NATIONAL STUDENT FINANCIAL AID SCHEME

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1 NATIONAL STUDENT FINANCIAL AID SCHEME POTCHEFSTROOM FINANCIAL SUPPORT SERVICES CAMPUS IMPORTANT INFORMATION PERTAINING TO A NSFAS LOAN The main objective of the National Student Financial Aid Scheme (NSFAS) is to provide financial aid by means of a loan scheme to students who have the academic potential and is financially needy. If a student passes all his/her study modules during the year, a portion of the loan will be converted into a bursary. The maximum conversion from loan to bursary will be 40% of the annual loan amount. The interest rate is fixed on 80% of the repo rate and is amended annually on the 1 st of April. Interest on the loan will be raised from the 1 st of April during the year that the loan has been approved. Repayment of the NSFAS loan will commence once the student has completed the degree and is earning a steady income. The NSFAS Council determines the minimum and maximum amounts to be allocated by each institution and the amounts may vary annually. The mandatory National Means-Test is applied to all applications to determine the value of the loan amount. An Expected Family Contribution (EFC) towards study fees might be required depending on the gross income of the parent(s)/guardian(s). All other bursaries that the student will receive whether from University funds or independent bursars, has to be taken into account when the University applies the Means-Test and has to be deducted from the NSFAS loan allocation. ACADEMIC REQUIREMENTS First year students must have obtained an APS-score of 22 during their final Grade 12 exams and must apply for NSFAS in the preceding year of study. PLEASE NOTE THAT DUE TO LIMITED FUNDS WE MIGHT NOT BE ABLE TO COVER STUDENTS WHO HAVE THE MINIMUM SCORE,THE FUNDS MIGHT BE EXHAUSTED AT A HIGHER SCORE Senior/Returning students must pass at least 60% of the modules taken to be illegible for a NSFAS loan in the next year. Students must reapply in the preceding year annually if they need to continue studies on the NSFAS loan..please READ THROUGH CAREFULLY BEFORE COMPLETING THE APPLICATION FORM NO FAXED COPIES AND APPLICATION FORM ARE ALLOWED. ALL CERTIFIED COPIES MUST NOT BE OLDER THAN THREE MONTHS. APPLICATIONS WITHOUT A STUDENT NUMBER AND/OR INCORRECT/INCOMPLETE FORMS CANNOT BE PROCESSED AND MAY LEAD TO DISAPPROVAL OF THE APPLICATION. YOU WILL NOT BE CONTACTED FOR INCOMPLETE INFORMATION. Attach a COPY OF YOUR BARCODE IDENTITY DOCUMENT that is certified on the same side as the picture and not on the backside. Only South African citizens may apply for the loan. FAMILY DETAILS 1. Attach the most recent proof of income of PARENT(S)/GUARDIAN(S) and SPOUSE (salary-/pension slips not older than three months). It is of great importance to determine the financial status of the family. PROOF OF INCOME (by means of sworn statement and 6 months bank statements, not older than three months) must be attached if you don t receive a salary-/pension slip/social grant slip 2. A sworn statement (not older than three months) must be attached if your MOTHER/GUARDIAN/SPOUSE IS A HOUSEWIFE or a SINGLE PARENT Page 1 of 8

2 3. A certified copy of the PENSION SLIP (not older than three months) of your PARENT(S)/GUARDIAN(S)/SPOUSE or any other member of the household must be attached if he/she is a PENSIONER. 4. A sworn statement (not older than three months) must be attached if your PARENT(S)/GUARDIAN(S)/SPOUSE is UNEMPLOYED. It must include in Rands(R) donations on which your family survives. WRITTEN CONFIRMATION FROM A COMMUNITY LEADER for example the preacher, attorney or social worker must be attached in addition. 5. If your PARENTS are SEPARATED but not legally divorced, a sworn statement (not older than three months) in that regard must be submitted by one of the parents and PROOF OF INCOME (not older than three months) OF BOTH PARENTS must be attached. If parents are married please attach their MARRIAGE CERTIFICATE 6. A certified copy of the DIVORCE ORDER must be attached if your PARENTS are LEGALLY DIVORCED. PROOF OF INCOME OF BOTH PARENTS (not older than three months) must be attached. 7. If the PARENTS are DECEASED, a CERTIFIED COPY/COPIES OF THE DEATH CERTIFICATE(S) must be attached. 8. In the instance of FARMERS and BUSINESSES, the most recent (not older than one year) TAX ASSESSMENT (IT34) AND most recent FINANCIAL STATEMENTS of the farm/business must be attached. 9. If your parents assets were LIQUIDATED and/or placed UNDER ADMINISTRATION, attach PROOF OF INCOME as well as proof of LIQUIDATION- AND/OR ADMINISTRATION ORDER. 10. If you are under GUARDIANSHIP, attach a copy of the COURT ORDER or submit a sworn statement of the guardian(s). GRANDPARENTS OR OTHER FAMILY MEMBERS CAN NOT ACT AS GUARDIANS IF THE BIOLOGICAL PARENTS ARE STILL ALIVE EXCEPT IF A COURT ORDER WAS ISSUED (CERTIFIED COPY OF THE COURT ORDER MUST BE ATTACHED). 11. Attach copies of IDENTITY DOCUMENTS/BIRTH CERTIFICATES of the APPLICANT AND ALL MEMBERS OF THE HOUSEHOLD that has been certified on the same side as the picture and not on the backside of the copy. CLOSING DATE FOR APPLICATIONS PROSPECTIVE FIRST YEAR STUDENTS 28 th OCTOBER 2015 SENIOR STUDENTS, MEANING 2 nd, 3 rd AND 4 th YEAR STUDENTS 28 th SEPTEMBER 2015 STUDENTS MUST APPLY ANNUALLY BEFORE THE CLOSING DATE POTCHEFSTROOM VAAL TRIANGLE MAFIKENG TEL / / / /2370/2681/2464 MAIL Financial Support Services Private Bag X6001 POTCHEFSTROOM, 2520 Vaal Triangle Campus PO Box 1174 VANDERBIJLPARK, 1900 Mafikeng Campus Private Bag X2046 MMABATHO, 2745 COURIER Financial Support Services 4 Hoffmanstreet Building F19 POTCHEFSTROOM, 2520 Vaal Triangle Campus Van Eck-Boulevard VANDERBIJLPARK, 1900 Mafikeng Campus Corner of Albert Luthuli & University drive MMABATHO, 2745 WEB Page 2 of 8

3 NATIONAL STUDENT FINANCIAL AID SCHEME APPLICATION FOR A NSFAS LOAN FOR THE YEAR: 2016 FINANCIAL SUPPORT SERVICES SECTION A: STUDENT S PERSONAL DETAILS Your full name Title Full Names Surname Your ID number ATTACH A CERTIFIED COPY OF ID Name known by Your Town/City Your Province Institution POTCHEFSTROOM VAAL TRIANGLE MAFIKENG Student Number On which Campus are you going to register? Are you completing your degree/diploma in 2016 Did you receive NSFAS funding before Have you completed any post matric qualification If yes name qualification and attach certified copies Did you receive NSFAS while studying at another institution YES YES YES YES NO NO NO NO Marital status Single / Married / Divorced / Widowed / Separated / Other arrangement: Please provide your family residential address below: Residential Address Physical Postal Where will you be living while you are studying at this institution? Living in on-campus, self catering residence From out of town, living off-campus (eg renting through landlord or agency) Living at home (as per address above) From the local town but not living at home Living in full catered on-campus residence Address while studying Your contact telephone numbers (Please indicate full street address/name of residence) Home Cell Home Language Preferred Language English / Afrikaans Your address Please provide an address which you use most frequently and have daily/weekly access to Ethnic Group/Race (for statistics only) African / Coloured / Indian / White / Other (please specify) Gender: Male Female Are you a person with a disability YES / NO Page 3 of 8

4 If YES, please specify nature of disability What assistive device would you need SECTION B: DETAILS OF FAMILY What is your parent s marital status as of today? Single / Married / Divorced / Widowed / Separated Are one/both parent(s) deceased? YES / NO If NO, please complete sections B1 and B2 below. *If YES, please indicate which parent Mother Father (please proceed to section B2 OR B3 if applicable) (please proceed to section B1 OR B3 if applicable) If both parents are deceased, please provide details of the legal guardian or caregiver with whom you are living or who has assumed responsibility for your care and financial support (please proceed to Section B3). For the sections below, please provide the details of the parents/legal guardian/step-parent who will be responsible for contributing to the costs of your studies and supporting you financially during your studies. ALL applicants must complete Sections B4 and B5. SECTION B1: DETAILS PLEASE TICK THE APPLICABLE BOX MOTHER STEP MOTHER Full name Title Full Names Surname (as per ID book) ID number Home address Contact number Occupation *Unemployed YES / NO *Claiming UIF? YES / NO Employed by (Name of company or individual) Source of income * Wages Weekly Monthly Daily (please tick the relevant box) * Salary Fortnightly Monthly Other * Interest from investment * Business profit (eg. Taxi, hawker, SME) * Contribution from maintenance payments * Social Grant Type (Describe) Gross earnings per year R Does your mother pay tax? YES / NO * If YES, please provide income tax number SECTION B2: DETAILS PLEASE TICK THE APPLICABLE BOX FATHER STEP FATHER Page 4 of 8

5 Full name Title Full Names Surname (as per ID book) ID number Home address Contact number Occupation *Unemployed YES / NO *Claiming UIF? YES / NO Employed by (Name of company or individual) Source of income * Wages Weekly Monthly Daily (please tick the relevant box) * Salary Fortnightly Monthly Other * Interest from investment * Business profit (eg. Taxi, hawker, SME) * Contribution from maintenance payments * Social Grant Type (Describe) Gross earnings per year R Does your father pay tax? YES / NO * If YES, please provide income tax number SECTION B3: DETAILS OF LEGAL GUARDIAN / APPOINTED CAREGIVER / SPOUSE / OTHER PERSONS PROVIDING FINANCIAL SUPPORT TO THE STUDENT Were you appointed by a court of law to act as the legal guardian of the student in this applications? Were you appointed by the applicant s deceased parents? YES * / NO YES * / NO Full name Title Full Names Surname (as per ID book) ID number Legal guardian / caregiver marital status Home address Married / Divorced / Widowed / Separated Contact number Occupation *Unemployed YES / NO *Claiming UIF? YES / NO Employed by (Name of company or individual) Page 5 of 8

6 What type of employer is this? (please tick) State Private Individual Informal income Source of income * Wages Weekly Monthly Daily (please tick the relevant box) * Salary Fortnightly Monthly Other * Interest from investment Gross earnings per year R * Business profit (eg. Taxi, hawker, SME) * Contribution from maintenance payments * Social Grant Type (Describe) Does your guardian/caregiver pay tax? YES / NO * If YES, please provide income tax number ECTION B4: DETAILS OF FAMILY STRUCTURE 1. Starting with the student, list ALL family members (including parents) residing permanently in your home that is dependent on the parent(s)/guardian s income. 2. Attach a copy of EVERY PERSON on this list s Identification document or birth certificate. 3. If other siblings are students registered at a tertiary institution, attach proof of his/her registration. Title Initial(s) Surname Relationship to applicant 1 Age Currently busy with 2 1 Spouse / Partner / Brother / Sister / Daughter / Son / Uncle / Aunt / Grandparent / Other 2 Primary school / Secondary school / Out of school / Unemployed / Employed / University / FET College / Other Are any of the siblings listed above studying at a tertiary institution? YES NO If any of the family members above are employed, how much income does he/she earn? SECTION B5: DETAILS OF NEXT OF KIN In the event of an emergency, the institution or NSFAS may need to contact the applicants next of kin. A next of kin is a direct family member, other than your parents or legal guardian, not living with you. Full name Title Full Names Surname (as per ID book) ID number Page 6 of 8

7 Home address Contact number How is this person related to the applicant? SECTION C: PARTICULARS OF COURSE Are you a first-time applicant for financial aid? (please tick) YES NO Qualification type: (please tick) Degree Diploma Name of qualification (eg B Sc, B Eng, B Ed) Course of study (eg Conservation, Civil Eng, Foundation Phase) Year first registered for this course (eg 2006) Current year of study (eg year 1) SECTION D: FINANCIAL DETAILS OF APPLICANT AND/OR FAMILY SUPPORTING APPLICANT Students who are working and self-supporting/self-financing their studies should complete Section D1. Students who are still dependent on family support for financing their studies should complete Section D2. SECTION D1: APPLICANT S EMPLOYMENT STATUS Name of employer Occupation Address of employer Telephone number Cellphone number address SECTION D2: FINANCIAL STATUS OF FAMILY Does your parents/guardian own a fixed property (eg. house)? YES / NO If YES, what is the approximate value? What type of home do you live in? House Flat On a farm Informal settlement Do you have a bond/mortgage on this property? YES / NO If YES, monthly repayment Rent SECTION E: DECLARATION BY APPLICANT (OR PARENT IF APPLICANT IS UNDER THE AGE OF 18 YEARS) Are you currently under a debt administration? YES NO I, the undersigned, declare that the information provided in this application form is correct, and I have included all information on family income to the best of my knowledge. I understand that the information requested in this form may have to be verified for purposes of a fair allocation of loan/bursary award. I understand that, should any relevant information have been omitted or found to be incorrect, disciplinary action will be taken by the University, which could result in any/all funding being cancelled/revoked. I consent to the Financial Aid office giving details of my academic record and financial profile to NSFAS and other donors. Signature Date * Indicates that written proof/evidence is required (eg. ID book, death certificates, divorce papers, income tax form). Page 7 of 8

8 CHECKLIST FOR COMPLETENESS OF NSFAS APPLICATION FORM Complete Incomplete STUDENT NR INITIALS & SURNAME ATTACHED CORROBORATIVE DOCUMENTATION YES NO 1 Section A: Certified copy of ID document of student 2 Section B: Certified copy of death certificate(s) of parent(s)/guardian(s) if applicable 3 Section B 1, 2, 3: Certified copy of parents marriage certificate. If separated, a copy of decree of divorce and proof of allimony received 4 Section B 1, 2, 3: PROOF OF INCOME Parent(s)/guardian(s) employed Certified copy of salary/wage slips of both parents Parent(s)/guardian(s) own or belong to a CC and/or a PTY (LTD) Income statement, Balance Sheet, Cash Flow statement, Income Tax Certificate and Income Tax Return of business Parent(s)/guardian(s) is/are earning commission IRP 5 AND bank statements of 6 months Parent(s)/guardian(s) is/are sole proprietor Salary/wage slips AND bank statements of 6 months if allimony has been received Parent(s)/guardian(s) is/are informal trader/hawker Proof of income AND bank statements of 6 months Parent(s)/guardian(s) is/are unemployed Affidavit(s), UIF card AND bank statements of 6 months Parent(s)/guardian(s) is/are elderly, disabled or sickly Affidavit AND bank statements of 6 monts 5 Section B 4: Certified copies of ID document or birth certificate of ALL family members 6 Section B 4: Certified copy of proof of registration if there is more than one student in the family FOR OFFICE USE Complete Incomplete INITIAL(S) & SURNAME OF STAFF MEMBER SIGNATURE OF STAFF MEMBER DATE OFFICE USE AMOUNT AWARDED R BURSARY OFFICIAL HEAD: FSS DATE OF PROCESSING Page 8 of 8

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