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Application for Admission to Undergraduate Study

ONLY FOR USE BY CURRENTLY REGISTERED STUDENTS OF THE UNIVERSITY OF KWAZULU-NATAL


WHO WISH TO STUDY FOR A NEW UNDERGRADUATE DEGREE/DIPLOMA OR UNDERGRADUATE
MODULES FOR NON-DEGREE PURPOSES.

NOTE: IN EXCEPTIONAL CIRCUMSTANCES ONLY A STUDENT MAY BE PERMITTED TO CHANGE


CAMPUSES FOR THE SAME QUALIFICATION. A STUDENT WHO WISHES TO REQUEST THIS MUST
FIRST CONTACT THE FACULTY OFFICE.

STUDENT NO:_____________________ IDENTITY NO:_____________________________

TITLE:______ SURNAME:___________________________ FIRST NAMES: ____________________________________________

ADDRESSES
Postal:____________________________________ Term _________________________________
____________________________________ _________________________________
_________________________Code:_______ __________________Code:__________

Tel no:___________________ Cell No: ____________________ E-mail: __________________________________

PRESENT DEGREE/DIPLOMA/NON-DEGREE REGISTRATION

Name of Degree/Diploma/Non Degree:___________________ Academic Year:________ Full/Part time:______________

Campus (Dbn/Pmb):_______________________________Major Subjects: _____________________________________

Are you anticipating completing this degree this year? _______________________________

PROPOSED DEGREE/DIPLOMA

Year of Entry: 20 Entry Term e.g. Semester1, Semester 2: _____________________

1st CHOICE
Campus:__________ Name of Degree/Diploma:______________________College:________________________________

Level of study:_______________ Full/Part time: ________________Programme:__________________________________

2nd CHOICE (Optional):


Campus:__________ Name of Degree/Diploma:______________________College:________________________________

Level of study:_______________ Full/Part time: ________________Programme:__________________________________

MOTIVATION:

RESIDENCE:
Will University Residence be required? Yes/No:...........................................
IF UNIVERSITY RESIDENCE IS REQUIRED A SEPARATE APPLICATION FOR ADMISSION TO RESIDENCE MUST BE
COMPLETED. THIS FORM IS AVAILABLE FROM THE STUDENT HOUSING/RESIDENCE OFFICE.

FINANCIAL ASSISTANCE:
Are you in receipt of assistance from Financial Assistance Service this year? Yes/No: ......................
RETURNING STUDENTS MUST APPLY FOR FUNDING FROM THE FINANCIAL ASSISTANCE SERVICE BY
31 AUGUST of the year before entry.

DECLARATION BY THE APPLICANT

I hereby declare that the information supplied is true and accurate. Date:……................... Signature:................................

COMMENTS/DECISIONS:
1st CHOICE: recommendation __________________________________________________________________

Programme Director Signature:................................................................ Date:......................................................

Head of School Signature:................................................................. Date: .....................................................

Dean Signature:.................................................................. Date:.....................................................


2nd CHOICE: recommendation __________________________________________________________________

Programme Director Signature:................................................................. Date:.....................................................

Head of School Signature:.................................................................. Date: ....................................................

Dean Signature:................................................................... Date:....................................................


03/2013

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