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PLEASE READ THE INSTRUCTIONS CAREFULLY IN ORDER TO COMPLETE THE APPLICATION FORM CORRECTLY PAYMENT PLAN

Non South African students who are not on a full bursary will be expected to pay the full residence fee upfront. South African Students:

Payment Structure percentage paid

at registration

Discount Payment Term

100% 3.5% On Registration

50% 2.00%

5 equal payments VIA DEBIT ORDER

Feb to Jun

(Terms and Conditions apply)

15% 0

9 equal payments VIA DEBIT ORDER

Jan to Sep

(Terms and conditions apply)

PLUS Refundable Breakage Fee of R2900 on registration

(Terms and conditions apply)

For any other payment plans please feel free to consult our accounts manager. You are advised to allow at least 7 days for guaranteed cheque payments to clear. The prescribed fees must be paid before the student will be allowed to move into the room.

FULL BURSARY HOLDERS

If you are a bursary student, we require a letter from the bursar confirming the full Rand value of the bursary awarded to you, the date of disbursement and if payment will be made directly to Kovacs or via your UWC student account. Kindly provide us with a letter to this effect, a standard template is available in the document section on our website . The bursary guarantee letter could also be requested from our office. For bursary students whose payments are effected via their student account, approval will only be granted if there are no outstanding fees due to UWC. If you are receiving a bursary of less than R50000 for tuition and accommodation, the shortfall must be paid upfront.

NFSAS bursary holders should note that NSFAS only covers the residence fees up to a limit of R15000 per year. Students are liable for the shortfall before taking up accommodation. PART BURSARY HOLDERS

NFSAS bursary holders should note that NSFAS only covers the residence fees up to certain capped limit per year. NSFAS students will only be accepted after the signing of their sponsorship agreement and the residence approval amount is confirmed. Approval for a shortfall payment plan should be discussed with our accounts manager. NON BURSARY HOLDERS (FOR SOUTH AFRICAN APPLICANTS ONLY): South African applicants choosing the 15% payment option must provide credit reference. Credit references are necessary to inform us of the credit record of the person responsible for paying your account. We require two references of accounts held by the payer, confirming their credit worthiness to pay their bills on time and in full. The accounts would typically be held at a clothing, appliance, furniture or general store. It may include any account where the payer received credit and was able to pay instalments. Proof of income is mandatory. NON SOUTH AFRICAN APPLICANTS

Non South African Students must ensure payments are made timeously to reflect proof of payment. Non South African students are advised to apply for their visa well in advance to avoid disappointment. Students without the necessary visa entry and valid passports will not be accepted at the residences, even if accepted into a UWC programme.

DOCUMENTS REQUIRED

Please note that the following documents will be required to for your application to be fully processed. Bursary Students

Confirmation of bursary letter

Proof of zero or credit balance in UWC student account Debit Order form for 50% and 15% payment options

PERSONAL INFORMATION

TITLE:

NAME:

SURNAME:

ARE YOU A SOUTH AFRICAN CITIZEN? YES NO

ID/PASSPORT NO.:

MARITAL STATUS: MARRIED SINGLE

GENDER: MALE FEMALE

DISABILITIES: YES NO

ROOM PREFERENCE:

Single room with semi private bathroom

Double room with semi private bathroom

Single room with communal bathroom

Corner Room

Room for disabled students

WHICH YEAR ARE YOU APPLYING FOR:

WHICH SEMESTER ARE YOU APPLYING FOR:

FIRST SEMESTER SECOND SEMESTER WHOLE YEAR

EXPECTED ARRIVAL DATE AT KOVACS RESIDENCE:

HOME ADDRESS (Street name and number/Unit/Complex) PROVINCE:

CITY:

CURRENT RESIDENTIAL ADDRESS (Street name and number/Unit/Complex) if differs from above PROVINCE:

CITY:

Please indicate which address will be used for legal purposes on the lease agreement: If the legal address is different from the above please complete address details below: PROVINCE:

CITY:

CONTACT DETAILS:

APPLICANT TELEPHONE:

APPLICANT MOBILE:

APPLICANT FAX NO:

APPLICANT EMAIL:

PARENT OR GUARDIAN TELEPHONE:

PARENT OR GUARDIAN MOBILE:

PARENT OR GUARDIAN EMAIL:

HAVE YOU PREVIOUSLY RESIDED AT KOVACS? Yes No

DO YOU HAVE MEDICAL AID? Yes No

NAME OF MEDICAL AID:

MAIN MEMBER NAME:

MEMBERSHIP NO.:

ANY IMPORTANT INFO RE: ILLNESSES OR ALLERGIES. IF NONE, PLEASE INDICATE: ACADEMIC DETAILS:

Highest qualification obtained:

UWC student no, if previously registered:

UWC programme you are registering for in 2017:

What year of study are you registering for in 2017? 1st 2nd 3rd

Honours Masters

Duration of the remainder of your programme:

If you are a postgraduate student, what is the start and end date of your programme for 2013: What is the current status of application for study at UWC? Provisional Acceptance

Have you applied at UWC residence for 2017? Yes No Have you applied to study elsewhere in 2017? Yes No FEES MANAGEMENT

Who is responsible for the payment of your residence fees? Please choose only one option, either A, B or C A: Parent B: Bursary covers res fees in full C: Partly paid If partly paid by bursary, is it a NSFAS Bursary? Yes No CONTACT DETAILS OF PRSON/ORGANISATION RESPONSIBLE FOR PAYMENT: Title Initial Surname

In the case of sponsorship, please supply the name of your Bursar: TELEPHONE:

MOBILE:

FAX NO:

EMAIL:

CREDIT REFERENCE:

How much of the Residence fees will you be paying before occupation? (Foreign students pay 100% upfront)

If you are studying at UWC already, where are you currently residing? If you resided in private accommodation in 2016:

What rental amount did you pay per month? R

Kind provide a reference letter from previous landlord confirming good conduct and timeous payments Are you currently employed? Yes No

Occupation / Work

If a scholar, please state your Parent’s occupation Mother

Father

Name two companies where you have credit arrangements eg. Woolworths. If scholar, please provide parent’s account information

Name of company 1

Name of company 2

BURSARY FEE MANAGEMENT

What is the annual value of your bursary ?

How much of the total value of your bursary is allocated for accommodation: Have you included a confirmation of bursary letter from your bursar? What is the status of your bursary? Approved Not approved What is the payment date on which the bursar will pay your residence fees?

Will the bursar pay KOVACS Residence directly or via your UWC student account?

INSTRUCTIONS FOR SUBMISSION

You may email, fax or deliver the application form and all supporting documents requested. Please number all pages and remember to insert your name and surname on all supporting documentation. KOVACS UWC STUDENT VILLAGE APPLICATIONS CENTRE

OFFICE ADDRESS POATSAL ADDRESS

Residence Way Private Bag X7

University of the Western Cape Bellville

Robert Sobukwe Road 7530

Bellville

7535

Tel: +27 (0-21-959-**** Fax: +27 (0-21-959-**** /+27 (0-86-762-**** Email: acxiah@r.postjobfree.com website: www.kovacsuwc.co.za DOCUMENTS TO SUBMIT

Bursary Students Confirmation of bursary letter

Non Bursary Students 3 months bank statement

Proof of income

2 Statements of accounts held e.g., Woolworths

Letter from previous landlord (if applicable)

Foreign Students Visa

Medical Insurance

The account holder as per credit information furnished hereby gives Kovacs UWC Student village to do a credit worthiness evaluation.

I confirm that all information furnished is complete and accurate. Application date

Enter as DD/MM/YY

Please print your name

Applicant signature

Contact this candidate