Student Application Form
Fields marked with an *asterisk are requried
Date of Submission
Saturday, October 5, 2024
Consultant Code
Educational Institution
Institution*
AIMS
CAPE PENINSULA UNIV OF TECH- BELLVILLE
CAPE PENINSULA UNIV OF TECH- CAPE TOWN
COLLEGE OF TOURISN GRAAF REINETTE
FEEL AFRICA
MAGISTER SOUTH AFRICA
MIDRAND GRADUATE INSTITUTE
NELSON MANDELA UNIVERSITY
OTHER INSTITUTIONS
RHODES
SA COLLEGE OF TOURISM
SEA TRAIN
STELLENBOSCH UNIVERSITY
TSHWANE UNIVERSITY OF TECHNOLOGY
UCT STUDENT
UNIVERSITY OF JOHANNESBURG
UNIVERSITY OF PRETORIA
UNIVERSITY OF TECHNOLOGY FREE STATE
UNIVERSITY OF THE FREE STATE
UNIVERSITY OF THE WESTERN CAPE
UNIVERSITY OF VENDA
WITS
OTHER INSTITUTIONS
where you will be studying
Student Number
Level of Study
1st Year Under Graduate
Subsequent Year Under Graduate
Masters
Doctorate
Other
PERSONAL DETAILS
Title*
Mr
Mrs
Ms
Dr
Prof
Date of Birth*
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
First Name*
Family Name*
Sex
Male
Female
Marital Status*
Married
Single
Nationality*
Identity/Passport No.*
Will you be earning an income while in South Africa?
Yes
No
if so, how much
R0 - R500
R501 - R7500
R7501-R11000
R11001-R15000
R15000 and over
CONTACT DETAILS
(While in South Africa)
Cover From
January
February
March
April
May
June
July
August
September
October
November
December
2024
2025
2026
2027
Cover To
January
February
March
April
May
June
July
August
September
October
November
December
2024
2025
2026
2027
Address*
whilst in South Africa
Post Code*
Cell Phone*
E-Mail Address*
Primary Doctor Name