UNIVERSITYUNIVERSITYOFOFLIMPOPOLIMPOPO
2017
Post - Graduate
Student Application Form
Central Enrolment Contacts:
University Registrar
University of Limpopo
Private Bag X1106
Sovenga, 0727
Tel: 015 268 3332 / 2812 / 2788 / 3276
Fax: 015 267 0152
Under - Graduate
Finding solutions for Africa
To be a leading African University focused on the developmental needs of its communities and epitomising academic excellence and innovativeness
MISSION
A University which responds actively:
Ø To the development needs of its students, staff and communities,
Ø Through relevant and higher quality education and training, research and community engagement, and
Ø In partnership and collaboration with its stakeholders.
VALUES
Ø AccountabilityØ Transparency
Ø Integrity
Ø Academic Freedom
1
GENERAL APPLICATION INFORMATION
1.1 University of Limpopo paper-based
applications open on 1 March 2016.
1.2 Each prospective student must complete
only one application form. On the
application form, kindly indicate your first
and second choice in terms of what you wish
to study.
1.3 Once your application form has been
processed, you will receive an
acknowledgment letter, with a reference
number.
1.4 If on the basis of the results you submitted
(either Grade 11; Grade 12, etc.) you are
deemed to be meeting the minimum entry
requirements for the programme you wish
to study for, you will be issued with a
provisional acceptance letter, which merely
says you will be accepted into the
programme, subject to your final National
Senior Certificate results.
1.5 Receiving either an acknowledgment letter
or provisional acceptance letter does not
imply that you have been accepted by the
University of Limpopo yet. Admission is a
separate process that your application
GUIDELINES
FOR APPLYING TO STUDY AT
THE UNIVERSITY OF LIMPOPO
undergoes after being evaluated by the
relevant Faculty.
2
HOW TO FILL IN THE APPLICATION
FORM?
2.1
The form must be completed in full.
Ÿ
The paper-based application form, when
submitted, must be accompanied by:
Ÿ
All relevant supporting documentation
2.2
Proof of bank payment fee of R200 for
South African students and R300 for
international students.
2.3
For your own protection, cash should not
be included when posting application to
the University of Limpopo.
2.4
Your paper-based application form must
be posted to:
Registrar
University of Limpopo
Private Bag X1106
SOVENGA
0727
2.5
The University of Limpopo reserves the
right to reject or withdraw your
3. GENERAL INFORMATION RELATING TO
ON-CAMPUS RESIDENCE APPLICATION
3.1 To apply for a place in the University Residences, please complete the last section of the APPLICATION FORM. 3.2 Please note that indicating that you require a place in the
University residence does not guarantee you a place in the residence. The University has limited student accommodation capacity.
3.3 A selection process has to take place, and priority is given to applicants who have obtained outstanding academic results. 3.4 No student will be admitted to the residence until s/she has
been academically admitted to a programme and before appropriate fees have been paid.
3.5 On-Campus Residence is limited and preference to applications received on or before the closing date for applications.
3.6 Late applications will not be considered for On-Campus Residence.
incomplete, illegible or fake documents.
2.6
Please check the following on your
application form before posting it to the
University:
1 Application fee: Is your proof of payment attached?
2 Are certified copies of all the relevant documents attached?
3 Did you complete your application in full? 4 Did you indicate the name of study
programme you wish to apply for? 5 Did you provide information about your
parent / guardian or next of kin? 6 Did you provide your ID number/copy,
physical and postal addresses?
7 Did you submit the application form by the closing date, i.e. 27 September
BE PAID AND THE DEPOSIT SLIP ATTACHED TO THE APPLICATION FORM UPON SUBMISSION
BANKING DETAILS:
Bank: Standard Bank Account holder : University of Limpopo
Branch: Polokwane Branch number : 0 5 2 5 4 8
Account number : 3 3 0 0 4 0 0 0 6
Campus Turfloop Student Number Academic Year
For office use 2017
A
ACADEMIC DETAILS
1. Qualifications you intend to follow(e.g. B.A, MBChB, B.Sc, Bcom)
Degree/Diploma Study level
1stChoice For office use
2ndChoice For office use
2. Mode of study Full Time For office use Part Time For office use Block Release
For office use
B
PERSONAL DETAILS OF THE APPLICANT
3. Title 4. Initials 5. Surname
6. Maiden Name 7. Full Names 8. Identity Number (RSA) 9. Date of Birth 10. Passport Number (International Students ) 11. Passport
Student Application Form
Expiry Date
SA Nationals R200-00 (Two Hundred Rands) NON REFUNDABLE APPLICATION FEE MUST
REF Your: SA ID/Passport No & country:
For office use
For office use For office use For office use
For office use
12. Marital Status 13. Gender
14. Home Language
/Mother Tongue
15. Religion/Church
Affiliation
16. Occupation 17. Physical Impairment (e.g.
Blind (see also page 5)) 18. Residential or Physical
Address (Not the School Address)
Code
19. Postal
Address
Code
20. Telephone No. Fax No.
Cell No. E-mail
C
DETAILS/ HEMIS ( This information is Compulsory)
21. Citizenship/ 22. Ethnic Group/ Race 23. Province/ State 24. Rural/ Urban/ Peri -Urban
D
MATRICULATION DETAILS / SECONDARY SCHOOL LEAVING
25. Examination
Date
26. Highest Grade / Level (Standard if
applicable)
27. Examination
No.
28. Senior Certificate Type
29. School Name
30. Examination Department( e.g.
Limpopo) or Examination Body
31. Last
Examination
Grade 11 June Dec Other
Nationality
Grade 12 Grade 12 (Please Specify) (International Code)
(International Code)
(International Code) (e.g. Ga - Ramongwane, Moletjie, Limpopo Province)
(e.g. National Senior Certificate or National Certificate)
32. Subjects and results of last examination
Subject Code Symbol
For office use For office use For office use For office use For office use For office use For office use
E
POST-SCHOOL ACADEMIC ACTIVITIES
33. Were you previously registered at this or another institution of higher learning? If yes, please supply the following information.
Yes No
Institution Student
Number
Period From –To
Was the qualification completed?
If yes, when?(year)
Yes No
Yes No
34. If you have not been at institutions of high learning after matriculating, what activities have you been engaged in?
35. Have you previously been excluded from any institution of higher learning? If yes, supply the following information.
Yes
Name of Institution For office use
Qualification excluded from
For office use Date and period of
exclusion
Date Period For office use
Grounds for exclusion(academic, financial or disciplinary)
For office use
F
ON-CAMPUS RESIDENCE APPLICATION (OPTIONAL)
36. Would you like accommodation on campus Yes NoStudent housing with catering Yes No
NB: Applicants are advised that a ccommodation on campus is not guaranteed
Student Application Form
For office use For office use For office use
G
FINANCIAL AID (OPTIONAL)
37 Would you like financial assistance Yes No
PARTICULARS OF PARENTS/GUARDIAN/SPOUSE OR NEXT OF KIN
38. Title Initials Surname Relationship
39. Residential Address (not
postal address) Code
40. Postal Address
Code
41. Please specify which address you want
financial statements to be send to
42. Contact Numbers Work Home Cellphone
43. Is your parent/guardian or spouse, a staff member of the University of Limpopo?
Yes No
If yes, indicate his/her Staff Number
44. Are you a staff member of the University of Limpopo?
Yes No Staff
No.
H
DECLARATION
I _____________________________________________________(full names) hereby declare that All the information provided in this document is true a nd that I will abide by all the
rules and regulations of the University of Limpopo.
I have concluded this agreement with the knowledge and consent of my parents/guardian/sp ouse or next of kin.
I
N.B. Applicants should note that financial assistance is not quaranteed
ID Number (RSA)
Student Application Form
OFFICE STAMP
FOR OFFICE USE
Signed at __________________________ on the ________day of _________________20__ Signature of Applicant_______________________________
Date:___________________
Signature of Parents/Guardian/Spouse ________________ Date:___________________
Documents to accompany the Application Form
School Leaving / Matric certificate Testimonial / Certificate of Conduct Degree certificate Universities South Africa (HESA)
Diploma certificate Certified copy of Identity document/Passport Academic transcript School results
Two ID/Passport Photos Marriage certificate
Name of Officer :___________________ Signature : _ __________________
Sight (Condition corrected with spectacles are not applicable) Hearing even with hearing aid
Communication (Talking, Listening) Physical (Moving, Standing)
Intellectual (Difficulties in learning) Multiple
NB: Please provide more information if you ticked any of the above.
/ SAQA evaluation Certificate
Are you a person living with a disability? Yes No
Title: Surname and Initials: REF NO:
Date of Birth: ID No: Gender:
Home Language: Preferred language for correspondence:
Degree (e.g. BA)
Are you a person living with a disability? Yes No
Home / Residential Address:
Telephone Number:
Postal Code Home:
Cell Phone: Email Address:
APPLICATION FOR ON-CAMPUS RESIDENCE 2017
Sight (Condition corrected with spectacles are not applicable) Hearing even with hearing aid
Communication (Talking, Listening) Physical (Moving, Standing)
Intellectual (Difficulties in learning) Multiple
NB: Please provide more information if you ticked any of the above. Tick the nature of disability
ESSENTIAL INFORMATION (PLEASE READ)
1. This serves as proof that you have applied for residence accommodation 2. This application does not guarantee you a place in the residences. 3. The closing date is (27th September 2016).
Signature of Applicant Date:
SECTION C: FOR OFFICE USE ONLY
Approved Name of residence Room Number Waiting List
REF NO: 2017
Signature: Date
Dean of Student Affairs / Director of Student Housing
Cell phone Number: Email Address: Residential Address:
Work: Home:
