BURSARY AVAILABLE TO ALL. 3 rd YEAR STUDENTS (and above) AND JUNIOR LECTURERS!!!!!!!!!

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1 BURSARY AVAILABLE TO ALL 3 rd YEAR STUDENTS (and above) AND JUNIOR LECTURERS!!!!!!!!! APPLICATIONS ARE AWAITED FROM ALL WHO MEET THE FOLLOWING CRITERIA / CONDITIONS: 1. Nominees shall be third year students and above or members of the university staff of Junior Lecturer status. 2. Nominees must be of South African nationality and have a valid South African passport (for at least 6 (six) months from date of return to South Africa). 3. Nominees must be age 25 or less at the start of the Tour. i.e. they must not have had their 26th birthday at the commencement of the Tour. This age restriction can be departed from, at the discretion of the Trustees, in the case of outstanding applicants 4. With each application the following information is required: - A personal letter of motivation as to why he/she is applying for the bursary - A current CV - Three letters of reference, none older that three years, reporting on the character, leadership qualities and personality of the nominee - Copies of ID, matric certificate and university academic record - Copies of school & university merit/achievement certificates (limited to five) - Details of leadership roles in the community, at school and at university 5. Applications will be subjected to a selection process by a Committee established by the University. 6. Closing date for applications is Friday 6 th May Further information may be obtained from Ms Mary Smith (Secretary to Mr J.H. De Villiers) address: smithhm@tut.ac.za Telephone no: Application forms can be obtained from your local Financial Aid office or Faculty Administrator and must be returned before the closing date. No late applications will be considered.

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6 ABE BAILEY TRAVEL BURSARY APPLICATION FORM PLEASE NOTE: Application forms which are in any way incomplete or lack the necessary supporting documents will not be considered. Student number: PERSONAL INFORMATION Surname: First names: Date of birth: Place of birth: Postal address: Postal code: Residential address: Title: Age: S.A. Citizen : YES / NO Identity no: Telephone (Home): Telephone (Office): address: Fax no: High School/s attended: From: To: Matriculation Year: Subjects: Symbols: HG/SG Matriculation Aggregate:

7 Universities/Institutions attended Degree/Diploma Years of attendance Major subjects & % obtained Certified evidence of courses & degrees (if any), showing the classes, standards, distinctions, etc. obtained in all examinations completed.(please submit academic transcripts rather than copies of degree certificates) Extra-curricular activities at school and university: School University Social and community involvement and appointments:

8 Please provide a brief statement of the dates and purposes of any previous visits undertaken to Britain: Confirm that you have a valid South African passport (for at least 6 (six) months from date of return to South Africa): Please ensure that recent CONFIDENTIAL letters from three suitable referees reporting on your character, leadership qualifications and personality are received by the [ ] office by no later than [ ]. The onus is on you, the applicant, to ensure that the referees forward the reports to this office by the closing date as no late applications will be considered. Please supply the following details in the space provided: (i) Title and Name: address: Present position held: Postal address: Telephone no: Fax no: Relationship between referee and applicant: (ii) Title and Name: Present position held: Postal address: address: Telephone no: Fax no: Relationship between referee and applicant: (iii) Title and Name: Present position held: Postal address: address: Telephone no: Fax no: Relationship between referee and applicant:

9 Please provide a letter of motivation not exceeding 500 words as to why you should receive this bursary and how it would benefit you and your future career The following documents are required: Certified copy of ID document, Matric certificate and University academic record. Copies of school & University merit/achievement certificates (maximum of 5). PLEASE ENCLOSE A CURRENT CURRICULUM VITAE I, the undersigned, hereby declare that the above information contained in this application is correct. I confirm that I have a clean record and there is nothing to stop the UK authorities from issuing me a visa. Should the information be found to be incorrect, I understand that this application will be rejected. I accept and agree to abide by the conditions as laid down by the Trustees of the ABE BAILEY TRUST. SIGNATURE OF APPLICANT DATE: CLOSING DATE : 6 MAY 2016

BURSARY APPLICATION 2. APPLICATIONS TO TERTIARY INSTITUTES ARE YOUR OWN RESPONSIBILITY AND WILL NOT BE DONE BY ANGLOGOLD ASHANTI.

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