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APPLICATION FOR ADMISSION AANSOEK OM ... - cuttourism.co.za

APPLICATION FOR ADMISSION AANSOEK OM ... - cuttourism.co.za

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South Africa<br />

Suid-Afrika<br />

Citizenship<br />

Burgerskap<br />

100<br />

Are you applying for the following at the CUT?<br />

Doen u aansoek vir die volgende by die SUT?<br />

Bursary<br />

Yes<br />

Ja<br />

Y<br />

Loan<br />

Beurs No<br />

Nee<br />

N<br />

Lening<br />

Yes<br />

Ja<br />

No<br />

Nee<br />

Y<br />

N<br />

4<br />

Student Number<br />

Studentenommer<br />

Are you enrolled at or do you intend enrolling at another post-se<strong>co</strong>ndary institution? Yes<br />

Ja<br />

Is u geregistreer of beplan u om by enige ander naskoolse inrigting te registreer? No<br />

Nee<br />

I have decided to <strong>co</strong>me to the CUT due to the following reason (mark only one)<br />

Ek het besluit om na die SUT te kom om die volgende hoofrede (merk slegs een)<br />

Information from CUT visits to school<br />

Inligting vanaf SUT besoeke aan skool<br />

1<br />

Internet<br />

Career shows, Open days<br />

Loopbaanskoue, Ope dae<br />

2<br />

Information from family, friends, CUT students<br />

Inligting vanaf familie, vriende, SUT studente<br />

Information from staff at school<br />

Inligting vanaf skool personeel<br />

Other, please specify<br />

3<br />

Media (Newspapers, radio, magazines, brochures, etc.)<br />

Media (Koerante, radio, tydskrifte, brosjures, ens.)<br />

Ander, dui aan asseblief …………………………………………………………………………………………………………………………………………………………………………..<br />

Have you ever been suspended or refused admission to<br />

any post-se<strong>co</strong>ndary institution?<br />

Is u voorheen geskors of toelating tot enige naskoolse<br />

inrigting geweier?<br />

If yes, furnish particulars<br />

Indien ja, verskaf besonderhede<br />

Yes<br />

Ja<br />

Y Have you ever been found guilty of a criminal offence?<br />

Yes<br />

Ja<br />

Y<br />

No<br />

Nee N Is u voorheen skuldig bevind aan ‘n kriminele oortreding? No<br />

Nee N<br />

If yes, furnish particulars<br />

Indien ja, verskaf besonderhede<br />

Are you in any way physically disabled or mentally disabled?<br />

Yes<br />

No<br />

Is u enigsins fisies of geestesgestremd?<br />

(i) If disabled in any way, please furnish particulars and attach a report from a suitably registered professional person to this form.<br />

Ja<br />

Nee<br />

(i) Indien enigsins gestremd, verstrek asseblief besonderhede en ‘n verslag deur ‘n toepaslik-geregistreerde professionele persoon, wat hierby aangeheg moet word.<br />

Report attached?<br />

Yes<br />

No<br />

Verslag aangeheg?<br />

Ja<br />

Nee<br />

Please indicate whether you are a CUT staff member or a dependant of such a staff member.<br />

Dui asseblief aan of u ‘n SUT personeellid of ‘n afhanklike van sodanige personeellid is.<br />

If yes, provide personnel number<br />

Indien ja, verskaf personeelnommer<br />

How many people are in the family of which you are a member / the head?<br />

Hoeveel lede is in u familie waarvan u deel / die hoof is?<br />

In<strong>co</strong>me group of the family of which you are a member / the head<br />

Inkomstegroep van die familie waarvan u deel / hoof is<br />

Less than<br />

R30 000 per year<br />

Minder as<br />

R30 000 per jaar<br />

R30 000<br />

to / tot<br />

R70 000<br />

How were you occupied for the greater part of last semester / year?<br />

Hoofbedrywigheid gedurende die grootste gedeelte van die vorige semester / jaar.<br />

University student<br />

Universiteitstudent<br />

University of Technology student<br />

Universiteit vir Tegnologie-student<br />

FET College student<br />

VOO Kollege-student<br />

R70 000<br />

to / tot<br />

R120 000<br />

R120 000<br />

to / tot<br />

R200 000<br />

01 Employed<br />

In diens<br />

Yes<br />

Ja<br />

03 Learner at a Se<strong>co</strong>ndary School<br />

Leerder aan ‘n Sekondêre Skool<br />

05 Other<br />

Ander<br />

No<br />

Nee<br />

Y<br />

N<br />

4<br />

5<br />

6<br />

7<br />

More than<br />

R200 000 per year<br />

Meer as<br />

R200 000 per jaar<br />

07<br />

08<br />

09

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