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Admission Application Guidelines

This document provides general information and instructions for prospective students applying to Potchefstroom College of Agriculture. It outlines the required documents for application, selection criteria based on academic performance, and details regarding college fees and deadlines. The closing date for applications is October 31 each year, and late applications incur an additional fee.
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© All Rights Reserved
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0% found this document useful (0 votes)
16 views6 pages

Admission Application Guidelines

This document provides general information and instructions for prospective students applying to Potchefstroom College of Agriculture. It outlines the required documents for application, selection criteria based on academic performance, and details regarding college fees and deadlines. The closing date for applications is October 31 each year, and late applications incur an additional fee.
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

LEES ASSEBLIEF BAIE NOUKEURIG DEUR

2520
Potchefstroom
ALGEMENE INLIGTING EN INSTRUKSIES AAN VOORNEMENDE STUDENTE
Private Bag X1292
1. Hierdie vorm moet deur alle voornemende studente voltooi word.
Potchefstroom College of Agriculture
2. Die volgende (gewaarmerkte afskrifte van dokumente) moet die aansoekvorm vergesel:
Student Admin Manager
* Matriekulasiesertifikaat indien reeds gematrikuleer.
POSTAL ADDRESS * Graad 11 eindrapport indien nog op skool.
* Eerste bladsy van u volwasse identiteitsdokument (applikant se eie).
pmngomezulu@[Link]
* Twee (2) onlangse kleur identiteitsfoto’s.
PotchCollege@[Link] E-mail:
* ‘n Nie- terugbetaalbare administrasiefooi van R200.00.
* ‘n Aparte, onlangse gesondheidsertifikaat van ‘n gekwalifiseerde geneesheer.
018 285 0700/0701/0702/0710/0727/0728/0730/0735 Telephone:
* Bewys van woonadres (nie ouer as 3 maande nie)
Student Admin Manager
* ID afskrifte van ouers (albei ouers indien beskikbaar)
ENQUIRIES
• Oorspronklike dokumente moet tydens registrasie getoon word.
• Indien bogenoemde dokumente in die aansoeker se nooiensvan uitgereik is,
or June results of Grade 12, in case of applicants that have not yet matriculated. moet ‘n huweliksertifikaat die aansoek vergesel.
The Grade 12 certificate is used for selection. Provisional selection is based on your Grade 11 symbols
• Gesertifiseerde afskrifte van Nasionale Senior Sertifikaat moet aan die Kollege
SELECTION ingedien word voor die einde van Mei elke jaar.
3. Slegs volledige en ondertekende aansoeke, vergesel van al die vereiste dokumente
(sien punt 2), sal vir keuring oorweeg word.
for refusal.
The College reserves the right to refuse any application without stating reasons 7. 4. Die sluitingsdatum vir aansoeke is 31 Oktober van elke jaar. Laat aansoeke sal slegs
aanvaar word teen ‘n addisionele heffing.
College admission and registration
with the understanding that you must still meet the requirements that constitute the 5. Stel die kollege asseblief onmiddelik in kennis indien u:
If the College inform you that you have been approved, it is done in good faith and 6.
• besluit om nie met u studies voort te gaan nie.
at the beginning of December no letter has been received from the college. •
• van adres of telefoonnommer verander.
of address or telephone number change. •
• teen begin Desember geen skrywe van die kollege ontvang het nie.
decided not to proceed with the study •
6. Indien die kollege u meedeel dat u gekeur is, geskied dit in goeie trou en met die
Please notify the College immediately if you: 5. verstandhouding dat u nog steeds moet voldoen aan die vereistes wat die kollege vir
toelating en registrasie daarstel.
be accepted at an additional charge
The closing date for applications is 31 October of each year. Late applications will only 4. 7. Die kollege behou hom die reg voor om enige aansoek sonder vermelding van redes te
weier.
(see point 2), will be considered for selection
Only completed and signed application, accompanied by all the required documents 3.
of May each year. KEURING
Certified copies of National Senior Certificate must be submitted before the end •
Graad 12 sertifikaat word gebruik vir keuring. Voorlopige keuring word gebaseer op jou graad 11 simbole
certificate must accompany the application. of Junie resultate van Graad 12, in die geval van die applikant wat nog nie gematrikuleer het nie.
If these documents are issued in the applicant's maiden name, a marriage •
Original documents must be presented upon registration. •
NAVRAE
ID copies of parents (both parents if available) *
Die Registrateur
Proof of residence (not older than 3 months) *
Telefoon: 018 285 0700/0701/0702/0710/0727/0728/0730
A separate, recent health certificate from a qualified physician. *
A non-refundable administration fee of R200.00. *
E-pos: PotchCollege@[Link]
Two (2) recent color identity photographs. *
pmngomezulu@[Link]
First page of your adult identity document (applicant's own). *
Grade 11 final report, if still in high school. * POSADRES
Matriculation certificate if already matriculated. *
Die Registrateur
The following (certified copies of documents) must accompany the application form: 2.
Potchefstroom Landboukollege
This form must be completed by all prospective students. 1.
Privaatsak X1292
Potchefstroom
GENERAL INFORMATION AND INSTRUCTIONS TO PROSPECTIVE STUDENTS
2520
PLEASE READ CAREFULLY
KOLLEGE FOOIE (AANDAG OP ALGEHELE VERANDERINGE)
Let Wel: R1800 Balance Due
Nie-terugbetaalbare aansoekfooie van: R200.00 moet betaal word, wanneer daar aansoek gedoen R6000 Less Registration Fee
word; tot toelating van die Kollege, vir die eerste jaar. Laat aansoekfooie: R900.00
R7800 TOTAL DUE
EERSTE AKADEMIESE JAAR 1ste Semester (Jan tot Jun) 2de Semester (Jul tot Des) R800 Administration fee
Koshuis Nie-Koshuis Koshuis Nie-Koshuis R700 Accomodation
Studente Studente Studente Studente
4 subjects (max)
Klas fooie: R700 per vak vir 10
vakke (maksimum) R7000 R7000 R5600 R5600 R3500 @ R700 per subjects for
Instructional offering subjects:
Akkomodasie (geen etes) R4000 Nil R4000 Nil subject for 4 subjects (max)
R3500
Administrasie fooie per jaar 800 R800 Nil Nil
Elective subjects @ R700 per
for 2 Subject (max)
TOTAAL VERSKULDIG R11800 R7800 R9600 R5600 R1400
Core subjects:@ R700 per Subject
Min Registrasie Fooie R7000 R7000 R7000 R5600 THIRD ACADEMIC YEAR
Full Year Cycle
Balans Verskuldig R4800 R800 R2600 Nil
Nil R4000 Nil R4800 Balance due
TWEEDE AKADEMIESE JAAR 1ste Semester (Jan to Jun) 2de Semester (Jul tot Des) R5600 R5600 R6400 R5600 Less Registration Fee
Koshuis Nie-Koshuis Koshuis Nie-Koshuis R5600 R9600 R6400 R10400 TOTAL DUE
Studente Studente Studente Studente
Nil Nil R800 R800
Klas fooie: R700 per vak vir 8
Administration fee per year
vakke (maksimum) R56000 R5600 R5600 R5600
Nil R4000 Nil R4000 Accommodation (No meals)
Akkomodasie (geen etes) R4000 Nil R4000 Nil 8 Subjects (max)
R5600 R5600 R5600 R5600
Tuition Fee; R700 per Subject for
Administrasie fooie per jaar R800 R800 Nil Nil
Students Students Students
TOTAAL VERSKULDIG R10400 R6400 R9600 R5600 Non-Hostel Hostel Non-Hostel
Hostel Students
Min Registrasie Fooie R5600 R6400 R5600 R5600 2 Semester (Jul to Dec) 1 Semester (Jan to Jun) SECOND ACADEMIC YEAR
nd st
Balans Verskuldig R4800 Nil R4000 Nil
Nil R2600 R800 R4800 Balance due
DERDE AKADEMIESE JAAR Volledige Siklus R5600 R7000 R7000 R7000 Less Registration Fee
Kernvakke: @ R700 per vak vir 2
vakke (maksimum) R1400 R5600 R9600 R7800 R11800 TOTAL DUE
Geselekteerde vakke: @ R700 per Nil Nil R800 R800 Administration fee per year
vak vir 4 vakke (maksimum) R3500
Nil R4000 Nil R4000 Accommodation (No meals)
Aanwysings onderrigvakke:
@ R700 per vak vir 4 vakke R3500 R5600 R5600 R7000 R7000
10 Subjects (max)
(maksimum) Tuition Fee; R700 per Subject for
Students Students Students
Akkommodasie R700 Non-Hostel Hostel Non-Hostel
Hostel Students
Administratiewe fooie R800 2 Semester (Jul to Dec) 1 Semester (Jan to Jun) FIRST ACADEMIC YEAR
nd st
TOTAAL VERSKULDIG R7800
Late application fee: R900.00
Min Registrasie Fooie R6000
College for the first year.
Balans Verskuldig R1800 Non-refundable application fee of: R200.00 must be paid when applying for admission to the
Please note:
COLLEGE FEES (SUBJECT TO ANNUAL CHANGES)
• Wiskunde, Wiskunde Geletterdheid met minimum punt van 5.

• Landbouwetenskappe en/of Landboubestuur, en/of Landboutegnologie,


APPLICATION FOR ADMISSION
WHICH YEAR DO YOU WISH TO APPLY FOR?
• Afrikaans of Engels,

Verpligte vakke:
PERSONAL PARTICULARS
Nationale Senior Sertifikaat, Senior Sertifikaat of gelykstaande kwalifikasie.
Mark applicable box with x where necessary Student number:
TOELATINGSVEREISTES
Identity number: Date of birth
Surname: Initials
Skool telefoonnommer: : Matriekjaar
First names:
E-mail:
Kode: Skool
Title Marital Gender Correspond. Church Citizenship
Adres van Language Denomination
Naam van skool:
MR Single Male Afrikaans Specify RSA
AKADEMIESE INLIGTING
MISS Married Female English Other
Epos: Faks:
MRS District: Municipality: Province: Specify:
Sel (student): Sel (ouer/voog)
DR
Telefoon (W) Telefoon (H)
Beroep:
Home address: Town: Code:
Voorletters: : Van
{postal address: Town: Code:
OUER/VOOG - BESONDERHEDE
Address where account must be sent to. Home: Postal Other complete address below
Kode: Dorp:
Account address:
Adres waarheen rekening gestuur moet word:
Town: Code:
Ander - voltooi adres onder Posadres Adres waarheen rekening gestuur moet word. Huis:
PARENT/GUARDIAN - PARTICULARS
Kode: Dorp: : Posadres
Surname: Initials:
Kode: Dorp: : Huisadres
Occupation:
Telephone (H) Telephone (W)
DR
Cell (parent) Cell (student):
Spesifiseer: Provinsie: Munisipaliteit: Distrik: MEV
Fax: Email:
Vroulik MEJ
Ander Engels Getroud ACADEMIC INFORMATION
RSA Spesifiseer Afrikaans Manlik MNR
Name of School:
Ongetroud

Taal Address of
Burgerskap Kerkverband Korrespon. Geslag Huwelikstatus Titel
School Code:
E-pos:
Voorname:
Year matriculated: School Telephone Number:
Voorletters: Van:
Geboortedatum: Identiteitsno.:
ADMISSION REQUIREMENTS
Studentenommer: Merk toepaslike blokkie met ‘n X waar nodig
National Senior Certificate, Senior Certificate or Equivalent
PERSOONLIKE BESONDERHEDE
Compulsory Subjects:

VIR WATTER JAAR DOEN U AANSOEK? • Afrikaans or English,

• Agricultural Sciences and or Agricultural Management Practices, and or Agricultural Technology.


AANSOEK OM TOELATING
• Mathematics or Maths Literacy with a minimum rating of 5.
Aanbevole Vakke:
Rekeningkunde, Biologie, Besigheidsbestuur, Ekonomie, Ingenieurswese, Aardrykskunde, en
Fisiese Wetenskap.
Seleksie kriteria: Telling Berekeninge (Verwys na onderstaande Tabelle A en B, die “Modified SWEDISH Number Completed Followed
SYSTEM”). Behaal ‘n minimum (totale) punt van 24 uit die puntetelling van die beste ses (6) toepaslike en Student Studies Course To From Tertiary institute attended
gepaste vakke.
Particulars of Tertiary training
TABEL- A: Aansoekers wat Graad 12 geslaag het voor die jaar 2008 (Hoër en Standaard Graad:) Agricultural College Teachers Training College Technikon University Work School
Punte toegestaan vir Berekening: uitgewerkte voorbeeld What was your primary activity in the year prior to your intended studies at the College?
vaksimbole
NB: Levels two and below are not considered.
Vaksimbole Hoër Standaard Vakke Simbole Punte
Decision by Admission Committee: Selected
Graad Graad
24 M-Score =
A 7 6 Setswana (SG) D 3
0 F Accounting 0 F
B 6 5 Engels (HG) D 4
6 Agricultural Science B 3 E
C 5 4 Fisiese Wetenskap (SG) E 2
3 E Life Science 4 D
D 4 3 Wiskunde (SG) F 0
5 C Business Studies 5 C
E 3 2 Biologie (SG) E 2
4 D English 6 B
F 0 0 Landbouwetenskap (HG) D 4
6 B Afrikaans 7 A
Technologie F 0
Points Subject Subject symbols
M-Telling = 11 Symbols
Calculating M-Score: Worked example Points per symbol
LW: Vlak twee en laer word nie oorweeg nie TABLE- B: Applicants who completed Grade 12 before 2008 year (No Higher and Standard Grades)
TABEL- B: Aansoekers wat Graad 12 geslaag het na die jaar 2008 (Geen Hoër en Standaard Graad:) NB: Levels two and below are not considered.
Punte toegestaan vir vaksimbole Berekening: uitgewerkte voorbeeld Decision by Admission Committee: Not Selected
Vaksimbole Vakke Simbole Punte 11 M-Score =
A 7 Afrikaans B 6 0 F Technology
B 6 Engels D 4 4 D Agricultural Science (HG) 0 0 F
C 5 Besigheidstudies C 5 2 E Biology (SG) 2 3 E
D 4 Lewenswetenskap E 3 0 F Mathematics (SG) 3 4 D
E 3 Landbouwetenskap B 6 2 E Physical Science (SG) 4 5 C
F 0 Rekeningkunde F 0 4 D English (HG) 5 6 B
M-Telling = 24 3 D Setswana (SG) 6 7 A
Besluit deur toelatingskomitee: Gekeur
Grade symbols
LW: Vlak twee en laer word nie oorweeg nie Grade
Points Symbols Subject Standard Higher Subject
Wat was u hoof aktiwiteit in die jaar voor aanvang van u beoogde studies aan die Kollege?
subject symbols
Skool Werk Universiteit Technikon Onderwyskollege Landboukollege Calculating M-Score: Work Example Points assigned for
Besonderhede van Tersiêre opleiding TABLE- A: Applicants who completed Grade 12 before 2008 year Higher and Standard Grades)
Tersiêre instelling bygewoon Van Tot Kursus wat u Is studie voltooi Studentenommer
gedoen het
and appropriate subjects.
• Achieve a minimum M-score count (total) of 24 points from the rating of best (6) applicable
Selection Criteria: M-SCORE Calculation (Refer to Tables A and B below, the Modified SWEDISH SYSTEM)
Accountancy, Biology Business Management, Economics, Engineering, Geography and Physical Science.
Verskaf besonderhede van enige na-skoolse werk gedoen op landbougebied (of ander) Recommended Subjects:
kampus. Supply particulars of any work done after leaving school in the agricultural field (or other)
tree om inligting te verkry met betrekking tot die vereistes van die kursus en die toeganklikheid van die (Indicate the period of service as well as the type of work, company and name of supervisor)
Gestremde studente of ouers van sodanige studente moet asseblief vooraf met die kollege in verbinding
GESTREMDE STUDENTE

Allergieë: spesifiseer Hipertensie Epilepsie Diabetes


Disleksie Spraakgebrek bv. Hakkel Verlamming Doofheid Blindheid SPORTING ACTIVITIES
Ly u aan enige van die volgende? Indicate which sport you are currently participating in
U lengte van kop tot toon: Sport Year Leadership position in sport Highest achievement Colours obtained
Praktyk tel: Telefoon (h) :
DR Huisdokter naam:
Lidnommer: Mediesefonds naam:
PERSOONLIKE MEDIESE INLIGTING

APPLICATION FOR RESIDENCE


Aansoeker rybewysno. Aansoeker rybewysno.
Do you require residence? Yes No Do you own a laptop? Yes No
kleur kleur
If you will be living in town supply the street address:
Fabrikaat Fabrikaat

Registrasienommer Registrasienommer APPLICATION TO KEEP A MOTOR VEHICLE/MOTORCYCLE ON THE CAMPUS (AT OWN RISK)
Geregistreerde eienaar Geregistreerde eienaar
Do you wish to keep a vehicle on the campus? Yes No
Voertuig twee Voertuig een
NB!! Vehicles are kept at own risk.
Voertuigbesonderhede Vehicle particulars
Indien ja, parkeer op eie risiko LW!! Vehicle one Vehicle two
Nee Ja Wil u ‘n voertuig op kampus aanhou?
Registered owner Registered owner
AANSOEK OM MOTORVOERTUIG/MOTORFIETS OP DIE KAMPUS TE MAG AANHOU (OP EIE RISIKO)
Registration number Registration number

Make Make
Indien u in die stad gaan woon dui u straatadres aan:
Nee Besit jy ‘n skootrekenaar? Ja Nee Verlang u koshuisinwoning? Ja Colour Colour

AANSOEK OM KOSHUISINWONING Driver’s licence number Driver’s licence number

PERSONAL MEDICAL INFORMATION


Name of medical aid fund Membership number
Name of practitioner: DR
DR Telephone home: Practise tel:
Tipe erekleure verwerf Topprestasie Leierskapposisie in sport Jaar Sport
Your length from head to toe
Dui aan watter sportsoort u tans beoefen
Do you suffer from any of the following disabilities?
SPORTAKTIWITEITE
Blindness Deafness Paralysis Speech impediment e.g. stutter Dyslexia
Diabetes Epilepsy Hypertention Allergy: Specify

PHYSICALLY CHALLENGED STUDENTS


(Dui die periode van diens asook die tipe werk, maatskappy en naam van toesighouer aan)
Disabled students or parents of such students must please contact the college beforehand to acquire
Verskaf besonderhede van enige na-skoolse werk gedoen op landbougebied (of ander) information with regard to requirements of the course and the accessibility of the campus
from a qualified medical practitioner.
ONDERNEMING DEUR OUER/VOOG EN STUDENT (Applicants’s ID); Two recent coloured identity photos; Proof of payment of application fee; A recent medical certificate
Matric certificate; Grade 11 Final report if currently at school; Certified copy of first page of your adult identity document
• Ek verklaar dat ek my seun/dogter (hierna verwys na as die student) die vorm volledig ingevul het en dat die
besonderhede hierin vervat waar en korrek is. Ek besef verder dat dié landboukollege geregtig is om te enige
tyd die my/student se inskrywing summier te kanselleer indien dit sou blyk dat die inligting verstrek in die vorm
Please attach all certified copies of the under listed documents to this page.
vals of onjuis is.
Official date stamp. Signature Surname:
• Sou omstandighede sodanig wees dat dit onmoontlik is om vooraf my toestemming te verkry, verleen ek hiermee
magtiging aan die Kollegehoof, Landboukollege Potchefstroom, sy gevolmagtigde, om indien dit noodsaaklik
sou word om ‘n operasie op my seun/dogter, pleegseun/-dogter uit te voer, die nodige toestemming aan In the presence of commissioner of oaths whose signature appears below.
die hospitaalowerhede te gee. Ek onderneem om alle hospitaal- of mediese onkoste te betaal.
Student identity number Identity number
Verleen u magtiging aan die kollege? Ja Nee
Student Name (Print please) Name (Print please)
Lees bostaande verklaring deeglik deur voor u besluit.
Signature of student Signature of parent/guardian
• Ek/ons, die ondergetende(s) is aanspreeklik vir die stiptelike betaling van enige gelde wat uit hoofde van
my/die student se verbintenis met die Landboukollege Potchefstroom betaalbaar is, nou en in die toekoms,
soos volledig uiteengesit in die dokument “Finansies - Landboukollege Potchefstroom”. By versuim om die
rekening volledig te betaal en waar dit oorhandig word aan prokureurs vir invordering, onderneem ek/die 20 day of on this Signed at
student om alle kostes wat betaalbaar mag wees, insluitend opsporingsgelde, advokaatgelde en enige
uitgawes van watter aard ookal, te betaal.
• Ek verstaan dat hierdie onderneming, wat deur my onderteken word, spesifiek verwys na my/die student se
aansoek om toelating tot die Landboukollege Potchefstroom.
address:
• Ek verbind my hiermee gesamentlik en afsonderlik en in solidum vir die behoorlike nakoming van alle • I choose as my domicilium citandi et executandi and for the means of any legal processes, the following residential
voorwaardes hierin vervat, saam met die student.
actions.
• Hierdie voorwaardes sal geldig en van krag bly vir die volle duur van my/die student se inskrywing as student
Potchefstroom Agricultural College should I/my child incur any fo the above-mentioned due to my/my child’s irresponsible
the Potchefstroom Agricultural College for any such injuries. Furthermore I hereby declare that I will indemnify the
aan die Landboukollege Potchefstroom en daarna totdat alle verpligtinge in terme hiervan nagekom is.
on the part of the College or any of its employees, fellow students, and undertake not to claim for any damages against
Potchefstroom Agricultural College against any responsibility for injury or damage, be it caused by irresponsibility or not,
• Ek/die student, my/sy/haar afhanklikes, eksekuteurs en/of administrateurs en/of regsverkrygendes, doen
injury or prejudice during the course of my/his studies or period of residence at the College. I hereby indemnify the
hiermee afstand van en vrywaar die Landboukollege Potchefstroom teen enige eis of skade van watter aard
• I/we understand that Potchefstroom College of Agriculture will take all reasonable steps to prevent me/my child from
ookal wat mag ontstaan binne of buite die kampus van dié kollege, tydens my/die student se studie tydperk.
College of Agriculture, that form part of this contract and/or that may be subject to change form time to time.
• Ek het my vergewis van en onderwerp my aan alle reëls en regulasies van die Landboukollege Potchefstroom, • I have familiarised myself with the contents and subject myself to the rules and regulations of the Potchefstroom
wat deel van hierdie ooreenkomsvorm en/of soos dit van tyd tot tyd gewysig mag word.
during the period of my/the student’s study.
• Ek/ons verstaan dat die Landboukollege Potchefstroom alle redelike stappe sal doen om te voorkom dat ek/my College or damages of any nature that may occur on or off the campus of the Potchefstroom College of Agriculture,
kind in die loop van die studie of verblyf aan die kollege beseer of benadeel word, en vrywaar hiermee die • I/the student, me/his/her dependants, executors, administrators and/or assigns, hereby indemnify the Potchefstroom
Landboukollelge Potchefstroom teen enige aanspreeklikheid vir enige besering of skade, hetsy dit veroorsaak
is deur die nalatigheid al dan nie, van die Kollege Potchefstroom of enige van sy werknemers, of ‘n Potchefstroom College of Agriculture and thereafter till all obligations in terms of this undertaking have been completed.
medestudent, en onderneem om geen eis(e) teen die Landboukollege weens sodanige besering of skade • These conditions will be valid and remain in force for full term of my/the student’s enrolment as a student at the
in te stel nie. Voorts onderneem ek om die Kollege te vrywaar indien die Landboukollege Potchefstroom
hoegenaamd aanspreeklilkehid gehou word weens enige nalatige of ander optrede of versuim deur my/my kind. student.
• I bind myself collectively and individually and in solidum to comply with all the conditions stated herein along with the
• Ek kies om my domicilium citandi et executandi en vir die doeleindes vir die betekening van enige regsproses,
die volgende woonadres: to the Potchefstroom College of Agriculture.
• I understand that this undertaking undersigned by me specifically refers to my/the student’s application for admission
location costs, attorney fees and any other related expenditures.
it is handed over to attorneys for recovery, I/the student undertake to pay all costs that are outstanding, including
Geteken te op hierdie dag van 20 indicated in the document “Finances Potchefstroom College of Agriculture”. Failing to pay the account in full and where
Agriculture arising from my/the student’s association with the institution, at present as well as in the future, as fully
• I/we, the undersigned, are responsible for the timeous payment of any monies owed to the Potchefstroom College of
Handtekening (Ouer/Voog) Handtekening van Student Read the above-mentioned undertaking carefully prior to making a decision.
Name (Drukskrif asb.) Student Naam (Drukskrif asb.) No Yes Do you grant permission to the College?
Identiteitsnommer Student Identiteitsdokument to pay all hospital or medical bills incurred.
management, permission to allow medical practitioners to operate on my son/daughter, foster son/daughter, I undertake
In die teenwoordigheid van die ondergetekende Kommissaris van Ede. to an emergency operation, I hereby grant the principal of the Potchefstroom College of Agriculture or member of the
• Should circumstances be of such a nature that it would not be possible for me to grant the necessary permission prior
Van: Handtekening Amptelike datumstempel
application with immediate effect should it be considered that the information supplied on the form is false or inaccurate.
Heg asseblief alle gewaarmerkte afskrifte van dokumente hieronder genoem aan die aansoekvorm. stated within are true an correct. I further realise that the Agricultural College has the right to cancel my/the student’s
• I declare that I, my son/daughter (hereafter referred to as the student) completed the form fully and the particulars
Matrikulasiesertifikaat indien reeds gematrikuleer, Graad 11 eindrapport indien nog op skool; Gesertifiseerde kopie van
die eerste bladsy van u volwasse identiteitsdokument (aansoeker se I.D., Twee (2) onlangse kleur identiteitsfoto’s; UNDERTAKING BY PARENT/GUARDIAN AND STUDENT
Bewys van betaling van aansoekfooi; ‘n Onlangse gesondheidsertifikaat van ‘n gekwalifiseerde geneesheer.

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