Application form CPUT postgraduate bursary

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Application form CPUT postgraduate bursary Powered By Docstoc
					                        APPLICATION FORM FOR A CPUT POSTGRADUATE BURSARY

                                         Deadline: 07 March 2012
               PLEASE NOTE: THIS APPLICATION WILL NOT BE CONSIDERED UNLESS IT IS
                 COMPLETE IN ALL RESPECTS AND ALL DOCUMENTATION IS PROVIDED.
              We will not be contacting applicants to ask them to provide missing documents.

      Applicants must submit their applications electronically by emailing to cpgs@cput.ac.za
      Applications can be submitted as Word files, pdf files, and/or scanned copies.

                                                                                                       Category
      New applicant (TICK HERE):
                                                                                               1. Financially needy
                                                                                                  South Africans
                     New applications MUST include:
                                                                                               NB! Financially needy
1. Curriculum vitae (Maximum 2 pages)                                                          status must be
                                                                                               demonstrated by a
                                                                                               statement from
2. Certified copy of ID or passport (Not older than 3 months)
                                                                                               Financial Aid Office
 3. Letter of recommendation from your academic supervisor (or the Head of department          2. International
where you will study, only if no supervisor is allocated yet).                                    Meritorious
                                                                                                  students
 4. Official academic transcripts MUST show major subjects and percentages and must            3. South African
include detailed explanation of percentages equivalent to any symbols. SAQA certificates          Meritorious
                                                                                                  Students
are required for non-South African qualifications.

 5. Temporary admission letter into academic programme, or HDC 1.1, or proof of
registration

 6. Students in 2nd or 3rd year of studies must include proof of approval of proposal
(HDC 1.2)

7. Completed bursary form with all the required documents attached


      Renewal applicant (TICK HERE)::


                       Renewal applications MUST include:

 1.    Detailed progress report from your academic supervisor (see the end of this form)
 2.    Date of the Higher Degrees Committee meeting where your proposal (HDC 1.2) was
       approved
 3.    Completed bursary form with all the required documents attached




                                                                                        CPUT Postgraduate Bursary - 2012 academic year
SECTION A: APPLICANT’S PERSONAL DETAILS
                                                                                       CPUT
  Have you ever been registered at CPUT?                  YES            NO
                                                                                       Student number
  Identity number                                                  Date of birth
  Have you ever had a CPUT postgraduate bursary?          YES            NO            Years                       Amount
  Citizenship
                                                                   Full first
  Surname
                                                                   names
  Postal address in Cape
  Town
                                                                                                              Postal Code
  Physical address in
  Cape Town
                                                                                                              Postal Code
  Permanent home
  physical address
                                                                                                              Postal Code
  Preferred postal
  address
                                                                                                              Postal Code
  Email address                                                                        Cell
  Tel. (w)      (     )                  Tel. (h)         (   )                        Fax


SECTION B: EMPLOYMENT DETAILS
   Are you working at CPUT?                                                                              YES          NO
   Month/Year                                         Full-time    /       Part-time               Contract      /     Permanent
                                                      Number of
   Name of HOD                                                                                     Rate per hour
                                                      hours / week
   Faculty                                            Department
   Email address                                                                          Tel
   Current employer (to be completed by all students including international students)
   Name of company                                                         Total annual remuneration
   Name of HOD                                        Hours / week                                 Rate per hour
   Email address                                                                          Tel
   Are you on paid study leave?                                                                          YES          NO


 SECTION C: ACADEMIC DETAILS OF THE DEGREE FOR WHICH YOU ARE APPLYING FOR A BURSARY
                    Research Master’s:              Coursework (50% research-based)
  Degree                                                                                                  Doctoral: Full-time
                    Full-time                       Master’s: Full-time
  (select
                    Research Master’s:              Coursework (50% research-based)
  with an X)                                                                                              Doctoral: Part-time
                    Part-time                       Master’s: Part-time
  Faculty                                                       Department
  Year & month of first registration
                                                                Name of supervisor
  towards the above degree
                                                                Date of HDC approval of
  Date of HDC approval of research
                                                                proposal HDC 1.2.
  topic HDC 1.1.
                                                                (For office use only)
  (For office use only)
  Title of dissertation / thesis
  When do you intend to submit your
  thesis?

                                                                                                CPUT Postgraduate Bursary - 2012 academic year
 SECTION D: DEGREES / DIPLOMAS HELD OR CURRENTLY IN PROGRESS (POST-MATRIC ONLY)
  QUALIFICATION (full names)                           Institution                         Year first registered    Year obtained




 SECTION E: OTHER SOURCES OF FUNDING FOR THE ACADEMIC YEAR - 2012
 All students must complete this section. Include emoluments from your home country.
  Other bursaries applied for:                                                                                      R
  Other bursaries received:                                                                                         R
  Full-time employment:                                                                                             R
  Part-time employment:                                                                                             R
  Total income from these sources:                                                                                  R

 SECTION F: CONTACT DETAILS OF A RELATIVE
  Surname                                                            Full first names
  Relationship to applicant
  Permanent home physical
  address
                                                                                                             Postal Code
  Permanent home postal
  address
                                                                                                             Postal Code
  Email address                                                                         Fax
  Tel. (w)    (    )                        Tel. (h)     (    )                         Cell


SECTION G: UNDERTAKING BY APPLICANT

  I, (full name) _____________________________________ declare that the information submitted in my application is, to the best of
  my knowledge, complete and accurate. I agree that any willful misrepresentation will result in disciplinary action being taken against
  me, the cancellation of this application and immediate repayment by me of any amounts that may be awarded to me on the basis of
  information provided by me in this application. I agree to advise the Centre for Postgraduate Studies of any changes that may occur
  with regard to the information provided in this application.




  SIGNATURE OF APPLICANT                                                                                                DATE
  (To be signed in the presence of the witness)



  SIGNATURE OF WITNESS                                 SURNAME AND INITIALS OF WITNESS                                  DATE




  SIGNATURE OF SUPERVISOR                              SURNAME AND INITIALS OF SUPERVISOR                               DATE




                                                                                                CPUT Postgraduate Bursary - 2012 academic year
                              IMPORTANT NOTES FOR THE COMPLETION OF THIS APPLICATION

1.   CPUT postgraduate bursaries are not guaranteed. Students are therefore strongly encouraged to apply for other sources of funding,
     such as the National Research Foundation, DAAD, and the Medical Research Council scholarships and bursaries.

2.   Employees of CPUT are not eligible for a CPUT postgraduate bursary if they qualify for a fee rebate (via Human Resources).

3.   Full-time research master’s students: Payment of bursary will be made once per semester, on receipt of the detailed supervisor’s
     progress reports.

4.   50% research students: Payment of bursary will be paid in three stages subject to suitable progress and upon the recommendation of
     the supervisor. The last payment will be made when the degree is completed and upon submission of an article suitable for publication.

5.   The Cape Peninsula University of Technology will not hesitate to take disciplinary action against applicants who willfully make false
     statements or submit false documentation.

6.   The Centre for Postgraduate studies should be kept informed of any change in the information submitted, and reserves the right to
     reduce or withdraw any award should changed financial circumstances warrant such action (e.g. the award of funding not declared in
     this application).

7.   Candidates who fail to complete the degree for which they are registered will be liable for repayment of scholarships.

8.   Graduates must submit transcripts of their academic records reflecting percentages or grades or arrange to have transcripts forwarded
     to the Centre for Postgraduate studies as soon as their final results are available.

9.   RENEWALS
     Master’s                    Tenure for funding for the Master’s degree is TWO YEARS
     Applications for renewal of any award for the second year will be considered only on submission of a progress report reflecting
     satisfactory progress and HDC 1.2 (registration of proposal). The report MUST give a detailed account of what progress has been made
     over the past year and MUST be signed by both the applicant the applicant’s supervisor.

     Doctoral                     Tenure for funding for the Doctoral degree is THREE YEARS
     Applications for renewal of any award for the second and third years will be considered only on submission of a progress report
     reflecting satisfactory progress and HDC 1.2. The report MUST give a detailed account of what progress has been made over the past
     year and MUST be signed by both the applicant’s supervisor.

10. PLEASE RETURN THE COMPLETED APPLICATION FORM TO:

      The Director: Centre for Postgraduate Studies                      The Director: Centre for Postgraduate Studies
      Cape Peninsula University of Technology                            Cape Peninsula University of Technology
      New Library Extension                                              RISC
      Bellville Campus                                                   Cape Town Campus
      7535                                                               8000
      Tel: (021) 953 8462 / 3                                            Tel: (021) 460 3258
      Fax: (021) 953 8456 / 8632                                         Fax: (021) 953 8456 / 8632
      Email: cpgs@cput.ac.za                                             Email: cpgs@cput.ac.za




                                                                                                 CPUT Postgraduate Bursary - 2012 academic year
                              SUPERVISOR’S REPORT ON POSTGRADUATE STUDENT PROGRESS
                                                       2012
This report is to be completed by the supervisor and submitted in respect of the release of instalments for CPUT Master’s or Doctoral
scholarships. Supervisors are expected to provide a comprehensive report (at least a full paragraph detailing the student’s progress and
achievements over the past year).
        Student’s surname                                                                    Student no.

        First names
        First registration for
        this degree
        Faculty

        Department

        Degree

        Title or Topic of Thesis
        / Dissertation

                                          Details of scientific progress on project in 2011
        How would you rate                        Good                     Satisfactory                              Poor
        student’s performance?

                                             At what point is the student with the study?
          Chapter 1          Chapter 2         Chapter 3       Chapter 4      Chapter 5               Chapter 6         Final Draft

                                                           Details of progress




                                                   Declaration by supervisor
        Will the student be able to graduate within the next year?                       Yes                           No

        Surname & Initials of student                                        Signature                       Date

        Surname & Initials of supervisor                                     Signature                       Date:




                                                                                                 CPUT Postgraduate Bursary - 2012 academic year

				
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