate (equivalent to Grade 12): Name of school certificate/diploma:_________________________________________________________ Examination No:_________________________________________________________________________ NB: International APPLICANTs to check equivalence with Matriculation Board Type of Matriculation Exemption already held: (Please tick one) 01

Full Exemption

07

Other Senior Certificate

03

Ordinary Conditional

08 NTC3/N3/NSC

04

Mature Age Exemption

09

05

Foreign Exemption

10 Other

06

Immigrants Exemption

11

Standard 10 Practical Discretionary Provision (Senate exemption)

NOTE: The code structure has been set up (by ITS) in terms of government reporting requirements. YEAR

HIGH/SENIOR SCHOOL NAME

From

To

Grades/Forms Passed

Examination Authority

1 2 High School subjects (International Students: state subjects of last school leaving certificate)

Final grade II/‘0’ levels HG/SG/O Symbol

Trial/Mocks Grade 12 SG/HG/A Symbol

Matric or ‘A’ levels SG/HG/A Symbol

1 2 3 4 5 6 7 8

8. previous studies/Izifundo osuke wazenza ngaphambili DEGREE/DIPLOMA/CERTIFICATE INSTITUTION NAME Name

DEGREE

Complete Yes No

AWARD DATE

YEARS ATTENDED From

To

1 2 3 4 5 6 7 • Student number(s) at previous institution:______________________________________________________________________________________ • Have you ever been refused entry to, expelled or excluded from another institution?

If “Yes”, provide the details: ________________________________________________________________________________________________

• Have you ever been refused entry to, expelled or excluded from a residence of any institution?

YES

NO

If “Yes”, provide the details:________________________________________________________________________________________________

• Do you owe fees to another institution?

NO

YES

YES

NO

If “Yes”, provide the details: ________________________________________________________________________________________________ 6

9. medical information/Imininingwane yezempilo 9.1 disability information/Imininingwane ngokukhubazeka The University is sensitive to the needs of students with disability, and will attempt to provide support where possible. NO YES Do you have any disability, physical or otherwise, that might require support? If “Yes”, please indicate: Persons with a Visual Impairment

Persons with a Physical Impairment



Persons with Diabetes

Blind



Uses a wheelchair



Persons with Epilepsy





Uses crutches/callipers



Persons with Cerebal Palsy



Persons with paraplegia/quadriplegia/ hemiplegia/post-polio paralysis





Other (please specify)



Persons with Intellectual/Psychiatric/ Psychological Impairment Persons with Medical/Chronic Ailments that require support (Please specify) Other (Please specify)

Partially sighted

Persons with a Hearing Impairment

Partially deaf



Mild to moderately deaf

9.2 compulsory for international APPLICANTs only/Kuphoqeleke kulabo abafake izicelo abasuka emazweni angaphandle kuphela



Health Insurance I _____________________________________ (name) confirm that I will/have applied for medical cover with a medical scheme registered in terms of the Medical Schemes Act, 1998 Act 131 of 1998.

10. residence application/Isicelo sendawo yokuhlala Do you wish to apply for admission to University Residence? If yes, which campus?

NO

YES

Howard College

Pietermaritzburg Edgewood

Medical School

Westville If you are unsuccessful in obtaining accommodation in a University Residence, where will you stay?_________________________________________

11. General information/Imininingwane ejwayelekile Do you wish your name/address to be kept confidential between yourself and the University? YES

NO

Note: Disclosure of information is subject to the Promotion of Access to Information Act and other relevant laws. Did any of your immediate family study at this University? YES

NO

If yes, state relationship to you:_______________________________________

12. english proficiency/Ukukhuluma kahle ulimi lwesiNgisi (APPLICABLE TO INTERNATIONAL APPLICANTS ONLY) Applicants applying for admission into a degree programme at the University need to demonstrate that they have obtained one of the following levels of English proficiency: 1. A pass in an examination equivalent to English at South African Senior Certificate (NSC) HL or FAL level or at the Higher Grade (First or Second Language) for the South African Senior Certificate. 2. A pass in English language at A-level, or O-level (C-symbol or higher), or the International Baccalaureate or equivalent examination. 3. For international applicants who do not satisfy (1) or (2) above and for whom English is a foreign language: • an overall band score of 6.0 for Undergraduate studies, (7.0 for Postgraduate studies) or • a test score of 550 on the paper version of the Test of English as a Foreign Language (TOEFL) or a score of at least 80 on the IBT (electronic) version of the test. Scores need to be submitted with application forms. Name of document: ______________________________________________________________________________________________________________ Refer to THE UNDERGRADUATE PROSPECTUS for more details. 7

13. Declaration and understanding To be completed with the assistance of Parent/Guardian where applicant is not financially independent and under the age of 18 (a minor). If my application is successful and I accept the offer of a place to study at the University of KwaZulu-Natal, 1. I undertake 1.1 To comply with the procedures, rules and regulations of the University of KwaZulu-Natal. 1.2 To inform the Registrar immediately, in writing, if I change my address. 1.3 To acquaint myself with all the rules and general regulations that relate to the degree for which I am applying. 1.4 To make alternate arrangement for accommodation should the University accept me for the degree and cannot offer me accommodation. 2. I/We hereby accept liability for the payment of all tuition fees or other fees which may be charged by the University as a result of my/his/her s­ tudies at the University. 3. I am aware that my enrolment is valid only if it complies with the regulations of the degree concerned, notwithstanding the acceptance of this a­ pplication by the University. 4. I/We accept the responsibility of submitting all documents required by the University before the stipulated due dates. 5. I declare 5.1 That I make this application and give the declarations and understandings with the knowledge and consent of my parent/guardian/employer. 5.2 I warrant that the information contained herein is true and correct and the University shall be entitled to declare the contract void and cancel my registration if I have made any misrepresentation or omission on this application.

Signature of Student

Date

Signature of Parent/Guardian

Date

SURETYSHIP To be completed where applicant is not financially independent and under the age of 18 (a minor). I, the undersigned lawful parent/guardian of the applicant, do hereby bind myself to the University of KwaZulu-Natal as surety in solidium and co-­principal debtor with the above-named applicant for the due payment of all fees and other charges due and payable to the University of KwaZulu-Natal in terms of the relevant applicable annual schedule of fees. The surety will operate as a continuing covering suretyship. I agree that I will not be released from liability under this suretyship in any c­ ircumstances whatever, except with the University of KwaZulu-Natal’s written consent and in particular, I shall not be released by reason of the fact that the aggregate amount owed to you by the applicant may fluctuate and may at times be nil. Please print full name of Surety/Parent/Guardian:____________________________________________________________________________________________ Identity no.:____________________________________________________________________________________________________________________________ Address:_______________________________________________________________________________________________________________________________ Which will be my domicilium citandi et executandi (permanent residential address) for all purposes under this document which means that I will accept service of all notices, documents and legal proceedings against me. In the event of my changing this address, I agree to inform the Student Debtors Section of the Finance Department of the University of KwaZulu-Natal of any change in my address.



Signature of Parent/Guardian

Date

DISCLAIMER/Isaziso Esingokomthetho 1. The application form was written in English and translated

1. Leli fomu lokufaka isicelo libhalwe ngesiNgisi labuye

to an isiZulu language version of the form. Whilst we hope

lahunyushelwa olimini lwesiZulu. Yize noma sinethemba

that the translation/s of the application form are accurate, in

lokuthi ifomu lethu lihunyushwe kahle, uma kungaba

the event of any differences in meaning between the original

nokwehlukana phakathi kokushiwo yifomu lesiNgisi

English version and a translation, the original English version

nelesiZulu, kuyosetshenziswa ifomu lesiNgisi

takes precedence.

njengelisemthethweni.

2. If any provision or part of a provision of this application form

2. Uma kutholakala ukuthi esinye sezimiso kuleli fomu noma

is found unlawful, void, or unenforceable, that provision or

ingxenye yalo ayikho emthethweni, ayisebenzi, ayigcineki leso

part of the provision is deemed severable from the application

simiso noma ingxenye yalo itholakala ukuthi ingahlukaniseka

form and all other provisions of the application form will

kuleli fomu kusho ukuthi ezinye izimiso zaleli fomu

remain in full force and effect.

ziyoqhubeka nokusebenza ngokugcwele.

8

13. Izwi lesinqumo nesiqinisekiso sokuthi uyaqonda kahle Makugcwaliswe ngosizo lo mzali noma ilowo ogunyaziwe ukuba umondli womntwana, lapho lowo ofaka isicelo engazimele ngokwezezimali futhi engaphansi kweminyaka engama-18. Uma isicelo sami siphumelela futhi ngithola isikhala sokufunda eNyuvesi yaKwaZulu-Natali, 1. Ngiyathembisa 1.1 Ukulandela izindlela zokwenza, imigomo, kanye nemithetho yeNyuvesi yaKwaZulu-Natali 1.2 Ukwazisa uRejistra ngokushesha, ngokumbhalela incwadi uma ngishintsha ikheli. 1.3 Ukuzijwayeza imithetho kanye nemigomo exhumene neziqu engifake isicelo kuzo. 1.4 Ukwenza ezinye izinhlelo mayelana nendawo yokuhlala uma kwenzeka iNyuvesi ingamukela kodwa ingeke ikwazi ukunginika indawo yokuhlala. 2. Ngi- / Si- yavuma ukuba ngababhekene nokukhokhwakwazo zonke izimali zokufunda noma ezinye izimali iNyuvesi engazidinga ezingumphumela wokuba ngumfundi kwami wase Nyuvesi. 3. Ngiyaqonda ukuthi ukubhaliswa kwami kugunyazwe, uma kuphela kuhambisana nemithetho yeziqu ngaphezu kokwamukelwa kwalesi sicelo yiNyuvesi. 4. Ngi- / Si- yazibophezela ukuthumela yonke imininingwane edingwa iNyuvesi kungakashayi izinsuku ezibekiwe. 5. Ngiyafakaza 5.1 ukuthi ngenza lesi sicelo futhi ngiyafakaza ngokolwazi nemvume yomzali wami/ ongumondli wami / umqashi wami. 5.2 ukuthi lonke ulwazi oluqukethwe lapha luyiqiniso futhi iNyuvesi inegunya lokuchitha lesi sicelo uma ngifake okungelona iqiniso noma ngingavezanga okunye okubalulekile.

Kusayina umfundi

Usuku

Kusayina umzali

Usuku

Ukumela izimali zokufunda (Suretyship) Lengxenye igcwaliswa uma umfundi engazimele ngokwezimali noma engaphansi kweminyaka engama-18. Mina, osayine ngezansi njengomzali/ njengomondli waloyo ofaka isicelo, ngiyazibophezela kwiNyuvesi yakwaZulu-Natali ngokubambisasa nofaka isicelo njengokweletayo ekukhokhweni kwazo zonke izimali zokufunda kanye nezinye izindleko ekufanele zikhokhelwe iNyuvesi yaKwaZulu-Natali ngokohlu olushicilelwe lwezimali zokufunda. Lokhu kumela lezi zimali kuzosebenza njengokumela okuqhubekayo. Ngiyavuma ukuthi ngihlale ngilindeleke ukuba ngikhokhe izimali zokufunda ezidingakalayo noma ngabe kunasiphi isimo, ngaphandle uma nginemvume ebhalwe yiNyuvesi yaKwaZulu-Natali. Angeke ngikhululwe ekumeleni isikweletu yizizathu ezingukuguquguka kwemali ekweletwa ngumfaki wesicelo kanye nokungabibikho kwemali ekweletwayo. Sicela ubhale igama ngokugcwele laloyo Omele/ onguMzali /onguMondli:_______________________________________________________________________ Inombolo kamazisi.:______________________________________________________________________________________________________________________ Ikheli:__________________________________________________________________________________________________________________________________ Okungaba indawo yami yozinzo, ngokwezizathu zalencwadi lapho ngiyokwazi ukuthunyelelwa izaziso,izincwad kanye nezinyathelo zomthetho. Uma kwenzeka ngishintsha ikheli, ngiyavuma ukwazisa umnyango wezezimali zabafundi eNyuvesi yaKwaZulu-Natali ngalolu shintsho.



Kusayina komzali/ ongumondli womfundi

Usuku

14. checklist/Uhla lokuqinisekisa Please ensure that the following relevant documents are enclosed with this application: • Have you indicated your choice of degree/diploma and campus?

YES

NO

• Have you enclosed the proof of payment or non-refundable application fee?

YES

NO

YES

NO

English translation YES if applicable YES

NO

• Have you enclosed all the required certified documentation: – Copy of ID Document/Passport – Academic Record (if studied previously) – Degree Certificate (if studied previously)

}

– Senior Certificate/Matric Certificate/O/A Levels or relevant school leaving qualification/certificate

NO

YES

NO

YES

NO

YES

NO

YES

NO

• Have you completed the residence section (10) if applicable?

YES

NO

• Have you filled in the application form in full?

YES

NO

}

Compulsory for international – Proof of HESA assessment applicants only – English Proficiency proof

• Have you read and understood the medical insurance requirements (applicable to International Applicants only)

9

Applications and Information Office www.ukzn.ac.za April 2014