Application For Bursary

Application for A Bursary

Title

Name

First

Last

Mobile Phone Number

Student Number

Highest Completed Qualification (and Major Subject/s, if relevant)

Completion Date

Past Higher Education Institution Name

Where you were awarded the qualification

Currently Studying or Planning to Study (Qualification and Major Subject/s)

Expected Completion Date

Current/Planned Higher Education Institution Name

Why do you want a career in the insights industry? (Up to 500 words)

Qualification and year that you need funding for

Please explain why you need funding

Please indicate which of the following you need funding for

Amount needed for tuition

ZAR

Amount needed for textbooks

ZAR

Amount needed for stationary

ZAR

Amount needed for transport

ZAR

Amount needed for equipment

ZAR

Amount needed for accommodation

ZAR

I hereby certify that:

The information set out in this submission is true and correct to the best of my knowledge.

I do not have any claim against SAMRA, whether a bursary is awarded by a SAMRA member or not.

I will not accept funding from more than one source for the same item.

If you are human, leave this field blank.