Application for Admission to Undergraduate Study
ONLY FOR USE BY CURRENTLY REGISTERED STUDENTS OF THE UNIVERSITY OF KWAZULU-NATAL
WHO WISH TO STUDY FOR A NEW UNDERGRADUATE DEGREE/DIPLOMA OR UNDERGRADUATE
MODULES FOR NON-DEGREE PURPOSES.
NOTE: IN EXCEPTIONAL CIRCUMSTANCES ONLY A STUDENT MAY BE PERMITTED TO CHANGE
CAMPUSES FOR THE SAME QUALIFICATION. A STUDENT WHO WISHES TO REQUEST THIS MUST
FIRST CONTACT THE FACULTY OFFICE.
STUDENT NO:_____________________ IDENTITY NO:_____________________________
TITLE:______ SURNAME:___________________________ FIRST NAMES: ____________________________________________
ADDRESSES
Postal:____________________________________ Term _________________________________
____________________________________ _________________________________
_________________________Code:_______ __________________Code:__________
Tel no:___________________ Cell No: ____________________ E-mail: __________________________________
PRESENT DEGREE/DIPLOMA/NON-DEGREE REGISTRATION
Name of Degree/Diploma/Non Degree:___________________ Academic Year:________ Full/Part time:______________
Campus (Dbn/Pmb):_______________________________Major Subjects: _____________________________________
Are you anticipating completing this degree this year? _______________________________
PROPOSED DEGREE/DIPLOMA
Year of Entry: 20 Entry Term e.g. Semester1, Semester 2: _____________________
1st CHOICE
Campus:__________ Name of Degree/Diploma:______________________College:________________________________
Level of study:_______________ Full/Part time: ________________Programme:__________________________________
2nd CHOICE (Optional):
Campus:__________ Name of Degree/Diploma:______________________College:________________________________
Level of study:_______________ Full/Part time: ________________Programme:__________________________________
MOTIVATION:
RESIDENCE:
Will University Residence be required? Yes/No:...........................................
IF UNIVERSITY RESIDENCE IS REQUIRED A SEPARATE APPLICATION FOR ADMISSION TO RESIDENCE MUST BE
COMPLETED. THIS FORM IS AVAILABLE FROM THE STUDENT HOUSING/RESIDENCE OFFICE.
FINANCIAL ASSISTANCE:
Are you in receipt of assistance from Financial Assistance Service this year? Yes/No: ......................
RETURNING STUDENTS MUST APPLY FOR FUNDING FROM THE FINANCIAL ASSISTANCE SERVICE BY
31 AUGUST of the year before entry.
DECLARATION BY THE APPLICANT
I hereby declare that the information supplied is true and accurate. Date:……................... Signature:................................
COMMENTS/DECISIONS:
1st CHOICE: recommendation __________________________________________________________________
Programme Director Signature:................................................................ Date:......................................................
Head of School Signature:................................................................. Date: .....................................................
Dean Signature:.................................................................. Date:.....................................................
2nd CHOICE: recommendation __________________________________________________________________
Programme Director Signature:................................................................. Date:.....................................................
Head of School Signature:.................................................................. Date: ....................................................
Dean Signature:................................................................... Date:....................................................
03/2013