Knust Bursary Application Form: Part 1. Applicant'S Information

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The document outlines the requirements and process for applying for a bursary from Kwame Nkrumah University of Science and Technology (KNUST) in Ghana. It requests personal details of the applicant as well as academic and financial information. Details of parents/guardians employment and income are also required. The applicant must provide a reference and the completed form will be reviewed by the university.

The application form requests the applicant's personal details like name, date of birth, student ID, program of study, contact information, residential address etc. It also asks for the applicant's admission details and if they have received any previous scholarships.

The form requires details of the applicant's father/mother like name, marital status, occupation, employer details. If the parents are deceased or separated it must be indicated. If applicable, details of the guardian like name, address, number of children, occupation must be provided.

KWAME NKRUMAH UNIVERSITY OF SCIENCE AND TECHNOLOGY 2020/21

KNUST BURSARY APPLICATION FORM


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PART 1. APPLICANT`S INFORMATION

1. a)Surname b)First Name c)Other Name(s)

2. Date of Birth (dd/mm/yy) 3.Gender 4.Student ID # 5. Index Number

Male: Female:

6. a) Place of Birth/Region(e.g. Kumasi- b) Residential Address 7.Nationality


Ashanti Region):

8. Religion/Religious group’s name ( e.g. 9. Hall of Affiliation 10. Student Vodafone # 11. Other Mobile #
Christianity/ Pentecost Church)

12. Programme of Study 13. Duration of Programme 14. Current CWA

15. College 16. Faculty 17. Department 18. Year/Level

19. Indicate the mode by which you gained admission to the University.
a) Less Endowed Student b) Parallel Student c) Fee-Paying Student d) Regular Student e) Other

20. Residential Address when school is in 21. Have you benefited from any 22. If you have benefited from any
session. scholarship/bursary from KNUST? other scholarship/bursary, please state
YES NO Source:

If Yes state Source: Date:

Date: Amount: Amount:


23. Name of Schools Attended Programme of study Period of Attendance Who paid for your
education and upkeep
a) SHS/ TECHNICAL
at this level?

b) JHS
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PART 2. PARENTS’ INFORMATION

FATHER 9. Check the box if Deceased MOTHER 9. Check the box if Deceased
1. Name 1. Name

2. Marital Status a) Single b) Married c) Separated/Divorced 2. Marital Status a) Single b) Married c) Separated/Divorced

3. Residential Address 4. Mobile # 3. Residential Address 4. Mobile #

5. Number of Children 5. Number of Children

6. Occupation 7.Unemployed 6. Occupation 7.Unemployed

8. Name and Address of Employer 8. Name and Address of Employer

PART 3. GUARDIAN’S INFORMATION (If applicable)

GUARDIAN
1.Surname a) Middle Name b) Other Name

2. Marital Status a) Single b) Married c) Separated/Divorced

3. Residential Address 4. Number of Children 5. Mobile #

6. Occupation 7.Unemployed

8. Name and Address of Employer

PART 4. STUDENT’S DECLARATION

I hereby declare that the information given by me is True and Accurate.

Applicants’ Name Applicants’ Signature Date

………………………………………………… …………….…………………………………. ………………………………


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PART 5. NAME AND ADDRESS OF REFEREE

Please provide details of one referee. He/she MUST be a Senior Member of the University.

REFEREE

Name Position

Address Date

Signature & Stamp

…………………………..

PART 6. For Official Use Only

COMMENT

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NAME

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SIGNATURE DATE

………………………………………………………… ………………………………………………

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