APPLICATION FOR ADMISSION
Undergraduate & Honours 2020

This is an APPLICATION to study at the University of Fort Hare in 2020

CLOSING DATE FOR ALL ACADEMIC PROGRAMMES: 30 SEPTEMBER 2019

TAKE NOTE	ALL INCOMPLETE APPLICATION FORMS WILL NOT BE PROCESSED AND THE APPLICANT’S ADMISSION TO ACADEMIC PROGRAMMES AS WELL AS PLACEMENT IN A RESIDENCE 9WHERE APPLICABLE) COULD BE DELAYED

APPLICATION FEES:	Online applications R80.00 Non-refundable fee of R120.00 closing 30 September 2019 for those who do physical applications; No late applications will be accepted.
RESIDENCE:	Non-refundable fee of R120.00 closing 30 September 2019 Acceptance of accommodation of R1 000.00 before 31 December 2019

BANKING DETAILS
PLEASE ATTACH THE ORIGINAL DEPOSIT SLIP TO YOUR APPLICATION FORM

• Bank:	Standard Bank

• Branch:	Alice

• Branch Code:	05 01 19

• Account Name:	University of Fort Hare

• Account Number:	28 210 1357

• Reference:	Applicant’s full name

• Swift Code:	SBZAZAJJ

1. PERSONAL DETAILS

TITLE	ID/PASSPORT NO.

FIRST NAMES:

SURNAME:

MARITAL STATUS:

GENDER:	☐	MALE	☐	FEMALE

DATE OF BIRTH:	Dd/mm/yyyy

STUDENT NUMBER

CHECKLIST

ONE (1) CERTIFIED COPY of each of the following documents must be attached:
(such documents become the property of the University of Fort Hare and will not be returned)

☐	Identity Document
☐	Marriage Certificate (if applicable)
☐	Original Proof of payment of application fee
☐	June / September Grade 12 Results (If you are currently doing matric)
☐	Matric Certificate
☐	SAQA clearance certificate (foreign student and all undergrad nursing students)
☐	Academic Record, including proof that the Certificate of Conduct has been requested from the previous University / University of Technology / Technikon if you had registered at another institution

2. CONTACT DETAILS

2.1 APPLICANT’S DETAILS

TELEPHONE NUMBERS:	Home
Work

CELLPHONE NUMBER:
NB: SMS messages will be sent to this number

EMAIL ADDRESS:

POSTAL ADDRESS (WHERE MAIL MUST BE DELIVERED)
Postal Code
NB: Take note that acknowledgements of receipt and other communications will be sent to the above-mentioned address

RESIDENTIAL ADDRESS (No postal address must be indicated here)
Postal Code

2.2 NEXT OF KIN DETAILS: (COMPULSORY)

SURNAME:	INITIALS:	TITLE:

RELATIONSHIP:

TELEPHONE NUMBERS:	Home
Work

CELLPHONE NUMBER:

EMAIL ADDRESS:

RESIDENTIAL ADDRESS (No postal address must be indicated here)
Postal Code

3. ADDITIONAL INFORMATION FOR REPORTING TO THE DEPARTMENT OF EDUCATION

3.1 ETHNICITY	☐	African	☐	Asian	☐	Coloured	☐	White

3.2 LANGUAGES (mark where applicable)

Home Language
☐	Afrikaans	☐
☐	English	☐
☐	isiNdebele	☐
☐	isiXhosa	☐
☐	isiZulu	☐
☐	seSotho	☐
☐	seSotho sa Lebowa	☐
☐	Setswana	☐
☐	siSwati	☐
☐	Tshivenda	☐
☐	Xitsonga	☐
☐	Other	☐

3.3 Are you employed?	☐	Yes	☐	No

4. Any disability or special educational needs:	☐	Yes	☐	No	If YES please complete below

CONFIDENTIAL	Students with disabilities/ special educational needs:

The unit for Students with Disabilities provides support services for students with disabilities. Please provide the following information to enable the University to offer maximal support to students with special needs:

Did you apply for residential accommodation?	☐	Yes	☐	No

Disability:

Please briefly indicate your type of disability and special requirements:

5. ACADEMIC DETAILS

LEVEL OF STUDY	☐	Undergraduate	☐	Advanced / Postgraduate Certificate / Diploma	☐	Honours

DEGREE / DIPLOMA FOR WHICH APPLICATION IS BEING MADE	First Choice:
Second Choice:

FIELD OF STUDY (HONOURS or postgraduate applicants ONLY)	First Choice:
Second Choice:

RESEARCH OR STRUCTURES DEGREE	For a research degree, the curriculum requires that you compile a dissertation/ thesis. For a structured degree, the curriculum requires that you attend classes and compile a mini-dissertation. If you are uncertain what the curriculum requirements are, please contact your particular Department.
☐	RESEARCH	☐	STRUCTURED

CAMPUS	☐	Alice	☐	Bhisho	☐	East London

TYPE OF STUDY	☐	Full Time	☐	Part Time

PREVIOUS YEAR’S ACTIVITY	☐	Post School College	☐	Scholar
☐	University of Technology (Technikon)	☐	University
☐	Working (employed)	☐	Unemployed

6. FINANCIAL AID (only for RSA citizens):	☐	YES	☐	NO

7. DETAILS OF SCHOOL RECORD (ONLY UNDERGRADUATE APPLICANTS)

Name of School:

Address of School:
Postal Code

Telephone no. of School:	Matric Year

Matric examination Number:

NATIONAL SENIOR CERTIFICATES (NSC)	☐	Endorsement	☐	Conditional Endorsement

Senior Certificate obtained before 2008 Type of exemption	☐	Senior Certificate without Endorsement	☐	Other (please specify)

Applicants who completed the Senior Certificate before 2008 must provide a certified copy of the Senior Certificate

8. SCHOOL SUBJECTS (for languages, please state whether 1st / 2nd or 3rd language)

Year	Month	School Subject	Grade 11 (Nov)	Grade 12 (March/ Jun)
Actual Mark	Out of	Total	Actual Mark	Out of	Total

Out of	Out of
Out of	Out of
Out of	Out of
Out of	Out of
Out of	Out of
Out of	Out of
Out of	Out of
Out of	Out of
Out of	Out of

GRADE 11 MARKS MUST BE COMPLETED AND REPORT ATTACHED

9. IF YOU HAVE BEEN REGISTERED AT ANOTHER UNIVERSITY / TERTIARY INSTITUTION IN THE PAST, PLEASE SUPPLY THE FOLLOWING INFORMATION

NAME(S) OF UNIVERSITY (TIES) OF TECHNOLOGY (TECHNIKON(S) COLLEGE(S)	DEGREE / DIPLOMA OBTAINED	YEAR(S) OF REGISTRATION	STUDENT NUMBER
FROM	TO

HAVE YOU EVER BEEN PROHIBITED FROM PROCEEDING WITH YOU STUDIES AT ANY UNIVERSITY / UNIVERSITY OF TECHNOLOGY (TECHNIKON) / COLLEGE?	☐	YES	☐	NO
IF SO, WHERE?

10.	CONCURRENT REGISTRATION AT THIS AND / OR ANOTHER HIGHER EDUCATION INSTITUTION.

A student enrolled at this university may only with the permission of the Dean / Deans be registered simultaneously at / for more than one (1) qualification / institution.

DECLARATIONS WHICH MUST BE COMPLETED AND SIGNED

DECLARATION BY STUDENT (COMPULSORY)

I hereby surrender all rights to which I am or may be entitled to discharge amounts due to the University.

Signature of student:

Date:

DECLARATION BY APPLICANT

I hereby declare:

Should my application be successful, I undertake to:

(a)	Comply with the general rules and regulations of the University of Fort Hare.

(b)	Inform the Registrar immediately, in writing, of any change of address.

(c)	Acquaint myself with the general rules and regulations relating to the programme for which I am accepted.

(d)	I am fully aware that the University of Fort Hare is under no obligation to provide either financial assistance or accommodation of any kind.

(e)	I acknowledge that all fees have been determined by the Council of the University of Fort Hare.

(f)	I agree that the relevant fees will be paid, as indicated in the Prospectus, by the due dates. If such fees are not paid, I acknowledge the rights of the University to cancel my registration at any time and to claim payment of the amounts owing by me and/ or my guardian.

(g)	I declare that all particulars given by me on this form are true and correct.

(h)	I agree that any misrepresentation due to information entered on this form or the withholding of information, shall cause this application to become void or voidable at the discretion of the University without prejudice to its rights.

(i)	Should I, during the course of my studies, at the University, sustain any injuries or contract any illness or suffer any loss or damages, I hereby undertake not to institute any claim against the University on account thereof, irrespective of the cause of such damages or loss. In the event of my death during the course of my studies, this undertaking shall be binding on the executor of my estate and my heirs and successors-in-title. Under the circumstances referred to above, I, or my executor, administrator, heirs, and successors-in-title (in the event of my death) hereby indemnify the University in respect of any damages suffered by me arising from any of the cause referred to above.

(j)	I understand that meeting the minimum admission requirements is no guarantee for admission. The University has other considerations, e.g. academic merit, quotas for academic programmes, equity, etc.

I acknowledge that I have read this document, understand its contents and agree to its terms and conditions. I further acknowledge that I am signing this agreement freely and voluntarily.

Signature of student:

Date:

DECLARATION BY PARENT / GUARDIAN IN THE CASE OF THE APPLICANE BEING A MINOR

I declare that I am aware that Rules and Regulations exist as promulgated by the Council of the University. I confirm that I am aware that the Council may promulgate further Rules and Regulations from time to time, and I agree that my son/ daughter binds himself/ herself to comply with such Rules and Regulations.

I hereby give my permission that my son/ daughter may conclude or amend any agreement pertaining to loans/ or bursaries with the University.

I hereby declare that I am the legal guardian of the above minor signatory, and I hereby assist, approve, ratify and agree to the above minor signatory signing this document (Waiver of Liability and Indemnity and Declaration).

I hereby waive any and all rights, claims, demands and causes of action which I may have against the University, its employees, contractors and agents arising from the above minor signatory’s participation in the qualification and the related activities, including without limitation, any claim for damages to my property or any property in the above minor signatory’s possession or under his/ her control, and/ or damages resulting from his/ her personal injury or death.

I furthermore herby indemnify the University, its employees, contractors and agents against any and all liability, loss, damages and legal costs which the University, its employees, contractors and agents may incur or sustain as a result of any claims which may be instituted by the above minor signatory (after reaching the age of 18 years or while still a minor, with the assistance of his/ her guardian) to the extent that the same have arisen from, have occurred during or are in any way related to his/ her participation in the qualification and the related activities.

I acknowledge that I have read this document, understand its contents and agree to its terms and conditions. I further acknowledge that I am signing this agreement voluntarily.

Full names and surname of parent/ guardian

Identity Number

Signature of parent/ guardian

Date:

OFFICE USE ONLY

1st choice	Signature	Date	2nd choice	Signature	Date	Signature & date when processed by Student Admin
Accepted
Provisionally accepted
Waitlisted
Rejected
Final Choice	Official Signature:

SEND COMPLETED APPLICATION TO:
ALICE CAMPUS The Registrar University of Fort Hare Private Bag X1314, Alice 5700	EAST LONDON CAMPUS The Registrar University of Fort Hare Private Bag X9083 East London 5200

Contact Details
Alice Campus East London Campus	Tel: 040 602 2281 / 2053 / 2512 / 2174 Tel: 043 704 7004 / 7155 / 7266 / 7139

NB: INTERNATIONAL STUDENTS ONLY

Proposed amendments to the application forms

Please indicate by ticking the applicable box

☐	South African citizen
☐	Permanent Residence
☐	International student

For any assistance, you may contact International Affairs Office before/ after applying;

Alice Campus:	+277406022244
+277406022424

East London Campus:	+27437047348

+277437047328 / international@ufh.ac.za

Go to http://www.ufh.ac.za/international/ for Visa information or to contact us if you have any queries.

Keep copies of all proof of payment, Pay residence application fee separately from admission application fee.

Personal Details

SA ID:
Passport no/ ID (International Applicants Only)

Contact Details

Telephone:	Country Code:	+	Cell Number:
Email Address: (Compulsory for International Applicants)

Postal Address

Country	Postal Code

Residential Address

Country	Postal Code

Next of Kin

Telephone:	Country Code:	+	Cell Number:
Email Address: (Compulsory for International Applicants)
Country	Postal Code

APPLICATION FOR RESIDENCE ACCOMMODATION – INTERNATIONAL STUDENTS

SA ID:
Passport no/ ID (International Applicants Only)
Nationality
Telephone:	Country Code:	+	Cell Number:
Email Address: (Compulsory for International Applicants)
Country	Postal Code

Applicants with disabilities (Please note: All housing is self-supportive)

Would you require accommodation with modifications to support your disability?	☐	Yes	☐	No

2020	APPLICATION FOR RESIDENCE ACCOMMODATION

Surname:
First Names:
Identity Number:
Degree Applied for:
Student Number:

Campus:	☐	ALICE	☐	EAST LONDON
Gender:	☐	MALE	☐	FEMALE

With my signature, I declare that the above information is correct.

Signature of applicant:

Date:

For Office Use Only
Residence Allocation	☐	Yes	☐	No
Name of Residence:
Room Number:
Signature of Official:
Date:

1. PLACEMENT PROCEDURE

Once a completed application form has been returned, the applicant’s name will be placed on the application list of the residence of first choice.

Applications will be selected on application date, admission criteria and diversity targets.

Once an applicant is selected, a written offer of accommodation will be sent, including information regarding procedure, conditions, etc.

If the applicant is not selected for any residence, his/ her name will remain on the application list of the residence of first choice for possible consideration during future placement opportunities.

Placement in a residence does not imply that admission to any academic degree, diploma or certificate course, or selection course has been obtained. All prospective students’ final acceptance and eventual registration as students remain subject to compliance with the necessary admission requirements of the UFH.

All residence related enquiries should be directed to Residence Manager at: 040 602 2040