Bursary Application Form 2016 CLOSING DATE: 30 APRIL 2016 (to reach the ICB offices by noon on this date ) NB: ONLY FOR ICB STUDENTS WHO HAVE PASSED AT LEAST ONE ICB SUBJECT 1008.2016v1 Bursary Application Form 2016 Page 1 of 8
INSTRUCTIONS: 1. Read carefully before completing, signing or submitting this form. 2. Ensure that this form is completed in full. 3. Complete in BLOCK LETTERS. 4. Attach ALL of the following documents: 4.1. Certified copy of a valid South African identity document. 4.2. Certified copy of your latest academic transcript or record on official letterhead. 4.3. Proof of registration with a Tuition Provider for ICB Qualification. 4.4. A recent colour photograph 5. Application forms with incomplete information will be disqualified, including the photo. 6. Applications received after the closing date will not be considered. 7. Application forms with incorrect information will be disqualified. 8. No faxed application forms will be accepted. 9. Post completed forms to or hand deliver to: Posted to:- The Chief Executive Officer, The Institute of Certified Bookkeepers (Pty) Ltd, PO Box 2237, Cape Town, 8000, For the attention : Ms. Wedaad Shira Hand delivered to:- The Chief Executive Officer, The Institute of Certified Bookkeepers (Pty) Ltd, Grd Floor, Birkdale 2, River Park, River Lane, Mowbray, For the attention: Ms. Wedaad Shira What does the Bursary consist of? Each Bursary is for the value of R5000. The Bursary does not have to be repaid. How are bursaries awarded? Bursaries are awarded according to academic merit, financial need and any special circumstances of need. Final selections are made by an ICB internal Bursary committee, whose decision is final. Bursary funds are paid out directly to an ICB Accredited institution and other relevant ICB Accredited service providers. Bursary fund monies are ONLY paid directly into the ICB account of learners under exceptional circumstances. Successful bursary candidates will be advised by the ICB by 30 June 2016. Who is eligible for an ICB Bursary? ONLY applicants who are already studying on an ICB programme or ICB Qualification and have successfully completed at least one subject. What are the minimum requirements for an applicant to be considered? Applicant s track record with their institution of study must show good academic outcomes and attendance. Applicants must attach proof of family income to the application forms. Parents/guardians must attach the most recent pay slip not older than six (6) months or an official company letter confirming their income. Unemployed parents/guardians must attach official confirmation regarding unemployment status. Copies of the parents/guardian s identity documents should also be attached to the application form. 1008.2016v1 Bursary Application Form 2016 Page 2 of 8
SECTION A - PERSONAL DETAILS OF APPLICANT First Name Middle Name Preferred Communication Method Telephone Number (including area code) Surname Cell Number Initials Email address Title Address Line 1 SA ID Number Address Line 2 Date of Birth Address Line 3 Gender Male Female Address Line 4 Equity (for reporting to the SETA s) Black African White Coloured Black Asian/Indian Address Line 5 Postal Code Nationality Geographical Area (state SA Province or other) Home Language Citizen Residence Status Disability Status Not Disabled Disabled Socio Economic Status Alternate ID Type Alternate ID Number Employed Unemployed Highest Education College studying through for the qualifications Have you ever been found guilty of a criminal offence? Yes / No If yes, please specify the nature and date of offence Are you receiving any other bursary or loan? Yes / No If YES, describe below the nature of financial assistance and any obligations involved and provide the name of the institution that granted the bursary/ loan assistance: 1008.2016v1 Bursary Application Form 2016 Page 3 of 8
SECTION B - HIGH SCHOOL ATTENDED 1. Name of school: 2. School address: 3. Province: 4. Last Grade completed: 5. Years attended From: To: 6. Subjects (List them below) Subject HG/SG Symbol % SECTION C - POST SCHOOL QUALIFICATIONS (if Applicable) 1. Full name of highest qualification: 2. Nature of qualification/ Degree /Diploma: 3. Status Presently studying Discontinued 4. If discontinued, for what reasons? 5. If presently studying, which year of study? First Year Second Year Third Year Fourth Year 6. Name of institution: 7. Student number: 8. Address of institution: 9. Latest results: Subject Year Symbol % NB: Attach proof of latest academic results or academic transcript/s 1008.2016v1 Bursary Application Form 2016 Page 4 of 8
SECTION D - INTENDED STUDY FOR THE NEW ACADEMIC YEAR / BURSARY 1. Indicate subjects and qualification applying for: Qualification and Subjects National Certificate: Bookkeeping NQF 3 SAQA ID 58375 Junior Bookkeeper: Bookkeeping to Trial Balance Junior Bookkeeper: Payroll and Monthly SARS Returns Junior Bookkeeper: Computerised Bookkeeping Business Literacy Tick Further Education and Training Certificate: Bookkeeping NQF 4 SAQA ID 58376 Junior Bookkeeper: Bookkeeping to Trial Balance Junior Bookkeeper: Payroll and Monthly SARS Returns Junior Bookkeeper: Computerised Bookkeeping Senior Bookkeeper: Financial Statements Senior Bookkeeper: Cost and Management Accounting Business Literacy National Diploma Technical Financial Accounting NQF 5 SAQA ID 36213 Junior Bookkeeper: Bookkeeping to Trial Balance Junior Bookkeeper: Payroll and Monthly SARS Returns Junior Bookkeeper: Computerised Bookkeeping Senior Bookkeeper: Financial Statements Senior Bookkeeper: Cost and Management Accounting Technical Financial Accountant: Business Law and Accounting Control Technical Financial Accountant: Income Tax Returns Business Literacy. National Diploma Financial Accounting NQF 6 SAQA ID 20366 Junior Bookkeeper: Bookkeeping to Trial Balance Junior Bookkeeper: Payroll and Monthly SARS Returns Junior Bookkeeper: Computerised Bookkeeping Senior Bookkeeper: Financial Statements Senior Bookkeeper: Cost and Management Accounting Technical Financial Accountant: Business Law and Accounting Control Technical Financial Accountant: Income Tax Returns Business Literacy. Corporate Strategy Management Accounting Control Systems Financial Reporting and Regulatory Frameworks Accounting Theory and Practice National Certificate Small Business Financial Management NQF 4 SAQA ID 48736 Essential Business Finance Computerised Bookkeeping Business Literacy 1008.2016v1 Bursary Application Form 2016 Page 5 of 8
Certificate Office Administration NQF 5 SAQA ID 23618 Office Communication Business and Office Administration 1 Bookkeeping Marketing Management and Public Relations Business Law and Administrative Practice Cost and Management Accounting Higher Certificate Office Administration NQF 5 SAQA ID 23619 Office Communication Business and Office Administration 1 Bookkeeping Marketing Management and Public Relations Business Law and Administrative Practice Cost and Management Accounting Business and Office Administration 2 Human Resource Management and Labour Relations Economics Diploma Office Administration NQF 6 SAQA ID 35958 Office Communication Business and Office Administration 1 Bookkeeping Marketing Management and Public Relations Business Law and Administrative Practice Cost and Management Accounting Business and Office Administration 2 Human Resource Management and Labour Relations Economics Business and Office Administration 3 Financial Accounting Management 2. Name of institution: SECTION E DETAILS ABOUT PARENT(S) / GUARDIAN(S) / NEXT OF KIN 1. Surname: 2. First names: 3. Identity No: 4. Relationship Mother/ Father /Other, specify: 5. Residential address: 6. Postal address 7. Home telephone: 8. Cellular: 9. Work Other: 10. Email address: 1008.2016v1 Bursary Application Form 2016 Page 6 of 8
SECTION F PERSONAL MOTIVATION Write a brief outline of your motivation for this application and mention any special circumstances that you would like us to consider. 1008.2016v1 Bursary Application Form 2016 Page 7 of 8
SECTION G DETAILS ABOUT EMPLOYMENT 1. Current Employer: 2. Position: 3. How long employed : 1. Previous Employer: 2. Position: 3. How long employed : SECTION G DECLARATION APPLICANT AND GUARDIAN I hereby, declare that ALL the information provided in this application form is complete and correct. I hereby acknowledge that if ANY of the information provided in this application form is found to be incomplete and/or incorrect, my application will be disqualified. Furthermore I consent to be available for any photographs of the award of this Bursary and agree to the publication of photographs of me and my particulars as per this application in the media and in any medium or marketing material the ICB so chooses. Signature of APPLICANT: Date : Signature of PARENT / LEGAL GUARDIAN: Date : SECTION H DECLARATION BY TRAINING PROVIDER I hereby confirm that the applicant above is registered at our institution as per the details in Section D above, and support his application for an ICB Bursary. I undertake to credit the successful bursary candidates account with any monies received for this learner from the ICB. Signature of TRAINING PROVIDER: REPRESENTED BY: Date: 1008.2016v1 Bursary Application Form 2016 Page 8 of 8