IMPORTANT INFORMATION PERTAINING TO A NSFAS LOAN

The main objective of the “National Student Financial Aid Scheme” (NSFAS) is to provide financial aid by means of a loan scheme to students who have the academic potential and is financially needy. If your annual gross income is more than R160 000, it is not likely that you will qualify for this loan. Should there be two or more students in one household, the cut-off will be approximately R200 000, subject to the availability of funds.

If a student passes all his/her study modules during the year, a portion of the loan will be converted into a bursary. The maximum conversion from loan to bursary will be 40% of the annual loan amount.

The interest rate is fixed on 80% of the repo rate and is amended annually on the 1st of April. Interest on the loan will be raised from the 1st of April during the year that the loan has been approved.

Repayment of the NSFAS loan will commence once the student has completed the degree and is earning a steady income.

The NSFAS Council determines the minimum and maximum amounts to be allocated by each institution and the amounts may vary annually.

The mandatory National Means-Test is applied to all applications to determine the value of the loan amount. An Expected Family Contribution (EFC) towards study fees might be required depending on the gross income of the parent(s)/guardian(s).

All other bursaries that the student will receive whether from University funds or independent bursars, has to be taken into account when the University applies the Means-Test and has to be deducted from the NSFAS loan allocation.

ACADEMIC REQUIREMENTS First year students must have obtained an APS-score of 22 during their final Grade 12 exams and must apply for

NSFAS before 30 October of the preceding year of study. Senior students must pass at least 60% of the modules taken to be allegeable for a NSFAS loan in the next year.

The closing date for senior students is 30 September annually.

PLEASE READ THROUGH CAREFULLY BEFORE COMPLETING THE APPLICATION FORM

APPLICATIONS WITHOUT A STUDENT NUMBER AND/OR INCORRECT/INCOMPLETE FORMS CANNOT BE PROCESSED AND MAY LEAD TO DISAPPROVAL OF THE APPLICATION.

Attach a COPY OF YOUR BARCODE IDENTITY DOCUMENT that is certified on the same side as the picture and not on the backside. Only South African citizens may apply for the loan.

FAMILY DETAILS 1. Attach the most recent proof of income of PARENT(S)/GUARDIAN(S)/SPOUSE OR ANY OTHER MEMBER

OF THE HOUSEHOLD THAT EARNS AN INCOME (salary-/pension slips not older than three months). It is of great importance to determine the financial status of the family. PROOF OF INCOME (by means of sworn statement and 6 months’ bank statements, not older than three months) must be attached if you don’t receive a salary-/pension slip.

2. A sworn statement (not older than three months) must be attached if your MOTHER/GUARDIAN/SPOUSE IS A HOUSEWIFE.

3. A certified copy of the PENSION SLIP (not older than three months) of your PARENT(S)/GUARDIAN(S)/SPOUSE or any other member of the household must be attached if he/she is a PENSIONER.

NATIONAL STUDENT FINANCIAL AID SCHEME

POTCHEFSTROOM CAMPUS FINANCIAL SUPPORT SERVICES

4. A sworn statement (not older than three months) must be attached if your PARENT(S)/GUARDIAN(S)/SPOUSE is UNEMPLOYED. WRITTEN CONFIRMATION FROM A COMMUNITY LEADER for example the preacher, attorney or social worker must be attached in addition.

5. If your PARENTS are SEPARATED but not legally divorced, a sworn statement (not older than three months) in that regard must be submitted by one of the parents and PROOF OF INCOME (not older than three months) OF BOTH PARENTS must be attached.

6. A certified copy of the DIVORCE ORDER must be attached if your PARENTS are LEGALLY DIVORCED. PROOF OF INCOME OF BOTH PARENTS (not older than three months) must be attached.

7. If the PARENTS are DECEASED, a CERTIFIED COPY/COPIES OF THE DEATH CERTIFICATE(S) must be attached.

8. In the instance of FARMERS and BUSINESSES, the most recent (not older than one year) TAX ASSESSMENT (IT34) AND most recent FINANCIAL STATEMENTS of the farm/business must be attached.

9. If your parents’ assets were LIQUIDATED and/or placed UNDER ADMINISTRATION, attach PROOF OF INCOME as well as proof of LIQUIDATION- AND/OR ADMINISTRATION ORDER.

10. If you are under GUARDIANSHIP, attach a copy of the COURT ORDER or submit a sworn statement of the guardian(s). GRANDPARENTS OR OTHER FAMILY MEMBERS CAN NOT ACT AS GUARDIANS IF THE BIOLOGICAL PARENTS ARE STILL ALIVE EXCEPT IF A COURT ORDER WAS ISSUED (CERTIFIED COPY OF THE COURT ORDER MUST BE ATTACHED).

11. Attach copies of IDENTITY DOCUMENTS of the APPLICANT AND ALL MEMBERS OF THE HOUSEHOLD that has been certified on the same side as the picture and not on the backside of the copy.

CLOSING DATE FOR APPLICATIONS

PROSPECTIVE FIRST YEAR STUDENTS 30 OCTOBER

SENIOR STUDENTS, MEANING 2nd, 3rd AND 4th YEAR STUDENTS 30 SEPTEMBER

STUDENTS MUST APPLY ANNUALLY BEFORE THE CLOSING DATE

POTCHEFSTROOM VAAL TRIANGLE MAFIKENG

TEL 018 299-2045 / 018 299-2046 / 018 299-2052 016 910-3134 / 016 910-3157 018 389-2372 / 018 389-2330 MAIL

NWU Financial Support Services Private Bag X6001 POTCHEFSTROOM, 2520

NWU Vaal Triangle Campus PO Box 1174 VANDERBIJLPARK, 1900

NWU Mafikeng Campus Private Bag X2046 MMABATHO, 2745

COURIER

NWU Financial Support Services 4 Hoffmanstreet Building F19 POTCHEFSTROOM, 2520

NWU Vaal Triangle Campus Van Eck-Boulevard VANDERBIJLPARK, 1900

NWU Mafikeng Campus Corner of Albert Luthuli & University drive MMABATHO, 2745

WEB www.nwu.ac.za

SECTION A: STUDENT’S PERSONAL DETAILS

Your full name

Title Full Names Surname

Your ID number

Date of birth

ATTACH A CERTIFIED COPY OF ID YYYY/MM/DD

Name known by

Institution

POTCHEFSTROOM

VAAL TRIANGLE

MAFIKENG

Student Number

On which Campus are you going to register? Are you a final year student? YES NO

Marital status

Single / Married / Divorced / Widowed / Separated / Other arrangement:

Please provide your family residential address below:

Residential

Address

Physical

Postal

Postal Code

Postal Code

Where will you be living while you are studying at this institution?

Living in on-campus, self catering residence

Living at home (as per address above)

From out of town, living off-campus (eg renting through landlord or agency)

From the local town but not living at home

Living in full catered on-campus residence

Address while studying

Your contact telephone numbers

(Please indicate full street

Home

address/name of residence)

Cell

Postal Code

Home Language

Preferred Language

English / Afrikaans

Your e-mail address

Please provide an e-mail address which you use most frequently and have daily/weekly access to

Ethnic Group/Race (for statistics only)

African / Coloured / Indian / White / Other (please specify)

Gender:

Male

Female

Are you a person with a disability

YES / NO

If YES, please specify nature of disability

NATIONAL STUDENT FINANCIAL AID SCHEME APPLICATION FOR A NSFAS LOAN FOR THE YEAR: 20….…..…

FINANCIAL SUPPORT SERVICES

SECTION B: DETAILS OF FAMILY

What is your parent’s marital status as of today?

Married / Divorced / Widowed / Separated

Are one/both parent(s) deceased? YES / NO If NO, please complete sections B1 and B2 below.

*If YES, please indicate which parent

Mother

Father

(please proceed to section B2 OR B3 if applicable) (please proceed to section B1 OR B3 if applicable)

If both parents are deceased, please provide details of the legal guardian or caregiver with whom you are living or who has assumed responsibility for your care and financial support (please proceed to Section B3). For the sections below, please provide the details of the parents/legal guardian/step-parent who will be responsible for contributing to the costs of your studies and supporting you financially during your studies. ALL applicants must complete Sections B4 and B5.

SECTION B1: DETAILS OF MOTHER / STEPMOTHER

Full name

Title Full Names Surname (as per ID book)

ID number

Date of birth

YYYY/MM/DD

Home address

Postal Code

Contact number

Occupation

*Unemployed

YES / NO

*Claiming UIF?

YES / NO Employed by

(Name of company or individual)

Source of income

* Wages

Weekly

Monthly

Daily

(please tick the relevant box)

* Salary

Fortnightly

Monthly

Other

* Interest from investment

* Business profit (eg. Taxi, hawker, SME)

* Contribution from maintenance payments

* Social Grant

Type

(Describe)

Gross earnings per year

R

Does your mother pay tax?

YES / NO

* If YES, please provide income tax number

SECTION B2: DETAILS OF FATHER / STEPFATHER

Full name

Title Full Names Surname (as per ID book)

ID number

Date of birth

YYYY/MM/DD

Home address

Postal Code

Contact number

Occupation

*Unemployed

YES / NO

*Claiming UIF?

YES / NO

Employed by

(Name of company or individual)

Source of income

* Wages

Weekly

Monthly

Daily

(please tick the relevant box)

* Salary

Fortnightly

Monthly

Other

* Interest from investment

* Business profit (eg. Taxi, hawker, SME)

* Contribution from maintenance payments

* Social Grant

Type

(Describe)

Gross earnings per year

R

Does your father pay tax?

YES / NO

* If YES, please provide income tax number

SECTION B3: DETAILS OF LEGAL GUARDIAN / APPOINTED CAREGIVER / OTHER PERSONS PROVIDING FINANCIAL SUPPORT TO THE STUDENT

Were you appointed by a court of law to act as the legal guardian of the student in this applications? YES * / NO

Were you appointed by the applicant’s deceased parents?

YES * / NO

Full name

Title Full Names Surname (as per ID book)

ID number

Date of birth

YYYY/MM/DD

Legal guardian / caregiver marital status

Married / Divorced / Widowed / Separated

Home address

Postal Code

Contact number

Occupation

*Unemployed

YES / NO

*Claiming UIF?

YES / NO Employed by

(Name of company or individual)

Source of income

* Wages

Weekly

Monthly

Daily

(please tick the relevant box)

* Salary

Fortnightly

Monthly

Other

* Interest from investment

* Business profit (eg. Taxi, hawker, SME)

* Contribution from maintenance payments

* Social Grant

Type

(Describe)

Gross earnings per year

R

Does your guardian/caregiver pay tax?

YES / NO

* If YES, please provide income tax number

SECTION B4: DETAILS OF FAMILY STRUCTURE

1. Starting with the student, list ALL family members (including parents) residing permanently in your home that is dependent on the parent(s)/guardian’s income.

2. Attach a copy of EVERY PERSON on this list’s Identification document or birth certificate. 3. If other siblings are students registered at a tertiary institution, attach proof of his/her registration.

Title

Initial(s)

Surname

Relationship to applicant 1

Age

Currently busy with 2

1 Spouse / Partner / Brother / Sister / Daughter / Son / Uncle / Aunt / Grandparent / Other

2 Primary school / Secondary school / Out of school / Unemployed / Employed / University / FET College / Other

Are any of the siblings listed above studying at a tertiary institution?

YES

NO

If any of the family members above are employed, how much income does he/she earn?

SECTION B5: DETAILS OF NEXT OF KIN

In the event of an emergency, the institution or NSFAS may need to contact the applicants’ next of kin. A next of kin is a direct family member, other than your parents or legal guardian, not living with you.

Full name

Title Full Names Surname (as per ID book)

ID number

Date of birth

YYYY/MM/DD

Home address

Postal Code

Contact number

How is this person related to the applicant?

SECTION C: PARTICULARS OF COURSE

Are you a first-time applicant for financial aid? (please tick)

YES

NO

Qualification type: (please tick)

Degree

Diploma

Name of qualification (eg B Sc, B Eng, B Ed)

Course of study (eg Conservation, Civil Eng, Foundation Phase)

Year first registered for this course (eg 2006)

Current year of study (eg year 1)

SECTION D: FINANCIAL DETAILS OF APPLICANT AND/OR FAMILY SUPPORTING APPLICANT

Students who are working and self-supporting/self-financing their studies should complete Section D1. Students who are still dependent on family support

for financing their studies should complete Section D2.

SECTION D1: APPLICANT’S EMPLOYMENT STATUS

Name of employer

Occupation

Address of employer

Postal Code

Telephone number

Cellphone number

E-mail address

SECTION D2: FINANCIAL STATUS OF FAMILY

Does your parents/guardian own a fixed property (eg. house)?

YES / NO

If YES, what is the approximate value?

What type of home do you live in?

House

Flat

On a farm

Informal settlement

Do you have a bond/mortgage on this property?

YES / NO

If YES, monthly repayment

Rent

SECTION E: DECLARATION BY APPLICANT (OR PARENT IF APPLICANT IS UNDER THE AGE OF 18 YEARS)

Are you currently under an administration order? YES NO

I, the undersigned, declare that the information provided in this application form is correct, and I have included all information on family income to the best of my knowledge. I understand that the information requested in this form may have to be verified for purposes of a fair allocation of loan/bursary award. I understand that, should any relevant information have been omitted or found to be incorrect, disciplinary action will be taken by the University, which could result in any/all funding being cancelled/revoked. I consent to the Financial Aid office giving details of my academic record and financial profile to NSFAS and other donors.

Signature

Date

* Indicates that written proof/evidence is required (eg. ID book, death certificates, divorce papers, income tax form). FSBRV-SAVDW/FSS BURSARIES/NSFAS/POTCH

CHECKLIST FOR COMPLETENESS OF NSFAS APPLICATION FORM

Complete

Incomplete

STUDENT NR …………………………… INITIALS & SURNAME …………………………………………………….……….…..….. ATTACHED

CORROBORATIVE DOCUMENTATION YES NO

1 Section A: Certified copy of ID document of student

2 Section B: Certified copy of death certificate(s) of parent(s)/guardian(s) if applicable

3 Section B 1, 2, 3: Certified copy of parents marriage certificate. If separated, a copy of decree of divorce and proof of allimony received

4 Section B 1, 2, 3: PROOF OF INCOME

Parent(s)/guardian(s) employed – Certified copy of salary/wage slips of both parents

Parent(s)/guardian(s) own or belong to a CC and/or a PTY (LTD) – Income statement, Balance Sheet, Cash Flow statement, Income Tax Certificate and Income Tax Return of business

Parent(s)/guardian(s) is/are earning commission – IRP 5 AND bank statements of 6 months

Parent(s)/guardian(s) is/are sole proprietor – Salary/wage slips AND bank statements of 6 months if allimony has been received

Parent(s)/guardian(s) is/are informal trader/hawker – Proof of income AND bank statements of 6 months

Parent(s)/guardian(s) is/are unemployed – Affidavit(s), UIF card AND bank statements of 6 months

Parent(s)/guardian(s) is/are elderly, disabled or sickly – Affidavit AND bank statements of 6 monts

5 Section B 4: Certified copies of ID document or birth certificate of ALL family members

6 Section B 4: Certified copy of proof of registration if there is more than one student in the family

_______________________________________ _____________________________ ______________ INITIAL(S) & SURNAME OF STAFF MEMBER SIGNATURE OF STAFF MEMBER DATE

OFFICE USE

AMOUNT AWARDED

R

BURSARY OFFICIAL HEAD: FSS DATE OF PROCESSING