bursary application

Please tell us your current level of education

Personal Details

Title * Name (as appears in your ID) * Surname *
Gender* Race * SA ID number*

Address

Residential Address* Physical Address*
Code Code

Contact Details*

Telephone Cell*
Email*

Disability details

Disabled? YesNo Nature of disability

How did you hear about the PIC bursary?

How did you hear about the PIC Bursary? If "other" state
Do you know anyone working at the PIC? Name of the person
School Details *

Name of school* Province* Matric (NQF level 4) Year*
Subjects* Obtained Mark*
Tertiary Education

Institution Name* Province*
Qualification Name*(e.g BSc Software Engineering) NQF Level* (Only Undergraduate studies and CTA)
Add Supporting Documentation (Only certified copies)
*PDF documents only
*File should not be more than 2 MB

Applicant ID copy* Acceptance letter/Academic transcript*
Matric results* "if disabled" Proof of disability
Tuition and textbooks quotation Accommodation and meals quotation (Only University accredited accommodation)
Testimonial? Attach testimonial from School/Community leader

Parent/Legal Guardian Details

Parent(s)/Guardian ID copy or death certificate Proof of household income (Payslip/Affidavit if parent or guardian is unemployed)
Parent/Legal Guardian name 1* Parent/Legal Guardian name 2
Occupation 1* Occupation 2*
Contact number 1* Contact Number 2*
Declaration

    I, the applicant, hereby:

  • Declare that all information provided is complete, accurate and truthful.
  • Confirm that PIC may verify, collect and process information entered on this application.
  • Declare that all information in this document is true and correct, and that I voluntarily provide the Public Investment Corporation with the information contained in this document, and consent to the Public Investment Corporation -
    - collecting this information, and
    - processing this information to enable the Public Investment Corporation to consider and process my application.
  • Acknowledge that in the event that my uploaded documents and/or information, are found to be fraudulent, the Public Investment Corporation reserves its right, in its absolute and sole discretion, to withdraw my bursary application.
  • Acknowledge that the PIC is not under any obligation to accept my application and fund my studies.
  • Acknowledge that I am submitting this application freely and voluntarily. If I am a legal minor, I confirm that my legal guardian/parent is fully aware and supportive of my bursary application to the Public Investment Corporation.
  • . I agree with above declaration