AND CONDITIONS OF THE TISO FOUNDATION BURSARY

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1 Closing date: 30 October General Information Incomplete applications will not be considered Applicants must be black as defined by the BBBEE codes of good practice (Black, Coloured or Indian) No applications will be considered after the closing date The bursary is awarded on both merit and financial need Minimum Requirements You have to be a South African citizen to be eligible to apply for this bursary Attain a minimum average of 65% in your latest academic results Demonstrate financial need The bursary is open to all fields of studies offered at a registered University or University of Technology in South Africa Instructions for submission of application forms Documents that accompany the application form must be certified Application forms to be ed to the specified address or postal address Ensure that you have completed the checklist (page 9) Bursary amounts: The Foundation will use its discretion for allocation of funds for every student selected which are reviewed and subject to change annually. TERMS AND CONDITIONS OF THE TISO FOUNDATION BURSARY The Foundation is a Public Benefit Organization in terms of Section 30 of the Income Tax Act, 1962, which was created with once of main objects being the provision of scholarships, bursaries and awards for study, research and teaching. The bursar undertakes: To adhere to principles and goals of the Tiso Foundation To abide by the terms of payment of fees of the bursary To comply with all rules and regulations and other requirements of the institution and to conduct himself/herself at the institution at all times in a proper and reasonable manner; To conduct himself/herself in a proper and reasonable manner during ant period of study as well as in his/her relationship with the Foundation and/or the institution and/or the personnel of any one or more of such parties; Not to engage in any remunerative occupation during the period of his/her qualification, unless the prior written consent of the Foundation is obtained. To attend all lectures. Not voluntarily discontinue, interrupt, alter or suspend his/her qualification or lectures or any course before obtaining the qualification, unless the prior written consent of the Foundation is obtained; Not to register at a different institution, unless the prior written consent of the Foundation is obtained; To produce in writing all his/her examination results to the bursary administration, as soon as they become available, but not later than 7 days after the date on which the results were made known by the institution to the scholar; To advise the Foundation immediately in writing of any material change of circumstances relevant to the scholarship

2 P a g e 2 SECTION 1: PERSONAL INFORMATION TITLE (Mr/Mrs/Ms/Other) INITIALS SURNAME FULL NAMES PREFERRED NAME DATE OF BIRTH (dd/mm/yyyy) / / / / SA CITIZEN? Yes No ID NUMBER GENDER M F POPULATION GROUP: Black Coloured Indian White MARITAL STATUS Never married Married Divorced Widowed DISABILITIES: Yes No If Yes please specify: PHYSICAL ADDRESS: PROVINCE: POSTAL ADDRESS: Do you live in a rural area? Yes No TELEPHONE: Code Number Cell no: Code Number Cell no:

3 P a g e 3 SECTION 2: STUDY DETAILS If in Grade 12 please provide Grade 11 end of year results, Grade 12 June and prelim results What were you doing in 2015? High School Tertiary Studies Working Nothing Year Matric Have you matriculated? Yes No Passed Name of school: GRADE 12 RESULTS SUBJECT JUNE % FINAL % Where do you intend to study in 2016? Intended Course? FULL TIME PART TIME Have you been accepted for the course by the institution? Yes No Student Number (if you have one): Have you been accepted for residence? Do you have any other Bursary for 2015? If Yes provide details: Yes No Name of Residence Yes No

4 P a g e 4 SECTION 3: PARENT / GUARDIAN & FAMILY INFORMATION DETAILS OF FATHER: Title: Mr/Dr/Prof/Other Surname Full names Id number Employed Yes No Total Income (salary, wages, pension, etc) per R Pensioner Yes No month: Marital status Married Divorced Never married Separated Widowed DETAILS OF MOTHER: Title: Surname Full names Mrs/Ms/Miss/Dr/Prof/Other Id number Employed Yes No Total Income (salary, wages, pension, etc) per R Pensioner Yes No month: Marital status Married Divorced Never married Separated Widowed DETAILS OF GUARDIAN (not mentioned above): Title Surname Full names Id number Employed Yes No Total Income (salary, wages, pension, etc) per R Pensioner Yes No month: Marital status Married Divorced Never married Separated Widowed Relationship with you? OTHER MEMBERS OF THE FAMILY LIVING WITH YOU AND NOT MENTIONED ABOVE Name Relationship Age Occupation Amount

5 P a g e 5 SECTION 4: MOTIVATION Please tell us about your history and your personal circumstances.

6 Please tell us why you have chosen to study this course and why this university? P a g e 6

7 P a g e 7 Please describe situations in which you have shown to be a leader in your community, at work or whilst studying. Please give specific examples

8 What social cause is close to your heart and why? P a g e 8

9 P a g e 9 Section 5: Supporting documents The following documents must accompany your application Please tick on Yes if you have included the specific document (Your application will not be considered without the relevant documentary proof) Have you included a certified copy of your ID document? Do you meet the minimum 65% average in your latest results? Have you included a certified copy of your matric results? Have you attached copies of payslips of employed Parents/Guardians? Have you attached a 3 months bank statement of self-employed Parents/Guardian If currently in Grade 12 have you attached your grade 11 final report and grade 12 prelim results? If currently I Grade 12 please attach provisional acceptance from the University Have you included a certified copy of your June transcript if you are studying this year? If you are already studying at varsity, have you included a copy of your student account? Have you attached death certificate copies of deceased parents? Have you included two testimonials or recommendation letters? Yes No Submissions can be made via /fax and post to: Meriam Mokoena (mmokoena@tiso.co.za) and Precious Binda (pbinda@tiso.co.za) For enquiries: Postal Address: The Tiso Foundation Kagiso Tiso House 100 West Street Wierda Valley Sandton 2196