Nagraadse Studentebefondsing Postgraduate Student Funding
Privaatsak X1 Private Bag X1
MATIELAND MATIELAND
7602 7602
Tel: 021 808 4208
Faks: 021 808 2739
E-pos: postgradfunding@sun.ac.za
HB & MJ THOMBEURS / HB & MJ THOM BURSARY
NAGRAADS/
POSTGRADUATE
STUDENTENOMMER 2012
STUDENT NUMBER
BELANGRIK IMPORTANT
Twe e getuigs krifte moe t aan soek vergesel as ook Bylaag A. T wo tes ti moni al s sh oul d acco mp a ny appl i cati on as wel l as
Sluitingsdat um: 13 SEPTEM BER 2011 Addendum A.
Closing date: 13 SEPTEMBER 2011
AFDELING A: PERSOONLIKE INLIGTING VAN APPLIKANT SECTION A: PERSONAL INFORMATION OF APPLICANT
Titel Voorletters Volle name
Title Initials Full names
Van
Surname
ID-nommer
ID Number
Posadres
Postal address
Adres ten tye van studie
Address while studying
Kontaknommers Kode / Code Tuis / Home Sel nommer / Cell number E-pos / E-mail
Contact Numbers
AFDELING B: AKADEMIESE BESONDERHEDE 2012 SECTION B: ACADEMIC DETAILS 2012
AANSOEK VIR: Honneurs Magister / Masters Doktoraal / Doctoral
APPLICATION FOR:
Honours
Vakrigting /
Subject
Datum 1ste registrasie vir graad waarvoor hierdie dd/mm/year Datum gradueer dd/mm/year
beurs benodig word. Graduation date
Date 1st registration of degree for which this bursary is
needed
Huidige kwalifikasies Waar verwerf / sal verwerf Wanneer / When
Lys vorige grade behaal en program waarvoor tans Where obtained / to be obtained Bv. Des. 2011/ e.g. Dec. 2011
geregistreer /
Present qualifications
List previous degrees and course presently registered for
Indien vorige kwalifikasies aan ‘n ander instansie as die US behaal is, sluit gesertifiseerde akademiese rekord met punte in persentasie in.
If previous qualifications have been obtained at an institution other than SU, attach a certified copy of academic record with marks in
percentages.
D. WERKS- EN FINANSIëLE BESONDERHEDE VIR STUDIETYDPERK IN 2011 – INDIEN NIE VOLTOOI NIE, ONVOLLEDIG! /
EMPLOYMENT AND FINANCIAL DETAILS DURING PERIOD OF STUDY IN 2011 – IF NOT COMPLETED, INCOMPLETE!
Indien met studieverlof, heg skriftelike bewys aan met besonderhede oor besoldiging – elke geval sal op meriete hanteer word.
If on study leave, attach written proof with particulars of remuneration – each case will be dealt with on merit.
Sal u teen vergoeding werk gedurende hierdie studietydperk? Merk asseblief die toepaslike blokkie in hierdie verband met X.
Will you be employed for remuneration during this period of study? Please mark the applicable in this regard with an X.
Geen werk Werk voltyds Werk deeltyds Aantal ure per week werkend Studieverlof
No employment Full-time employment Part-time employment Number of hours per week working Study leave
Ondergenoemde inligting het net betrekking op die graad waarvoor u tans om steun aansoek doen /
Information required below only refers to the degree for which you are currently applying for support
Het u vir enige ander beurse vir hierdie studie aansoek gedoen? / Have you applied for any other bursaries for this study?
Naam van beurs Waarde Bedrag toegeken Nie toegeken Uitslag uitstaande
Name of bursary Value Amount awarded Not awarded Result pending
Verklaring deur aansoeker / Declaration by applicant
Ek verklaar dat die gegewens op die beursaansoek volledig en korrek is. /
I declare that the information supplied in this bursary application is complete and correct.
…………………………………………………………. …………………………………
Handtekening / Signature Datum / Date
BYLAAG A / ADDENDUM A
HB & MJ THOM-BEURS 2012 HB & MJ THOM BURSARY
TOEKENNINGSKRITERIA / AWARDS CRITERIA
Tydens die toekenningsproses moet die kandidaat in minstens twee gebiede (studenteleierskap, sport,
kultureel en godsdiens) in leierseienskappe uitstyg. Om te voldoen aan die kriteria moet die kandidaat 3
topprestasies binne elke kategorie noem:
In order to comply you need to excel in at least two leadership fields (student leadership structures, sport,
cultural and religion). Please state your 3 outstanding achievements in each category.
Studenteleierskapstrukture by US, bv. SR/TSR, Primkomitee, Verenigingsraad, Akademiese Belange raad.
Student Leadership Structures at SU, eg. SRC/TRC,Prim committee.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Sport: erekleure toekennings ontvang van US Sportburo.
Sport: awards received from SU Sports Council
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Kultureel / Gemeenskapsinteraksie: welwees van kulturele erfenis van ons land
Cultural / Community Interaction: wellness of cultural heritage of our country
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Vervulling van leierskapsrolle in geloofsgemeenskappe.
Filling of leadership positions in religious communities
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________