SA Student Application Form

STUDENT APPLICATION FORM

IMPORTANT: Please attach certified copies of your highest academic qualification or school grade report, ID document and proof of address or else your application will not be processed.

This is an application only. If your application is successful you will be invited to Register. You become a student of the College of Cape Town only once we have issued an official proof-of-registration printout. Incomplete applications or those not accompanied by all the required documentation will not be processed.

Administrative Options

Application Outcomes

Admin User

Admin Email

Application Status

MIS Student Number

Application Process

Comment on outcome (if any) (255 chars left)

Primary Course Details

Programme Type

Campus

Programme (Faculty)

Selected Course

Primary Course Contact

Primary Course Email

APPLICATION SUBMISSION DETAILS

APPLYING FOR ACADEMIC YEAR*

Are you an existing/past student?

Please enter your Student Number

1st CHOICE - Programme you wish to apply for

Type of Programme (Duration)*

Please choose which Trimester*

Please choose which semester*

Please select a campus*

Select a Programme (Faculty)*

Select a qualification (course)*

Selected Course

Course Contact

Course Email

Do you want to complete a 2nd course option in the event that your first choice submission is unsuccessful?* Yes No

First Choice Outcome

Supporting Documents

Please attach certified copies of your highest academic qualification or school grade report, ID document and proof of address.

CLICK ON FOLDER ICON TO UPLOAD*

Biographical Details

Personal Particulars

First name*

Surname*

Initials

Title*

Alternative Title

Marital Status*

Ethnic Group*

Home Language

Occupation (if any)

Nationality & Funding

Do you have a valid South African ID or Birth Certificate No?*

RSA ID No*

Birth (d-m-yyyy)

Gender

South African Citizen

Passport No*

Birth (dd-md-yy)

Gender*

Country of Origin*

How will you be paying your course fees?* DHET Bursury
Self Funded
Study Loan

Personal Contact Information

Physical Address

Should be the actual address where you reside or will reside for the duration of your studies.

House (Flat) No.*

Street Name*

Suburb or Area

City (Town)*

Postal Code*

Province*

Postal Address

To receive communication from the College e.g. progress reports, statement of results, graduation notice, etc. It can also be a P.O. Box Address.

House (Flat) No*

Street Name*

Suburb or Area

City (Town)*

Postal Code*

Province*

Phone and Email Contact Details

Land Line No.

Cell Number

Alternative Cell No

Email address*

Next-of-Kin Contact Details

This could be your mother, father, guardian, spouse or any close relative we could contact in case of emergency.

Personal Details

Surname*

Initials

Title*

Other Title

Relationship to you?*

Landline Number

Cell Number

RSA ID No.

Passport Number

Email & Physical Address

Kin's Email Address

House (Flat) No*

Street Name*

Suburb or Area

City (Town)*

Postal Code*

Province

Country

EDUCATION

Do you have a grade 12 (Matric) Certificate?* Yes No

Highest Post School Qualification/Certification (if any)

Disabilities

Students must declare all disabilities in order to qualify for support from the College. College of Cape Town will not be held liable if students withhold information about their disability status.

Do you have any disabilities?

Tell us about your activities last year

What were you doing last year

POPI Declaration

Protection of Personal Information

Where required in terms of national policies the College must, and will, share your personal information. In particular your data will be shared with national departments such as the Department of Higher Education (DHET) and with prospective Work Placement host employers. Your details may also be shared with external partners of the College in order to provide additional services to students. The College is unable to avoid this.

Declarations

I accept the terms and conditions specified in the Privacy Policy.*

I declare that all information provided in this application form is in full, true and correct. I agree that incomplete information will result in the application being summarily rejected. I further agree to my personal data being shared as stipulated.*

I declare that I read the posted POPI (Protection of Personal Information Act) statement and consent to my data being shared as stipulated.*

Please answer the security question:

2+2 = ?*

REFERENCE NO. (for enquiry purposes only)

Honey Pot1

Honey Pot2

Unique Number

Record ID

UpLoad Date

Status Update

bfFormParameter

User ID

THANK YOU

Your form was successfully submitted as per your Programme & Qualification selection criteria.

This is an application only. If your application is successful you will be invited to Register. You become a student of the College of Cape Town only once we have issued an official proof-of-registration printout. Incomplete applications or those not accompanied by all the required documentation will not be processed.

Files submitted, sending form data now. Please do not abort!