Application for

undergraduate aDMISSION
(International and Local)

Note: Completed applications for all campuses must be

forwarded to the Applications and Information Office at:

Postal Address Physical Address

University of KwaZulu-Natal University of KwaZulu-Natal
Applications and Information Office Applications and Information Office
Durban Shepstone Building Level 4
4041 Howard College Campus
King George V Ave/Mazisi Kunene Rd
Glenwood
Durban

FOR OFFICE USE ONLY:

NAME: –––––––––––––––––––––––––––––––––––––––––––––––––––––––

STUDENT NO:

DEGREE/DIPLOMA: –––––––––––––––––––––––––––––––––––––––––––

LOCAL:

INTERNATIONAL:
 Please read these notes before completing the attached application form
1. The non-refundable application fee or proof of payment MUST accompany this application form. Application fees sent by post should be paid by
cheque or postal order, not cash. Please ensure that cheques or postal orders are made out to the University of KwaZulu-Natal.
International and local applicants: Application fees can be paid by electronic transfer/bank deposit. The banking details are as follows:
Name: UKZN Main Bank: Standard Bank
Acc. No: 05 308 0998 Branch: Westville
Branch Code: 045426 Reference: F001 11402 with applicant’s full name
Type of Account: Business Current Account Swift Code: SBZAZAJJ
2. The application form MUST be completed as fully and as accurately as possible to avoid delay in processing. Use names appearing on
the identity document when completing this form.
3. The University of KwaZulu-Natal is an English medium university. International students from non-English speaking countries must provide proof
of English proficiency. Please refer to the Undergraduate Prospectus for further information.
4. Applicants whose previous degrees were obtained at a university other than University of KwaZulu-Natal must submit certified copies of their
previous degree certificates with their application. For international applicants: Please provide translated copies where applicable. Also
refer to the Undergraduate Prospectus for further information.
5. If you have attended another university please submit a full academic record or you must arrange for the Registrar of that University to
submit a full academic record for all years of study and a certificate of conduct to the University of KwaZulu-Natal.
6. All international applicants must have their school leaving credentials evaluated by the Matriculation Board.

Entrance Requirements: Students with Disabilities:

Legal entrance requirements:
The NSC for degree admission or Secior Certificate with matriculation exemp-
tion (or equivalent) is required for admission to degree studies in South Africa.
Applicants with non-South african school leaving qualifications need to sub-
mit proof that they qualify for admission to degree studies at South African
universities in terms of the guidelines provided by the Higher Education
South Africa (HESA) – (Matriculation Board). Please refer to their website at:
www.hesa.org.za. Further information can be obtained from:
1. The Matriculation Board at Tel: +27 (0)12 591 4401/2 or
2. University of KwaZulu-Natal Applications Office at
Tel: +27 (0)31 260 2212/7877 or +27 (0)33 260 5212
3. University of KwaZulu-Natal International Office at Tel: +27 (0)31 260 1092.
NB: Colleges will not consider your application for selection if you have
not submitted your HESA evaluations.
College entrance requirements:
In addition to the legal entrance requirements, South African applicants should
meet the minimum points for specific programmes. All applicants should meet
subject requirements and levels of performance for admission to certain pro-
grammes. Also note that the number of applications received by far outnumber
the spaces available at University. Therefore, meeting the minimum requirements
for application does not g­ uarantee admission to the University.
P lease contact the Co-ordinator at the Student Counselling
Centre for information on services, equipment and support avail-
able to students.
Howard College – Tel: +27 (0)31 260 3070/3140
Pietermaritzburg – Tel: +27 (0)33 260 5213/5233
Westville – Tel: +27 (0)31 260 7706/7888
Edgewood – Tel: +27 (0)31 260 3665
Needing Assistance:
If you need assistance in selecting programmes, choosing your
majors, career or personal guidance, or testing you can contact a
counsellor at one of our Student Counselling Centres:
Howard College – Tel: +27 (0)31 260 2668/2669
Pietermaritzburg – Tel: +27 (0)33 260 5233
Westville – Tel: +27 (0)31 260 7337/7751
Financial Aid Queries:
Agriculture, Engineering and Science –
Tel: +27 (0)31 260 7705/7064

Closing dates and Application Fees:

A. Undergraduate Applications Closing Applic. Fee
1. South African Applications Law and Management – Tel: +27 (0)31 260 7912/1106
1.1 Medicine (no late applications accepted) 30 June R175
1.2 All other programmes 30 Sept R175
1.3 Late applications for 1.2 (excluding Health
Sciences) R400
2. International Applications 30 Sept SADC &
2.1 For semester 1 (Feb-June) of previous countries in
year Africa R470
2.2 For semester 2 (Aug-Dec) 30 Apr of Countries
current outside
year Africa $146
Health Science –
+27 (0)33 260 5195/6145
Tel: +27 (0)31 260 2912/4359/7889
Humanities – Tel: +27 (0)31 260 3258
+27 (0)33 260 5758
+27 (0)33 260 5837
Residence Queries:
For all residence queries please phone the relevant campus:
Edgewood – Tel: +27 (0)31 260 3611
Howard College – Tel: +27 (0)31 260 2282
Medical School – Tel: +27 (0)31 260 2282
Pietermaritzburg – Tel: +27 (0)33 260 6226
Westville – Tel: +27 (0)31 260 8070

Health Care Insurance: (Applicable to International Applicants only)

In terms of the Immigration Amendment Act 19 of 2004 any prospective student coming to the Republic of South Africa, must provide proof of medical cover
with a medical scheme registered in terms of the Medical Schemes Act, 1998 Act 131 of 1998. The University of KwaZulu-Natal thus only accepts South
African Medical Aid products approved in terms of the Medical Aid Schemes Act referred to above. To comply with the regulations, the University requires
proof of full Medical Aid cover with a South African based medical aid scheme for the full academic period of study (renewable annually). Such cover must
cover the minimum of hospitalisation, emergencies and day-to-day cover including medicine and doctor’s visits. It is thus advisable to make the necessary
financial arrangements for the medical aid cover prior to your entry into South Africa.

2
 Sicela ufunde leziziqondiso ngaphambi kokuthi ugcwalise ifomu lokufaka isicelo:
1. Leli fomu kumele lihambe kanye nemali yokufaka isicelo engabuyeli emuva noma sicela ulithumele nobufakazi ukuthi usuyikhokhile imali yokufaka isice-
lo. Imali yokufaka isicelo ethunyelwe ngeposi kumele ikhokhwe ngesheke noma nge-postal order hhayi ukheshi. Sicela uqinisekise ukuthi amasheke
noma ama-postal order enziwa aqondiswe ngqo kwi-Nyuvesi yaKwaZulu-Natali. Izimali zokufaka isicelo zingakhokhwa ngeposi noma uyifake
ebhange qobo. Imininingwane yase bhange imi kanje:
Igama: UKZN qobo Ibhange: Standard Bank
Inombolo ye-akhawunti: 05 3080998 iGatsha: Westville
Ikhodi yegatsha: 045426 Ubufakazi: F001 11402 namagama agcwele wofaka isicelo
Uhlobo lwe-akhawunti: Business Current Account i-Swift Code: SBZAZAJJ
2. Ifomu lokufaka isicelo kumele ligcwaliswe ngokugcwele futhi ngokucophelela ukuze kungathathi isikhathi eside ukuhlungwa kwesicelo sakho.
Sebenzisa amagama akumazisi wakho ngesikhathi ugcwalisa leli fomu.
3. The University of KwaZulu-Natal is an English medium university. International students from non-English speaking countries must provide proof
of English proficiency. Please refer to the Undergraduate Prospectus for further information.
4. Izicelo zalabo abaneziqu abazithola kwamanye amanyuvesi kuzomele zithunyelwe kanye namakhophi agunyaziwe ezitifiketi zabo ezedlule. Kulabo
abafake izicelo abavela emazweni angaphandle lapho isiNgisi singasetshenziswa khona?: sicela amakhophi ahunyushiwe lapho kudingeka khona.
Ngolwazi olugcwele, sicela ubheke ibhukwana eliqukethe imininingwane yabangakaziphothuli iziqu zokuqala
5. Uma sewake wafunda kwenye iNyuvesi sicela uthumele imiphumela yezifundo zakho, noma uhlele no-Mbhalisi wakuleyo nyuvesi ukuba athume-
lele iNyuvesi yaKwaZulu-Natali imiphumela yakho yezifundo ephelele yeminyaka yonke owayifunda khona kanye nesitifiketi sakho sokuziphatha
6. Bonke abafake izicelo abavela emazweni angaphandle kumele babe nezimvume ezikhishwe iBhodi likaMatikuletsheni.

Imibandela yokungena: Abafundi abanokukhubazeka:

Okudingeka ngokusemthethweni kokungena:
Isitifiketi sikaMatikuletsheni (NSC) esisezingeni elikugunyazayo ukuthi ungenza izifun-
do zeziqu eNingizimu Afrika.
Labo abafake izicelo abangenaso lesitifiketi salapha eNingizimu Afrika, kudingeka uku-
thi bathumele ubufakazi obugunyaza ukuthi bafanelekile ukuthathwa ukuze bafundele
iziqu emaNyuvesi aseNingizimu Afrika ngokwemibandela ehlinzekwe IsiGaba seMfun-
do Ephakeme eNingizimu Afrika? (HESA). iBhodi lika-matekuletsheni. Sicela ubheke
i-webusayithi ku: www.hesa.org.za. Eminye imininingwane ingatholakala:
1. Kwi-Bhodi kaMatikuletsheni: 11ucingo: +27 (0)12 591 4401/2 noma
2. eHhovisi lokufaka izicelo eNyuvesi yaKwaZulu-Natali:
ucingo: +27 (0)31 260 2212 / 7877 noma +27 (0)33 260 5212
3. eHhovisi labavela emazweni angaphandle laseNyuvesi yaKwaZulu-Natali: ucingo:
+27 (0)31 260 1092.
Qaphela: Amakolishi ngeke asamukele isicelo sakho uma ungay-
ithumelanga imiphumela yakho evala kwa-HESA.
Okudingekayo kokungena eKolishi:
Ngaphezu kwalokhu okusemthethweni okudingekayo kokungena, labo abafaka izicelo base
Ningizimu Afrika kumele bahlangabezane okungenani namaphuzu ezinhlelo eziqondene-
ngqo. Bonke labo abafake izicelo kumele bahlangabezane nalokhu okudingekayo kwezi-
fundo kanye namazinga athile adingekayo kulezo zinhlelo. Qaphela futhi ukuthi umthamo
wesibalo sezicelo ezitholwa iNyuvesi seve kakhulu kunezikhala ezikhona zokufunda
eNyuvesi, ngalokho-ke, ukuhlangabezana nalokhu okudingakalayo akuqinisekisi neze ukwa-
mukelwa eNyuvesi.
Izinsuku zokuvala kanye nezimali zokufaka isicelo:
A. Izicelo zalabo abangenaziqu Ukuvala Imali yesicelo
1. Izicelo zabase Ningizimu Afrika ezoMthetho kanye nokuPhatha – Ucingo: +27 (0)31 260 7912/
1.1 Ubudokotela (azivunyelwe izicelo ezizofika
sezidlulelwe Isikhathi) 30 Juni R175
1.2 Zonke ezinye izinhlelo 30 Sept R175
1.3 Izicelo esezidlulelwe isikhathi ku 1.2
(singabali abe Sayensi yezeMpilo) R400
Amazwe akwi-
2. Izicelo zabavela emazweni angaphandle 30 Sept
2.1 iSimesta-1 (Febhruwari - Juni) Wangonyaka SADC, R470
odlule.
30 Ephreli Kumazwe
2.2 iSimesta-2 (Agasti – Disemba)
kunyaka angaphandle kwe-
ophezulu. Afrika $146
Sicela uthintane no Mxhumanisi weSikhungo Sokweluleka
Abafundi - ngolunye ulwazi maqondana nesikwenzayo, esinakho
kanye nokweseka abafundi okukhona.
eHoward College: – Ucingo: +27 (0)31 260 3070/3140
ePietermaritzburg – Ucingo: +27 (0)33 260 5213/5233
eWestville – Ucingo: +27 (0)31 260 7706/7888
eEdgewood – Ucingo: +27 (0)31 260 3665
Usizo:
Uma udinga usizo ekukhetheni uhlelo lwezifundo nokukhetha
izifundo zakho ezimqoka kakhulu, imikhakha noma ukwelulekwa
okuqondene nawe-ngqo, noma ukuhlolwa, ungaxhumana noMe-
luleki kwezinye zalezi zikhungo zokweluleka abafundi:
eHoward College – Ucingo: +27 (0)31 260 2668/2669
ePietermaritzburg – Ucingo: +27 (0)33 260 5233
eWestville – Ucingo: +27 (0)31 260 7337/7751
Imibuzo ngosizo lwezimali:
eZolimo, ubuNjiniyela kanye neSayensi –
Ucingo: +27 (0)31 260 7705/7064
+27 (0)33 260 5195/6145
iSayensi yezeMpilo – Ucingo: +27 (0)31 260 2912/4359/7889
ezoBuntu – Ucingo: +27 (0)31 260 3258
+27 (0)33 260 5758
1106/+27 (0)33 260 5837
Imibuzo ngezindawo zokuhlala:
Ngemibuzo maqondana nezindawo zonke zokuhlala sicela uthin-
tane namakhempasi aqondene-ngqo:
eEdgewood – Ucingo: +27 (0)31 260 3611
eHoward College – Ucingo: +27 (0)31 260 2282
eMedical School – Ucingo: +27 (0)31 260 2282
ePietermaritzburg – Ucingo: +27 (0)33 260 6226
eWestville – Ucingo: +27 (0)31 260 8070

Umshwalense Wezempilo: (Uvuleleke kulabo abavela emazweni angaphandle kuphela)

Ngokwesichibiyelo somthetho wabokufika 19 yango-2004 (Immigration Amendment Act of 2004), wonke umfundi ophuma ngaphandle kwezwe onethuba lokufunda eNingizimu
Afrika, kumele aveze ubufakazi kobuthi unawo umshwalense wezempilo ohlinzekwa ngabahlinzeki bezempilo ababhalisiwe ngokusemthethweni (Medical Scheme Act, 1998 Act
131 of 1998). Ngakho-ke, iNyuvesi yaKwaZulu-Natali yamukela kuphela imikhiqizo yezempilo yase Ningizimu Afrika egunyazwe ngokomthetho obaluliwe ngenhla. Ukuze ihamb-
isane nale mibandela, iNyuvesi idinga ubufakazi obugcwele bomshwalense wezempilo kanye nabahlenzeki bezempilo abazinze eNingizimu Afrika kuloyo nyaka wonke wokufunda
(evuselelekayo minyaka yonke). Lomshwalense kumele ubhekelele ukulaliswa esibhedlela isikhashana, izimo eziphuthumayo kanye nemithi yosuku nosuku kanye nokubonana
nodokotela. Ngakho-ke siyakweluleka ukuthi wenze izinhlelo zezimali zomshwalense wezempilo ngaphambi kokufika eNingizimu Afrika.

3
 Application FOR OFFICE USE ONLY:

Student no:

for App Fee Pd: R____________ Date:_______________

Receipt No:__________________________________

aDMISSION Into ITS By:________________ On:_______________

• Have you been registered as a student at University of Natal/University of Durban Westville/University of KwaZulu-Natal before? YES NO
• If yes, what was your Student No. (if available)?

1. term of entry and choice of programme/Isikhathi ozoqala ngaso kanye nohlelo olukhethayo
Year of entry:
2 0 Entry Term: Semester: 1 2 Year of study for this degree/diploma (eg. 1st):
Degrees/Diplomas/Programmes applying for: OFFICIAL USE
Choice Full or
Campus Name of Degree/Diploma Major/Programme Approved Date
Order part-time
1
2
3
4

Please ensure that the programme name/s are indicated.

2. Personal details/Imininingwane yakho

Title: Mr Mrs Miss Ms Other________________________

Surname:_______________________________________________________________________________________________________________________

First Names:____________________________________________________________________________________________________________________

Maiden Name:___________________________________________________________________________________________________________________

ID No: (South African applicants only)

Persal number: (teachers only)

DAY MONTH YEAR

Date of Birth:

Marital Status: Married Single Divorced Widowed Separated

Race: African Coloured Indian White Other:__________________________________ (specify)

Gender: Male Female

Home Language:_____________________________________________________________ Nationality: _____________________________

Religion (optional): _______________________________________________________________________________________________________________

3. Residency/Indawo yokuhlala
• Are you a permanent resident of SA? YES NO
• If not, what is your country of permanent residence?_______________________________________________________________________________

• Passport No.:
DAY MONTH YEAR
• Expiry Date

• Residence Permit No: (if in possession)

DAY MONTH YEAR
• Expiry Date:

4
4. financial assistance/Usizo ngezezimali
NOT APPLICABLE TO INTERNATIONAL APPLICANTS
Do you wish to apply for financial assistance? YES NO

5. Post-school activities/Izinto ozenzile emuva kokuqeda isikole

Present activity (Please tick)
*University student 01 Technical College student 05

Teacher’s Training College 02 Labour Force (Employed) 07

Technikon Student 03 Standard 10 pupil/Grade 12 learner 08

College of Nursing student 04 OTHER (______________________________) 09

* If university student, please state name of the last institution in section 8 on page 5 and submit academic record and certificate of good conduct:
NOTE: The code structure has been set up (by ITS) in terms of government reporting requirements.

If you are employed please complete the following:

Name of Company/Institution

Address of Company/Institution

Post Code Telephone No. (Work): Area dialling code:

Fee Account to Employer Yes No

6. Address and contact details/Ikheli kanye nemininingwane yokuxhumana

Postal Address: _____________________________________________ Guardian/Parent (if under 21) or next of kin:

___________________________________________________________ Name:_________________________________________________________
___________________________________________________________ Address:_______________________________________________________
Town/City:__________________________________________________ ______________________________________________________________
Country:____________________ Postal Code: ___________________ ______________________________________________________________
_______________________________ Postal Code: __________________
Physical address: ________________________________________
______________________________________________________
Telephone Numbers:
______________________________________________________
Work: Dial code:________________ No:_________________________
Town/City:___________________________________________________
Home: Dial code:_______________ No:_________________________
Country:____________________ Postal Code: ____________________
Cell phone:_____________________________________________________
Email:_________________________________________________________
Telephone Numbers:
Cell phone:____________________________________________________ Relationship:
Work: Dial code:_______________ No:__________________________ Father Mother Spouse
Home: Dial code:______________ No:__________________________ Brother G/Parent Sister
Email address:___________________________________________
Child Guardian Other
Work/Home Fax:__________________________________________

5
 7. high school details/Imininingwane yesikole samabanga aphezulu
Year of last school leaving certificate (equivalent to Grade 12):
Name of school certificate/diploma:_________________________________________________________
Examination No:_________________________________________________________________________

NB: International APPLICANTs to check equivalence with Matriculation Board

Type of Matriculation Exemption already held: (Please tick one)
01 Full Exemption 07 Other Senior Certificate
03 Ordinary Conditional 08 NTC3/N3/NSC
04 Mature Age Exemption 09 Standard 10 Practical
05 Foreign Exemption 10 Other
06 Immigrants Exemption 11 Discretionary Provision (Senate exemption)

NOTE: The code structure has been set up (by ITS) in terms of government reporting requirements.

HIGH/SENIOR SCHOOL NAME YEAR Examination Authority Grades/Forms Passed

From To
1

High School subjects (International Students: state subjects of last Final grade II/‘0’ levels Trial/Mocks Grade 12 Matric or ‘A’ levels
school leaving certificate) HG/SG/O Symbol SG/HG/A Symbol SG/HG/A Symbol
1

8. previous studies/Izifundo osuke wazenza ngaphambili

DEGREE/DIPLOMA/CERTIFICATE DEGREE YEARS ATTENDED
INSTITUTION NAME Complete AWARD DATE
Name From To
Yes No
1
2
3
4
5
6
7

• Student number(s) at previous institution:______________________________________________________________________________________

• Have you ever been refused entry to, expelled or excluded from another institution? YES NO
If “Yes”, provide the details: ________________________________________________________________________________________________
• Have you ever been refused entry to, expelled or excluded from a residence of any institution? YES NO
If “Yes”, provide the details:________________________________________________________________________________________________
• Do you owe fees to another institution? YES NO
If “Yes”, provide the details: ________________________________________________________________________________________________

6
9. medical information/Imininingwane yezempilo

9.1 disability information/Imininingwane ngokukhubazeka

The University is sensitive to the needs of students with disability, and will attempt to provide support where possible.
Do you have any disability, physical or otherwise, that might require support? YES NO If “Yes”, please indicate:
Persons with a Visual Impairment Persons with a Physical Impairment Persons with Diabetes
Blind Uses a wheelchair Persons with Epilepsy
Partially sighted Uses crutches/callipers Persons with Cerebal Palsy
Persons with a Hearing Impairment Persons with paraplegia/quadriplegia/ Persons with Intellectual/Psychiatric/
hemiplegia/post-polio paralysis Psychological Impairment
Partially deaf
Other (please specify) Persons with Medical/Chronic Ailments
Mild to moderately deaf that require support (Please specify)
Other (Please specify)
9.2 compulsory for international APPLICANTs only/Kuphoqeleke
kulabo abafake izicelo abasuka emazweni angaphandle kuphela
Health Insurance
I _____________________________________ (name) confirm that I will/have applied for medical cover with a medical scheme registered in terms
of the Medical Schemes Act, 1998 Act 131 of 1998.

10. residence application/Isicelo sendawo yokuhlala

Do you wish to apply for admission to University Residence? YES NO

If yes, which campus? Howard College

Pietermaritzburg
Edgewood
Medical School
Westville
If you are unsuccessful in obtaining accommodation in a University Residence, where will you stay?_________________________________________

11. General information/Imininingwane ejwayelekile

Do you wish your name/address to be kept confidential between yourself and the University? YES NO
Note: Disclosure of information is subject to the Promotion of Access to Information Act and other relevant laws.

Did any of your immediate family study at this University? YES NO

If yes, state relationship to you:_______________________________________

12. english proficiency/Ukukhuluma kahle ulimi lwesiNgisi

(APPLICABLE TO INTERNATIONAL APPLICANTS ONLY)
Applicants applying for admission into a degree programme at the University need to demonstrate that they have obtained one of the following lev-
els of English proficiency:
1. A pass in an examination equivalent to English at South African Senior Certificate (NSC) HL or FAL level or at the Higher Grade (First or
Second Language) for the South African Senior Certificate.
2. A pass in English language at A-level, or O-level (C-symbol or higher), or the International Baccalaureate or equivalent examination.
3. For international applicants who do not satisfy (1) or (2) above and for whom English is a foreign language:
• an overall band score of 6.0 for Undergraduate studies, (7.0 for Postgraduate studies) or
• a test score of 550 on the paper version of the Test of English as a Foreign Language (TOEFL) or a score of at least 80 on the IBT (elec-
tronic) version of the test.
Scores need to be submitted with application forms.
Name of document: ______________________________________________________________________________________________________________
Refer to THE UNDERGRADUATE PROSPECTUS for more details.

7
13. Declaration and understanding
To be completed with the assistance of Parent/Guardian where applicant is not financially independent and under the age of 18 (a minor).

If my application is successful and I accept the offer of a place to study at the University of KwaZulu-Natal,
1. I undertake
1.1 To comply with the procedures, rules and regulations of the University of KwaZulu-Natal.
1.2 To inform the Registrar immediately, in writing, if I change my address.
1.3 To acquaint myself with all the rules and general regulations that relate to the degree for which I am applying.
1.4 To make alternate arrangement for accommodation should the University accept me for the degree and cannot offer me accommodation.

2. I/We hereby accept liability for the payment of all tuition fees or other fees which may be charged by the University as a result of my/his/her s­ tudies at
the University.

3. I am aware that my enrolment is valid only if it complies with the regulations of the degree concerned, notwithstanding the acceptance of this a­ pplication
by the University.

4. I/We accept the responsibility of submitting all documents required by the University before the stipulated due dates.

5. I declare

5.1 That I make this application and give the declarations and understandings with the knowledge and consent of my parent/guardian/employer.
5.2 I warrant that the information contained herein is true and correct and the University shall be entitled to declare the contract void and cancel my reg-
istration if I have made any misrepresentation or omission on this application.

Signature of Student Date Signature of Parent/Guardian Date

SURETYSHIP To be completed where applicant is not financially independent and under the age of 18 (a minor).
I, the undersigned lawful parent/guardian of the applicant, do hereby bind myself to the University of KwaZulu-Natal as surety in solidium and co-­principal debtor
with the above-named applicant for the due payment of all fees and other charges due and payable to the University of KwaZulu-Natal in terms of the relevant
applicable annual schedule of fees. The surety will operate as a continuing covering suretyship. I agree that I will not be released from liability under this surety-
ship in any c­ ircumstances whatever, except with the University of KwaZulu-Natal’s written consent and in particular, I shall not be released by reason of the fact
that the aggregate amount owed to you by the applicant may fluctuate and may at times be nil.
Please print full name of Surety/Parent/Guardian:____________________________________________________________________________________________
Identity no.:____________________________________________________________________________________________________________________________
Address:_______________________________________________________________________________________________________________________________
Which will be my domicilium citandi et executandi (permanent residential address) for all purposes under this document which means that I will accept ser-
vice of all notices, documents and legal proceedings against me. In the event of my changing this address, I agree to inform the Student Debtors Section of
the Finance Department of the University of KwaZulu-Natal of any change in my address.

Signature of Parent/Guardian Date

DISCLAIMER/Isaziso Esingokomthetho

1. The application form was written in English and translated
to an isiZulu language version of the form. Whilst we hope
that the translation/s of the application form are accurate, in
the event of any differences in meaning between the original
English version and a translation, the original English version
takes precedence.
1. Leli fomu lokufaka isicelo libhalwe ngesiNgisi labuye
lahunyushelwa olimini lwesiZulu. Yize noma sinethemba
lokuthi ifomu lethu lihunyushwe kahle, uma kungaba
nokwehlukana phakathi kokushiwo yifomu lesiNgisi
nelesiZulu, kuyosetshenziswa ifomu lesiNgisi
njengelisemthethweni.

2. If any provision or part of a provision of this application form
is found unlawful, void, or unenforceable, that provision or
part of the provision is deemed severable from the application
form and all other provisions of the application form will
remain in full force and effect.
2. Uma kutholakala ukuthi esinye sezimiso kuleli fomu noma
ingxenye yalo ayikho emthethweni, ayisebenzi, ayigcineki leso
simiso noma ingxenye yalo itholakala ukuthi ingahlukaniseka
kuleli fomu kusho ukuthi ezinye izimiso zaleli fomu
ziyoqhubeka nokusebenza ngokugcwele.

8
13. Izwi lesinqumo nesiqinisekiso sokuthi uyaqonda kahle
Makugcwaliswe ngosizo lo mzali noma ilowo ogunyaziwe ukuba umondli womntwana, lapho lowo ofaka isicelo engazimele ngokwezezimali futhi engaphansi kwem-
inyaka engama-18.

Uma isicelo sami siphumelela futhi ngithola isikhala sokufunda eNyuvesi yaKwaZulu-Natali,
1. Ngiyathembisa
1.1 Ukulandela izindlela zokwenza, imigomo, kanye nemithetho yeNyuvesi yaKwaZulu-Natali
1.2 Ukwazisa uRejistra ngokushesha, ngokumbhalela incwadi uma ngishintsha ikheli.
1.3 Ukuzijwayeza imithetho kanye nemigomo exhumene neziqu engifake isicelo kuzo.
1.4 Ukwenza ezinye izinhlelo mayelana nendawo yokuhlala uma kwenzeka iNyuvesi ingamukela kodwa ingeke ikwazi ukunginika indawo yokuhlala.

2. Ngi- / Si- yavuma ukuba ngababhekene nokukhokhwakwazo zonke izimali zokufunda noma ezinye izimali iNyuvesi engazidinga ezingumphumela wokuba
ngumfundi kwami wase Nyuvesi.

3. Ngiyaqonda ukuthi ukubhaliswa kwami kugunyazwe, uma kuphela kuhambisana nemithetho yeziqu ngaphezu kokwamukelwa kwalesi sicelo yiNyuvesi.

4. Ngi- / Si- yazibophezela ukuthumela yonke imininingwane edingwa iNyuvesi kungakashayi izinsuku ezibekiwe.

5. Ngiyafakaza
5.1 ukuthi ngenza lesi sicelo futhi ngiyafakaza ngokolwazi nemvume yomzali wami/ ongumondli wami / umqashi wami.
5.2 ukuthi lonke ulwazi oluqukethwe lapha luyiqiniso futhi iNyuvesi inegunya lokuchitha lesi sicelo uma ngifake okungelona iqiniso noma ngingavezanga
okunye okubalulekile.

Kusayina umfundi Usuku Kusayina umzali Usuku

Ukumela izimali zokufunda (Suretyship) Lengxenye igcwaliswa uma umfundi engazimele ngokwezimali noma engaphansi
kweminyaka engama-18.
Mina, osayine ngezansi njengomzali/ njengomondli waloyo ofaka isicelo, ngiyazibophezela kwiNyuvesi yakwaZulu-Natali ngokubambisasa nofaka isicelo njen-
gokweletayo ekukhokhweni kwazo zonke izimali zokufunda kanye nezinye izindleko ekufanele zikhokhelwe iNyuvesi yaKwaZulu-Natali ngokohlu olushicilelwe
lwezimali zokufunda. Lokhu kumela lezi zimali kuzosebenza njengokumela okuqhubekayo. Ngiyavuma ukuthi ngihlale ngilindeleke ukuba ngikhokhe izimali zoku-
funda ezidingakalayo noma ngabe kunasiphi isimo, ngaphandle uma nginemvume ebhalwe yiNyuvesi yaKwaZulu-Natali. Angeke ngikhululwe ekumeleni isikweletu
yizizathu ezingukuguquguka kwemali ekweletwa ngumfaki wesicelo kanye nokungabibikho kwemali ekweletwayo.
Sicela ubhale igama ngokugcwele laloyo Omele/ onguMzali /onguMondli:_______________________________________________________________________
Inombolo kamazisi.:______________________________________________________________________________________________________________________
Ikheli:__________________________________________________________________________________________________________________________________
Okungaba indawo yami yozinzo, ngokwezizathu zalencwadi lapho ngiyokwazi ukuthunyelelwa izaziso,izincwad kanye nezinyathelo zomthetho. Uma kwenzeka
ngishintsha ikheli, ngiyavuma ukwazisa umnyango wezezimali zabafundi eNyuvesi yaKwaZulu-Natali ngalolu shintsho.

Kusayina komzali/ ongumondli womfundi Usuku

14. checklist/Uhla lokuqinisekisa

Please ensure that the following relevant documents are enclosed with this application:
• Have you indicated your choice of degree/diploma and campus? YES NO
• Have you enclosed the proof of payment or non-refundable
application fee? YES NO
• Have you enclosed all the required certified documentation:
– Copy of ID Document/Passport YES NO

– Academic Record (if studied previously)

– Degree Certificate (if studied previously) } English translation YES

if applicable YES
NO
NO

– Senior Certificate/Matric Certificate/O/A Levels

YES NO
or relevant school leaving qualification/certificate

– English Proficiency proof

}
Compulsory for
international
– Proof of HESA assessment applicants only
YES

YES
NO

NO

• Have you read and understood the medical insurance requirements YES NO
(applicable to International Applicants only)
• Have you completed the residence section (10) if applicable? YES NO

• Have you filled in the application form in full? YES NO

9
Applications and Information Office

www.ukzn.ac.za
April 2014