INTERNATIONAL STUDY BURSARIES 2019

The Department of Education hereby invites all bona fade residence of Mpumalanga Province who would like to study in RUSSIA, BELARUS, CHINA and ITALY to apply for bursaries in the following fields:

1. Medicine

2. Veterinary science

3. Civil/ Agricultural Engineering

4. Information Technology

5. Aviation / Aeronautical Science

6. Bachelor of Education (Maths and Science) Applicants should have the following learning areas: English, Life science/Biology, Physical Science and Mathematics The following documents must accompany your application form:

• Certified copy of birth certificate or identification document (ID)

• Certified copies of salary statements of both parents/guardians. In the case of death of one or both parents, submit certified copies of death certificates

• Certified copies of Grade 12 certificate

• In the case of applicants who state they have a disability, provide proof from a registered medical doctor.

• Proof of residential address e.g. municipal water and lights account that is not older than three months. For those who live in rural settlements, provide a letter and /RTO/PTO from Local Tribal Authority Office.

• A stamped letter from the CRDP municipalities

• A letter from local social worker confirming indigent status, if applicable

• Certified copies must not be older than three months. In addition all applicants who will be shortlisted will be required to submit:

• Ten (10) passport sized photos

• Valid Passport/Proof of application for passport

• Should not have a criminal record (Police clearance required) RECOMMENDED APPLICANTS WILL UNDERGO PSYCHOMETRIC TEST, INTERVIEW AND MEDICAL EXAMINATION WITH REGARD TO:

• HIV and AIDS

• Hepatitis B

• Tuberculosis

• Pregnancy

• Psycho-social well being N.B. Meeting the above requirements does not necessarily guarantee that the applicant is successful. The application will still undergo Departmental selection process. Closing Date: 31 October 2018 Communication will be limited to the successful applicants only.

Page 1 of 5 INTERNATIONAL STUDY BURSARIES 2019

APPLICATION FOR INTERNATIONAL STUDY BURSARIES 2019 The information required on this Application Form must be furnished in full. Failure to do so may jeopardise the applicant’s

chances of obtaining a bursary. Certified copies of all documents as outlined on Page 5 should be attached.

NB: APPLICANTS MUST BE PREPARED TO UNDERGO SCREENING FOR CHRONIC DISEASES

FILL IN THIS APPLICATION FORM IN CLEAR BLOCK LETT ERS AND MARK WITH AN (X) WHERE NECESSARY

A: PERSONAL INFORMATION

TITLE: Mr. Mrs. Miss Other

SURNAME:

NAMES (S):

RACE: African Coloured Indian White Other

GENDER: Male Female

DATE OF BIRTH:

ID NO.:

AGE: DISABILITY: Yes No

If YES, please specify

E-MAIL ADDRESS:

MOBILE NUMBER:

TELEPHONE NUMBER:

RESIDENTIAL ADDRESS:

POSTAL ADDRESS:

MUNICIPALITY: .........................................................................................................................................................................................

DISTRICT: ....................................................................................................................... WARD NO.:

Page 2 of 5 INTERNATIONAL STUDY BURSARIES 2019

B: FAMILY BACKGROUND

FULL NAMES OF PARENT(S) /GUARDIAN:

STATE RELATIONSHIP TO PARENT(S)/GUARDIAN:

RESIDENTIAL ADDRESS:

POSTAL ADDRESS:

PARENT/GUARDIAN’S CONTACT NO.:

PARENT/GUARDIAN’S OCCUPATION:

NAME AND ADDRESS OF EMPLOYER:

TOTAL INCOME:

C: FINANCIAL SUPPORT

ARE YOU CURRENTLY RECEIVING A BURSARY FROM ANOTHER SPONSOR? YES NO

If YES, please state the name of the funding institution and the sum you are receiving

HAVE YOU PREVIOUSLY RECEIVED A BURSARY LOAN FROM THE GOVERNMENT OR / ARE YOU CURRENTLY

RECEIVING A BURSARY FROM THE GOVERNMENT? YES NO

If so, please state the name of the funding department and the sum

Page 3 of 5 INTERNATIONAL STUDY BURSARIES 2019

D: EDUCATIONAL QUALIFICATIONS

MATRICULATION CERTIFICATE:

Year Obtained: Name of the School:

Province:

Municipality:

Town:

LIST ALL YOUR GRADE 12 LEARNING AREAS OR SUBJECTS. THOSE WITH SYMBOLS MUST CONVERT THEM AS

PER CONVERSION TABLE AND INSERT THEM IN THE SCORE COLUMN:

E: CURRENT FIELD OF STUDY (if already studying)

Year of Study:

Institution:

Student No.:

CONVERSION TABLE LEARNING AREAS OR SUBJECTS LEVELS SYMBOLS (HG/SG) SCORE

1.

2.

3.

4.

5.

6.

7.

8.

TOTAL SCORES

SYMBOLS HIGHER GRADE STANDARD GRADE

A 7 6

B 6 5

C 5 4

D 4 3

E 3 2

F 2 1

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F: CONTACTABLE REFERENCES (Please Provide Two)

NAME:

RELATION:

TEL. NO.:

NAME:

RELATION:

TEL. NO.:

G: DECLARATION

I certify that the information given above is true and correct and that I have read and understood the conditions

governing the granting of bursary loans in the event of a bursary loan awarded to me.

I also undertake to abide by the rules and regulations of the Programme and also undertake to complete the

duration of the MBCHB Course.

I am prepared to enter into a contractual agreement with the Department of Health to serve back the number

of years sponsored in a facility determined by the Department.

SIGNATURE OF APPLICANT Date: ......................................

SIGNATURE OF PARENT or GUARDIAN (if minor) Date: ........................................

FOR OFFICE USE ONLY

......................................................................................................................................................................................................

......................................................................................................................................................................................................

......................................................................................................................................................................................................

Head of Department (or Designee) Date: ........................................

Page 5 of 5 INTERNATIONAL STUDY BURSARIES 2019

RETURNING THE BURSARY APPLICATION FORM

The following documents must accompany your bursary application form • Letter of Application

• Certified copies of your identity document (ID). NB: Students must not be older than 25 years in age

• Certified copy of your Matric/Grade 12 Certificate

• Recent Salary Advice/ Payslip of parent (s) or Guardian

• If parent (s) or Guardian is unemployed please submit an affidavit

• Proof of Residence from your local municipality or local Traditional Leader/Chief

• SHORTLISTED CANDIDATES WILL BE REQUIRED:

1. To Submit A Valid Passport.

2. To Submit Ten (10) 4x5 cm ID photos

3. To Submit A Police Clearance Certificate indicating a Negative Criminal Record

4. To undergo medical screening at health facilities prescribed by the Department of Health

• General enquiries contact:

BURSARY HELP DESK 013 766

5380

OR

• 013 766 5304 / 013 766 5487

• All attachments should be emailed to bursaries@education.mpu.gov.za

Online application forms are available on http://bursaries.mpuedu.gov.za

All attachments should be emailed with the online reference number

CLOSING DATE: 31 OCTOBER 2018

COMMUNICATION WILL BE LIMITED TO THE SUCCESSFUL APPLICANTS ONLY