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City Power - BUSARIES 2025 APPLICATION FORM

The document is an application form for bursaries offered by City Power for the year 2025. It outlines the terms and conditions for applicants, including the requirement for accurate and complete information, confidentiality, and the potential for additional information requests. The form collects personal details, educational background, work experience, and general health information from applicants.

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20 views6 pages

City Power - BUSARIES 2025 APPLICATION FORM

The document is an application form for bursaries offered by City Power for the year 2025. It outlines the terms and conditions for applicants, including the requirement for accurate and complete information, confidentiality, and the potential for additional information requests. The form collects personal details, educational background, work experience, and general health information from applicants.

Uploaded by

kgalaleloqueenfofu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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CITY POWER

BUSARIES 2025 APPLICATION FORM

December 2024
APPLICATION FORM FOR BURSARIES

TERMS AND CONDITIONS

▪ The purpose of this form is to assist City Power in selecting suitable applicants for an advertised
bursary.
▪ This form must be completed in full, accurately, and legibly. All substantial information relevant to
applicants must be provided in this form. Any additional information should be clearly provided
on the CV.
▪ Bursary applicants shortlisted for interviews may be requested to furnish additional information that
will assist City Power to expedite recruitment and selection processes.
▪ All information received will be treated with strict confidentiality (POPI Act observation) and will not
be used for any other purpose than to assess the suitability of the applicant.
▪ This form is designed to assist City Power with the recruitment, selection and appointment of bursary
applicants.
______________________________________________________________________________________

Surname Mr/Miss/Ms
First names
Intended field of study eg: (Bsc Electrical Engineering [Heavy Current])
Major subjects (eg Business Economics and Economics)
University or TVET College you wish to attend
Study year next year (eg I of II)
Present postal address
Postal Code
Code Telephone

Permanent postal address


Postal Code
Code Telephone
Permanent home address

Code Telephone

2
CONFIDENTIAL
1 Personal details
1.1 Date of birth Place of birth

1.2 Marital status (tick box) Single Married


1.3 Nationality
1.4 Identity number
1.5 Home language
1.6 Race African Colored Indian White
1.7 Gender Male Female LGBTQIA+
1.8 Any Disability Yes (If Yes, Elaborate) No

2 Citizenship Status
2.1 Period of residence in RSA
2.2 Registration as citizen under consideration Yes No
2.3 South African citizen Yes No
2.4 Immigration permit number

3 School education
3.1 Last/present school Name: Town
3.2 Highest grade passed Date
Subject Level Percentage/Symbol*
(Higher/Standard/Practical) Grade Grade Grade
10 11 12

*Please indicate your latest school examination results (and date) if your final matriculation results are not
yet available.

3
4 Post-school training
University/TVT College/other Field of study Study year Course/Subject Percentage/Symbol*

* Please attach copies of your progress reports.

5 Criminal record
5.1 Have you ever been convicted of criminal offence? Yes No
If so, give details

6 Work experience
Name of employer Nature of Period Reasons for termination of service
work From To

4
7 Interests and hobbies
Give details of sporting activities, group activities and hobbies with position attained (if any)
7.1 Sport

7.2 Outstanding achievements

7.3 Cultural activities (eg. Youth society, private clubs, etc.)

7.4 Hobbies (eg. Photography, electronics, etc.)

8 Relative in City Power service


8.1 Name
8.2 Relationship
8.3 Where employed

8.4 Position
8.5 SAP No. Work Telephone

9 Particulars of parent or guardian


9.1 Name
9.2 Relationship
9.3 Occupation
9.4 Employer
9.5 Business address

Postal code

9.6 Work Telephone Cellphone No.


5
10 General
10.1 Condition of health Good Fair Poor
10.2 Give details and dates of operations, serious illnesses and/or mental and physical defects

10.3 Do you have a valid driver’s license? Yes No State class of vehicle

10.4 Have you applied for or do you intend applying for another bursary? Yes No
If so, give details

10.5 Applications in response to


Advertisement
Recommended By (Name & Surname)
School/university/TVET Name: Town/City:
Other (specify)

10.6 Describe in your own words why you have chosen this field of study and career.

I hereby declare that all the information provided in this application and any attachments in support thereof is
to the best of my knowledge true and correct. I understand that any misrepresentation or failure to disclose any
information may lead to my disqualification or termination of my bursary contract, if appointed. Your
appointment into the bursary contract would be subject to a medical report conducted by City Power.

Signature of applicant Date

Signature of parent or guardian if applicant is minor Date

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