APPLICATION FORM/AANSOEKVORM 2013

INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM INSTRUKSIES OM DIE AANSOEKVORM IN TE VUL VERY IMPORTANT: PLEASE READ THE INSTRUCTIONS CAREFULLY AND COMPLETE EVERY FIELD. INCOMPLETE FORMS WILL NOT BE PROCESSED. NOTE: NATIONAL BENCHMARK TESTS (NBT) may be required! See NBT Website www.nbt.ac.za or call NBT call centre at 021 650 3523. BAIE BELANGRIK: LEES DIE INSTRUKSIES DEEGLIK EN VOLTOOI ELKE VELD. ONVOLLEDIGE VORMS SAL NIE VERWERK WORD NIE. LW: DIE NASIONALE NORMTOETS (NNT) is moontlik n voorvereiste. Sien die NNT-webwerf www.nbt.ac.za of skakel die NNT-inbelsentrum by 021 650 3523. 1. ADMISSION REQUIREMENTS/TOELATINGSVEREISTES Please consult the brochure Career Prospectus obtainable from the Student Enrolment Centre for full details of the admission requirements pertaining to the qualification/programme for which you intend to enrol. Raadpleeg asseblief die brosjure Loopbaanprospektus verkrygbaar by die Studenteinskrywingsentrum vir volledige besonderhede oor die toelatingsvereistes wat betrekking het op die kwalifikasie/program waarvoor u wil inskryf. 2. APPLICATION DEADLINES/AANSOEKKEERDATUMS
BEd HONS (EDUCATIONAL PSYCHOLOGY) MEd EDUCATIONAL PSYSHOLOGY BEd HONS (OPVOEDKUNDIGE SIELKUNDE) MEd OPVOEDKUNDIGE SIELKUNDE ALL ALLE PROGRAMME GENERAL ALGEMEEN UNDERGRADUATE PROGRAMMES VOORGRAADSE PROGRAMME ALL ALLE PROGRAMME UNDERGRADUATE PROGRAMMES VOORGRAADSE PROGRAMME ALL ALLE PROGRAMME ALL ALLE PROGRAMME ALL ALLE PROGRAMME

ENQUIRIES/NAVRAE Direct further enquiries about your application to: 011 559 4555 Rig verdere navrae in verband met u aansoek aan: 011 559 4555 www.uj.ac.za POSTAL AND DELIVERY ADDRESS POS- EN AFLEWERINGSADRES AUCKLAND PARK KINGSWAY CAMPUS/KAMPUS cnr Kingsway and University Road h.v. Kingsway en Universiteitsweg Auckland Park, Johannesburg STUDENT ENROLMENT CENTRE Posbus/PO Box 524 Auckland Park 2006 All International Students should first contact the International Office before applying:

27/07/2012 @ 12:00 FACULTY OF EDUCATION FAKULTEIT OPVOEDKUNDE FACULTY OF HEALTH SCIENCES FAKULTEIT GESONDHEIDSWETENSKAPPE 31/08/2012 @ 12:00 INTERNATIONAL STUDENTS BUITELANDSE STUDENTE FACULTY OF LAW FAKULTEIT REGSGELEERDHEID 28/09/2012 @ 12:00 FACULTY OF ART, DESIGN AND ARCHITECTURE FAKULTEIT KUNS, ONTWERP EN ARGITEKTUUR FACULTY OF ECONOMIC AND FINANCIAL SCIENCES FAKULTEIT EKONOMIESE EN FINANSILE WETENSKAPPE FACULTY OF ENGINEERING AND THE BUILT ENVIRONMENT FAKULTEIT INGENIEURSWESE EN DIE BOU-OMGEWING FACULTY OF MANAGEMENT FAKULTEIT BESTUUR FACULTY OF SCIENCE FAKULTEIT NATUURWETENSKAPPE 26/10/2012 @12:00 ACCOMMODATION/VERBLYF INTERNATIONAL STUDENTS BUITELANDSE STUDENTE FACULTY OF ECONOMIC AND FINANCIAL SCIENCES FAKULTEIT EKONOMIESE EN FINANSILE WETENSKAPPE FACULTY OF EDUCATION FAKULTEIT OPVOEDKUNDE FACULTY OF HUMANITIES FAKULTEIT GEESTESWETENSKAPPE REFUGEES / ASYLUM SEEKERS VLUGTELINGE/ASIELSOEKERS POST GRADUATE PROGRAMMES NAGRAADSE PROGRAMME UNDERGRADUATE PROGRAMMES VOORGRAADSE PROGRAMME ALL ALLE PROGRAMME

APK: 011 559 4517 APB: 011 559 1027 DFC: 011 559 6510 Buitelandse Studente Buitelandse studente moet eers die Internasionale Kantoor skakel voordat n aansoek ingedien word: APK: 011 559 4517 APB: 011 559 1027 DFC: 011 559 6510 IMPORTANT: DO NOT PAY THE APPLICATION FEE IF YOU HAVE APPLIED PREVIOUSLY BELANGRIK: MOET NIE DIE AANSOEKFOOI BETAAL AS U REEDS VOORHEEN AANSOEK GEDOEN HET NIE.

3. APPLICATION FEES/AANSOEKGELD Payment may only be made by/Betaling kan alleenlik geskied by wyse van: BANK GUARANTEED CHEQUE TO: University of Johannesburg BANKGEWAARBORGDE TJEK AAN: Universiteit van Johannesburg BANK DEPOSIT/BANKDEPOSITO ELECTRONIC PAYMENT/ELEKTRONIESE BETALING Application fees are not refundable/Aansoekgeld is nie terugbetaalbaar nie R400-00 for 2013 intake/vir 2013 inname R850-00 Residence deposit/Koshuisdeposito NB: POSTAL ORDERS ARE NOT ACCEPTED LW: GEEN POSORDERS WORD AANVAAR NIE. (NEITHER LOCAL NOR FOREIGN) (NG BUITELANDSE NG BINNELANDSE) NB: CASH IS NOT ACCEPTED LW: KONTANT WORD NIE AANVAAR NIE

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ACADEMIC DOCUMENTS (School results are compulsory for first-time undergraduate students) AKADEMIESE DOKUMENTE (Skooluitslae is verpligtend vir eerste voorgraadse aansoeke) All documents must be certified copies (only academic record and certificate of conduct must be original) Alle dokumente moet gewaarmerkte afskrifte wees, buiten die akademiese rekord en gedragsertifikaat (oorspronklike) Undergraduate SA/ Postgraduate SA/ International/ Voorgraadse SA Nagraadse SA Buitelandse Final Grade 11 and/or final Grade 12 results/Finale graad 11 en/of finale graad 12-uitslae Senior Certificate (with exemption for bachelors degree) or SCV Senior Certificate Vocational with endorsement for certificate, diploma, Bachelors degree, NSC with endorsement for e.g. degree, diploma or certificate. Senior Sertifikaat (met vrystelling vir B-graad) of SSB Senior Sertifikaat (Beroepsgerig) met endossement vir sertifikaat, diploma, B-graad; NSS met endossement vir bv. graad, diploma of sertifikaat Cambridge School Certificate A/O Level, IGCSE/HIGCSE, NSSC HIGHER/ORDINARY LEVEL, IEB. Cambridge Skoolsertifikaat A-/O-vlak, IGCSE/HIGCSE, NSSS HOR/GEWONE VLAK, IEB N3/N4/N5/N6 results (where applicable) N3-/N4-/N5-/N6-uitslae (indien van toepassing) Conditional Grade 12 exemption certificate Voorwaardelike graad 12-vrystellingsertifikaat Confirmation letter from Matriculation Board (international undergraduate applicants) Bevestigingsbrief van die Matrikulasieraad (buitelandse voorgraadse aansoekers) Original SAQA evaluation (international postgraduate applicants) Oorspronklike SAKO-evaluasie (buitelandse nagraadse aansoekers) Certified copy of final grade 12 statement of symbols/Gewaarmerkte afskrif van finale graad 12 simbolestaat Previous degree/certificate/Vorige graad/sertifikaat Previous national diploma(s)/Vorige nasionale diploma(s) Other diplomas/Ander diplomas Status application for postgraduates (obtainable from faculty) Statusaansoek vir nagraadse aansoekers (verkrygbaar by fakulteit) Academic record and certificate of conduct if registered at another higher education institution (original) Akademiese rekord en gedragsertifikaat indien u by n ander horonderwysinstelling gerigistreer was (oorspronklike) Certified copy of ID document/Gewaarmerkte afskrif van ID-dokument Certified copy of passport/Gewaarmerkte afskrif van paspoort Proof of NBT results/Bewys van NNT-uitslae 3 3 3 3 3 3 3 3

*
F

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3 3

3 3 3 K D E T A C H 3 3 / S E

* *
3 3

5. 6. 7.

* If applicable/Indien van toepassing

CHANGE OF ADDRESS/ADRESVERANDERING The University must be notified immediately of any change of address after submission of the form at the Student Enrolment Centre. Die Universiteit moet onmiddellik van enige adresverandering na indiening van die vorm by die Studente-inskrywingsentrum in kennis gestel word. CANCELLATION OF APPLICATION/KANSELLASIE VAN AANSOEK The Student Enrolment Centre/University/residences must be notified immediately if this application is cancelled or changed prior to registration at the faculty concerned. Die Studente-inskrywingsentrum/Universiteit/Koshuise moet onmiddellik ingelig word indien hierdie aansoek voor registrasie by die betrokke fakulteit gekanselleer of verander word. SEPARATE LETTERS/AFSONDERLIKE BRIEWE Please note that you will be notified in separate letters of the outcome of an academic application, residence application and/or application for a bursary or loan. Let asseblief daarop dat u van die uitslag van u akademiese aansoek, verblyfaansoek en/of aansoek om n beurs of lening in aparte briewe verwittig sal word.

FOROMO YA GO DIRA DIKGOPELO/ IFOMU LESICELO 2013

DITAELO TA GO TLATA FOROMO YA GO DIRA DIKGOPELO IZIQONDISO ZOKUGCWALISA IFOMU LESICELO SEO SE LEGO BOHLOKWA KUDU: ANKE O BALE DITAELO KA KELOHLOKO GOMME O TLAT E KAROLO YE NNGWE LE YE NNGWE FOROMO YE NNGWE LE YE NNGWE YEO E SA TLAT WAGO KA BOTLALO E KA SE ELWE HLOKO. ELA HLOKO: DITEKO TA BOSETHABA TA MAEMOKELO (NBT) di ka nyakega! Bona Websaete ya NBT www.nbt.ac.za goba leleta senthara ya NBT ya megala go 021 650 3523. DIPOTIO/IMIBUZO Te dingwe ta dipotio mabapi le kgopelo ya gago di ka lebiwa: 011 559 4555 Eminye imibuzo mayelana nesicelo sakho ungayidlulisela lapha: 011 559 4555 www.uj.ac.za ATERESE YA POSO LE KIO AMAKHELI OKUPOSA NOKUDILIVA AUCKLAND PARK KHAMPHASE YA KINGSWAY/ AUCKLAND PARK IKHEMPASI YASE- KINGSWAY Magahlanong a Mebila ya Kingsway le Yunibesithi EKhoneni lemigwaqo uKingsway No-University Auckland Park, Johannesburg STUDENT ENROLMENT CENTRE PO Box 524 Auckland Park 2006 Baithuti ba Bodithabathaba ka moka ba swanete go ikgokaganya le Kantoro ya Kamogelo ya Bodithabathaba pele ba ka dira dikgopelo Bonke Abafundi Bamazwe Omhlaba kumele baqale bathintane neHhovisi Lokwamukelwa Kwabamazwe Omhlaba ngaphambi kokuba benze izicelo APK: 011 559 4517 APB: 011 559 1027 DFC: 011 559 6510 OKUBALULEKILE: UNGAKHOKHI IMALI YOKUFAKA ISICELO UMA NGABE WAKE WAFAKA ISICELO NGAPHAMBILI. SE BOHLOKWA: O SEKE WA LEFA TEFO YA GO DIRA KGOPELO GE E LE GORE O ILE WA DIRA KGOPELO NAKO YE E FETILEGO OKUBALULEKE KAKHULU: SICELA UFUNDISISE KAHLE IZIQONDISO BESE UGCWALISA YONKE IMIKHAKHA. IFOMU NOMA YILIPHI ELINGAGCWALISIWE NGOKUPHELELE NGEKE LAMUKELWE. QAPHELA: KUNGENZEKA KUDINGEKE OKOKUHLOLA KUKAZWELONKE KOKULINGANISA NAMAZINGA AHLELIWE (NBT)! Bona Isizindalwazi se-NBT i-www.nbt.ac.za noma fonela inombolo yocingo 021 650 3523. 1. DINYAKWA TA KAMOGELO /IZIMFUNEKO ZOKWAMUKELWA Anke o bale dipukwana ta le Lenaneo la Meomo yeo e ka kgethwagogo twa Karolong ya Boingwadio bja Baithuti go hweta dintlha ka botlalo mabapi le dinyakwa ta go amogelwa teo di amanago le boithutelo /lenaneo leo o nyakago go ingwadia go lona. Sicela ubheke izincwajana ezithi Uhlelo Lwezifundo ezitholakala kanyenethi Esikhungweni Sokubhalisa Abafundi ukuze uthole imininingwane egcwele yezimfuneko zokwamukelwa ezisebenza kulezo ziqu/uhlelo ofuna ukulufundela. 2. MATATIKGWEDI A GO ROMELA KGOPELO/IZINSUKU ZAMANQAMU ZOKUFAKA IZICELO
BEd HONS (SAEKHOLOTI YA THUTO) MEd SAEKHOLOTI YA THUTO BEd HONS (ISAYIKHOLOJI YEZEMFUNDO) MEd ISAYIKHOLOJI YEZEMFUNDO KA MOKA BONKE KAKARETO JIKELELE MANANEO A DITHUTO A KA FASE GA TIKRII IZINHLELO ZABANGENA ZIQU KA MOKA BONKE MANANEO A DITHUTO A KA FASE GA TIKRII IZINHLELO ZABANGENA ZIQU KA MOKA BONKE KA MOKA BONKE KA MOKA BONKE

27/07/2012 @ 12:00 FAKHALITHI YA THUTO IFAKHALITHI YEZEMFUNDO FAKHALITHI YA DISAENSE TA MAPHELO IFAKHALITHI YAMASAYENSI EZEMPILO 31/08/2012 @ 12:00 BAITHUTI BA BODITHABATHABA ABAFUNDI BOMHLABA WONKE FAKHALITHI YA MOLAO IFAKHALITHI YEZOMTHETHO 28/09/2012 @ 12:00 FAKHALITHI YA BOKGABO, MOAKANYETO LE THUTABOAGI IFAKHALITHI YOBUCIKO, IMIDWEBO NOKUMISWA KWEZAKHIWO FAKHALITHI YA DISAENSE TA EKONOMI LE MATLOTLO IFAKHALITHI YESAYENSI YEZOMNOTHO NEZIMALI FAKHALITHI YA BOENTENERE IFAKHALITHI YOBUNJINIYELA FAKHALITHI YA TAOLO IFAKHALITHI YEZOKUPHATHA FAKHALITHI YA DISAENSE IFAKHALITHI YEZESAYENSI 26/10/2012 @12:00 MADULO/INDAWO YOKUHLALA BAITHUTI BA BODITHABATHABA ABAFUNDI BAMAZWE OMHLABA FAKHALITHI YA DISAENSE TA EKONOMI LE MATLOTLO IFAKHALITHI YESAYENSI YEZOMNOTHO NEZIMALI FAKHALITHI YA THUTO IFAKHALITHI YEZEMFUNDO FAKHALITHI YA TA BOTHO IFAKHALITHI YEZIFUNDO ZOBUNTU

BAFALADI / BANYAKA THIRELETO IZIMPABANGA /ABAFUNA IKHOSELA MANANEO A DITHUTO TA KA MORAGO KA TIKRII IZINHLELO ZABAZUZE IZIQU MANANEO A DITHUTO A KA FASE GA TIKRII IZINHLELO ZABANGENA ZIQU KA MOKA BONKE

3. DITEFELO TA DIKGOPELO/IMALI YOKUFAKA ISICELO Ka kgopelo kgetha e tee ya te di latelago/Sicela ukhokhe ngeyodwa yalezi zindlela: THEKE YE E YAGOGO/ISHEKE ELIYA: Yunibesithi ya Johannesburg: SETLANKANA SA PANKA SA GO TSENYA THELETE ISILIPHU SASEBHANGE SOKUFAKA IMALI Ditefelo ta dikgopelo ga di buetwe morago/Imali yokufaka isicelo ayinakubuyiswa R400-00 ka/ngo2013 R850-00 ka/ngo2013 Residence deposit ELA HLOKO: OTARA YA POSO GA E AMOGELWE/QAPHELA: AMAPHOSTAL ODA AWAVUNYELWE

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DITOKUMENTE TA THUTO (Dipoelo ta sekolo di nyakega go baithuti bao ba dirago dikgopelo lekga la mathomo) AMAPHEPHA EMFUNDO (Imiphumela yasesikoleni iyimpoqo kubafundi abaqalayo abangakatholi iziqu) Ditokumente ka moka di swanete go ba dikhophi teo di hlatsetwego, ka ntle le rekhoto ya dithuto le setifikeiti sa boitshwaro Wonke amaphepha kumele kube amakhophi aqinisekisiwe, ngaphandle kwerekhodi lezemfundo nesitifiketi sokuziphatha okudingeka kube awesiqobo. Ditikrii ta tlase SA/ Umbhalo wokuqala Dipoelo ta Kreiti ya 11/goba ta Magareng a ngwaga a Kreiti ya 12 Imiphumela yokugcina ka-grade 11 kanye/noma ka-grade 12 Setifikeiti sa marematlou (seo se dumelelago boingwadio lenaneong la tikrii) goba sa NSC (seo se dumelelago go ithutela mohl. Setifikeiti, Didiploma goba Ditikrii. Isetifiketi sikaMatikuletsheni (esivumayo ukuthi wenze iziqu) noma i-NSC enesiqiniseko seSitifiketi, seDiploma, seZiqu) Setifikeiti sa sekolo sa Cambridge sa Maemo a A/O, ICGSE/HICGSE, NSSC MAEMO A GODIMO/ A TLWAELO, IEB Isitifiketi sesikole iCambridge izinga A/0, ICGSE/HICGSE, IZINGA ELIJWAYELEKILE, IEB Dipoelo ta N3/N4/N5/N6 (ge di le gona)/Imiphumela ka-N3/N4/N5/N6 (uma ikhona) Setifikeiti sa peelano sa tokollo sa Marematlou Isitifiketi sikaMatikuletsheni esinamamaki amahle esinemibandela Lengwalo la tiieto go twa go Lekgotla la Marematlou (bakgopedi bao ba se ogo ba aloga ba go twa dinageng ta ka ntle) Incwadi yesiqinisekiso evela eBhodi Kamatikuletsheni (Abafake izicelo abangakatholi iziqu abavela kwamanye amazwe) Tekanyeto yeo e sego khophi ya SAQA (bakgopedi bao ba etego ba kile ba aloga ba batwantle)/Ukuhlaziywa kwe-SAQA kokuqala (Abafake izicelo asebeneziqu zakwelinye izwe) Setatamente sa dipoelo ta Marematlou/Isitatimende esiqinisekiwe samamaki sikamatikuletsheni Tikrii goba setifikeiti sa nakong ye e fetilego/Iziqu/isitifiketi sangaphambili Didiploma ta nakong ye e fetilego ta Bosethaba/Isiqu sikazwelonke sangaphambili Didiploma te dingwe/Amanye amaDiploma Kgopelo ya boemo sebakeng sa ditikrii ta ka godimo (e hwetagala lefapheng) Isimo sesicelo kwasebeneziqu (sitholakala kufakhalthi) Rekhoto ya thuto le setifikeiti sa maitshwaro ge e le gore o ingwadiite instithueneng ye nngwe ya thuto ye e phagamego (yeo e sego khophi) Irekhodi lezemfundo nesitifiketi sokuziphatha uma ubhalise kwesinye isikhungo semfundo ephakeme (eyoqobo) Pukwana ya boitsebio/Ikhophi lencwadi yomagisi (eliqinisekiwe) Paseporoto/ Ikhophi lePasipoti (eliqinisekiwe) Bohlatse bja dipoelo tsa NBT/dipoelo /Isiqinisekiso semiphumelo/nesiphetho se-NBT 3 3 A D E T 3 3 3 3 3 3 3 Ditikrii ta ka godimo SA/ Abangatholi iziqu baseSA Bodithabathaba/ Abamazwe Omhlaba

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3

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R A

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3 3

3 E

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3 3 /

3 H

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GO FETOWA GA ATERESE/UKUSHINTSHA KWEKHELI Yunibesithi e swanete go tsebiwa ka pejana ka ga diphetoo te dingwe le te dingwe ta aterese ka morago ga ge diforomo di amogetwe Karolong ya Boingwadio bja Baithuti Nyuvesi kumele yaziswe ngokushesha nganoma yiluphi ushintsho lwekheli (lokuposa nelendawo yokuhlala) ngemuva kokuhambisa ifomu Esikhungweni Sokubhalisa Abafundi. GO PHUMULWA GA KGOPELO/UKUHOXISWA KWESICELO Yunibesithi/mafelo a bodulo/ Karolo ya Boingwadio bja Baithuti / di swanete go tsebiwa ka pejana ge e le gore kgopelo ye e phumutwe goba e fetoitwe pele ga go ngwadiwa lefapheng leo le ikarabelago. Inyuvesi/izindawo zokuhlala/Isikhungo Sokubhalisa Abafundi kumele baziswe ngokushesha uma lesi sicelosihoxiswa noma sishintshwa ngaphambi kokubhalisa kufakhalthi efanele. MANGWALO AO A AROGANEGO/ IZINCWADI EZIHLUKENE Hlokomela gore dipoelo ta gago ta dikgopelo ta dithuto, dikgopelo ta bodulo gammogo le ta thuo ya dithelete goba kadimo di tla tweletwa ka mangwalo a mararo ao a fapanego. Sicela uqaphele ukuthi umphumela wesicelo sakho semfundo, sendawo yokuhlala, somfundaze noma imali yokwebolekwa siyotholakala ngezincwadi ezintathu ezahlukene.

ACADEMIC APPLICATION FORM 2013

STUDENT NUMBER (PREVIOUSLY ALLOCATED)

FILEPLAN NUMBER

9FD/9.1.3.1

FOR OFFICE USE ONLY APS <= 17 M-SCORE APS SPORT SOWETO CAMPUS BUNTING RD CAMPUS DOORNFONTEIN CAMPUS KINGSWAY CAMPUS UNDERGRADUATE POSTGRADUATE EXTRA-CURRICULAR INTERNATIONAL DOCUMENTS OUTSTANDING ACCOMMODATION ORANGE CARPET AGREEMENT & INDEMNITY BURSARY DISABILITY RPL/EVL REFER

Signature HOD and supervisor (Post Grad only) APPLICATION FOR YEAR OF STUDY First choice of study e.g. BCom (Accounting) Qualification code (As per prospectus) Second choice of study e.g. BCom (Finance) Qualification code (As per prospectus) 1. 2. 3. 4. 5. 6. 7. Identity number Passport number (international students only) Title (Mr/Ms/Mrs/Dr/etc.) Initial(s) Surname First names in full Maiden name (married women)

8.

Date of birth e.g.

7 D D M M Y Y Y Y

9. Marital status (Mark with an X) 10. Single Gender Divorced Male Married Female Widowed

Cohabiting

11. Home language (Mark with an X) Afrikaans Dutch English French German IsiNdebele Other Home Languages (Specify) Sesotho sa Leboa SiSwati Xitsonga Setswana Tshivenda IsiXhosa IsiZulu

12. Religious affiliation (not compulsory) 13. Population group (COMPULSORY) (Information required for government reporting purposes) African Coloured Indian White Other

14. Non-South African citizens, indicate your country of origin: Angola Botswana Lesotho Malawi Mozambique Other African countries (Specify) 15. Current and previous activity 15.1 Please indicate your current and previous activity Current University student Teachers college student Technikon student Nursing college student Other (e.g. economically inactive) Yes No Previous Technical college student Military service Labour force Grade 12/Grade 11 learner Current Previous Namibia Swaziland Zambia Zimbabwe Countries in Asia Countries in Australia & Oceania Countries in Europe Countries in North America Countries in South America Other (Specify)

15.2 Are you currently in the teaching profession? B. SCHOOL-LEAVING DETAILS 15.3 1. Name of higher education institution attended (if applicable) Highest grade passed to date Grade 11 2. 3. Examination number (If already available) Type of certificate (Mark with an X) Joint Matriculation Board full exemption Grade 12 Ordinary conditional exemption FET Certificate Independent Matriculation Board Cambridge Matric/A and 0 level NSC (Without endorsement) IEB Specify NSC endorsement type, e.g. certificate, diploma, degree ICGSE NSSC Higher/Ordinary level N3/N4/N5/N6 NCV National Certificate Vocational Mature age exemption Internationals conditional exemption Immigrants conditional exemption NSC (With endorsement) IB International Baccalaureate AS Advanced Subsidiary Level Grade 12 Year

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Name of school attended: School postal address: City or town Postal code

5.

Attach either a certified copy of your final school-leaving certificate or final Grade 11 marks report (official school stamp required). No mid-year Grade 12 marks will be accepted.

C. HIGHER EDUCATION QUALIFICATIONS 1. PREVIOUS HIGHER EDUCATION STUDIES Supply full details of studies at higher education institution(s), if applicable. For registration purposes, the following are regarded as higher education institutions: universities, previous technikons, and teachers training and technical colleges. In the event of discontinuation of studies, indicate the date of cancellation. Year from Year to Higher education institution Field of study (e.g. BA, BCom, MSc (Zoology)) Student number Result (e.g.cancelled, failed, degree obtained)

D. OTHER PARTICULARS 1. 2. OTHER HIGHER EDUCATION INSTITUTIONS Are you planning to study at another higher education institution while registered at UJ? DO YOU HAVE A DISABILITY? Yes Yes No No

The University must be informed of certain disabilities in order to determine whether it is able to make special arrangements to accommodate persons with such disabilities. It is the prospective students responsibility to inform PsyCaD and to make a declaration to the relevant professional board/s (where applicable) in this regard. Confidential advice can be obtained from the office: People with Disabilities, cornee@uj.ac.za or 011 559 3745. 2.1 If Yes, INDICATE THE NATURE Sight Hearing Communication (Talking, listening) Physical (Moving, standing, grasping) Intellectual (Difficulties in learning) Emotional (Behaviour & psychological) Multiple Disabled, but unspecified

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ADDRESSES (COMPULSORY) APPLICANTS ADDRESSES Applicants postal address Postal code

1.2

Applicants study address (if known already) Postal code

1.3

Street address Postal code

1.4

Contact telephone numbers: Home Work (if applicable) Fax number (if applicable) SA cellphone International cellphone Email Dialling code Dialling code Dialling code Number Number Number

2.

ACCOUNT ADDRESS

SURETY I/we the signatory/signatories (hereinafter referred to as the surety/ies) to this agreement, other than the student, hereby bind myself/ourselves as surety/sureties and co-principal debtor/s jointly and severally for and with the student (the principal debtor) in solidum in favour of UJ for the payment of all debts and due fulfilment of all obligations of whatever nature and however arising which the student may now or hereafter owe to UJ. 2.1 2.2 2.3 2.4 Title (e.g. Mr/Mrs/Ms/Miss) Initial(s) Surname Postal address of party responsible for account Country 2.5 Street address Postal code 2.6 2.7 2.8 2.9 Telephone number of party responsible for account ID/Passport number of party responsible for account Cellphone number of party responsible for account Email Dialling code Number Postal code

3. 3.1 3.2 3.3 3.4

ADDRESS: PARENT/GUARDIAN/NEXT OF KIN Title (e.g. Mr/Mrs/Ms/Miss) Initial(s) Surname Postal address Postal code

3.5

Street address Postal code

3.6 3.7 4.

Telephone number Cellphone number FINANCIAL ARRANGEMENTS

Dialling code

Number

A COPY of the deposit slip must accompany your application form. This deposit can only be made at a branch of ABSA Bank. Should you apply for accommodation, your accommodation deposit and your general application fee may be paid in as one amount. NB: You must fill in your IDENTITY NUMBER IN THE DEPOSIT REFERENCE FIELD on the bank deposit slip or the Electronic Funds Transfer (EFT). ABSA Bank - Auckland Park Branch Branch code - 632005 Bank account number - 3240141018 (If using ID number) Bank account number - 2840189565 (If using student number) Bank account number - 4055642621 (If using passport number) You must retain your original proof of payment and only a copy must accompany your application form.

NB:

Students must always state on the deposit slip: Initials and Surname/ID number/Telephone/Cellphone number

5.

SIGNATURE OF APPLICANT: ACADEMIC APPLICATION *Note: An applicant under the age of 18 must have this form signed by either of his/her parents. Where an applicant has no parents (e.g. they are deceased) or the parents are divorced, a legal guardian is normally officially appointed. In such cases the legal guardian must sign this form. If you do not have a parent or a legal guardian, a responsible adult family member (next-of-kin) or other responsible adult who is prepared to make the declaration and the undertaking must sign with you. The details of the parent/legal guardian must be listed on this form. The applicant gives permission for information about academic progress to be divulged to the person/bursar liable for payment of fees. The applicant consents to personal information being utilised for government and University statistical purposes. I hereby declare that this information is correct

Initials and surname of applicant in print Signature of applicant (Duly assisted by his/her parent/guardian, as may be required by law) Date

Initials and surname of person liable for payment of fees in print

Signature of person liable for payment of fees

Date

II

RESIDENTIAL APPLICATION
STUDENT NUMBER (PREVIOUSLY ALLOCATED)

FILEPLAN NUMBER

14FD/14.1.1

ONLY COMPLETE IF APPLYING FOR UJ RESIDENCE ACCOMMODATION

CLOSING DATE: AT 12:00 ON THE LAST FRIDAY IN OCTOBER FIRST APPLICATION FOR ACCOMMODATION AT THE UNIVERSITY OF JOHANNESBURG 1. INSTRUCTIONS FOR PAYMENT OF RESIDENCE DEPOSIT Proof of payment of a R850 deposit must accompany this application Ten percent of the full residence deposit is forfeited if a students academic application is not successful. Year in which you require accommodation

A. PERSONAL PARTICULARS/PERSOONLIKE BESONDERHEDE

1.

First study choice e.g. BCom (Acc)

2.

SA identity number OR Passport number (if international student)

3.

Title (e.g. Mr/Mrs/Ms/Miss)

4.

Surname

5.

First names

6.

Telephone number Cellphone number Email address

Dialling code

Number

7.

Grade 12 year or year of equivalent qualification

8. 9.

Are you an SA citizen?

Yes

No

Population group (compulsory), mark with an X (According to legal requirements and government reporting purposes this section must be completed) African Coloured Indian White Other

10. STUDENTS WITH DISABILITIES (Please note: All housing is self-supportive) The University must be informed of certain disabilities in order to determine whether it is able to make special arrangements to accommodate persons with such disabilities. It is the prospective students responsibility to inform PsyCaD and to make a declaration to the relevant professional boards (where applicable) in this regard. Confidential advice can be obtained from the office: People with Disabilities, cornee@ uj.ac.za or 011 559 3745. 2.1 If Yes STATE THE NATURE WOULD YOU REQUIRE ACCOMMODATION WITH MODIFICATIONS TO SUPPORT YOUR DISABILITY?/ Yes No

B. CHOICE OF ACCOMMODATION Campuses with residences. You can only apply for accommodation on the campus where you are registering (Mark with an X) a) Auckland Park Kingsway (APK) Doornfontein (DFC) AUCKLAND PARK KINGSWAY MIXED SENIOR ACCOMMODATION Sophiatown Student Town Auckland Park Bunting Road (APB) Soweto (SWC)

MENS RESIDENCES LADIES RESIDENCES Afslaan Amper Daar Bastion Benjemijn Dromedaris Oppierif b) AUCKLAND PARK BUNTING ROAD MENS RESIDENCES Majuba LADIES RESIDENCES Kruinsig

Lebone Skoonveld

MIXED SENIOR ACCOMMODATION

Horizon Broadcast Court Panorama Goudstad Flats

c) DOORNFONTEIN MENS RESIDENCES Robin Crest Habitat c) SOWETO MENS RESIDENCES YMCA LADIES RESIDENCES YWCA MIXED SENIOR ACCOMMODATION Hector Peterson Sivebeek Sun Valley LADIES RESIDENCES Aurum Jeunesse Rolane Court MIXED SENIOR ACCOMMODATION Dale Lace

C. SIGNATURE(S)

Signature of applicant (Duly assisted by his/her parent/guardian, as may be required by law)

Signature of parent/guardian (if minor)

Initials and surname of applicant in print

Initials and surname of parent/guardian (if minor) in print

Date

Date

IV
I,

STUDENT AGREEMENT 2013

9FD/9.1.2.1
(full names and surname in block letters), the undersigned, hereby apply/register

identity number /passport number as a student of the University of Johannesburg (UJ), subject to the following terms and conditions:
1. Included in the rules and regulations of UJ under this agreement 1.1. I hereby undertake to acquaint myself, abide by and comply with the UJ Statute, all the rules, regulations, policies and procedures of UJ as amended from time to time. 1.2. I agree that UJ, through its normal governance bodies, may amend any rule, regulation, policy or procedure and that I shall be bound to any such amendment as soon as it may take effect. 1.3. I acknowledge that the curriculum of the degree, diploma or certificate programme for which I am applying/registering has been prescribed by Senate-approved regulation. 1.4. I agree that a change to my regulated curriculum may only be effected with the approval of the curriculum adviser or executive dean in question and any such change must be effected in accordance with the prescribed procedure and within the appointed period. 1.5. I agree to update my personal details on the student portal if they change during my period of study at UJ. 2. Certificates and documents of entrance 2.1 I agree that the University of Johannesburg has the right to cancel my registration if I provide incorrect information or documentation in an application for admission and registration (including but not limited to the official certificate in respect of my UJ admission, any previous study record, and certificate of conduct) or if I fail to provide material information or documentation. 3 Tuition fees 3.1 I/we, the undersigned, hereby assume absolute responsibility for the payment of any fees that may fall due as a result of my studies and/or residence at UJ on the appointed due dates as determined by the UJ from time to time. 3.2 The terms of payment of the University (including tuition and residence fees) are as follows:

4.2 make myself familiar with all the rules, regulations, policies and procedures pertaining to residence or accommodation occupancy and to comply with these regulations and abide by these rules, policies and procedures; 4.3 take cognisance of the rules governing the following: temporary and/or part-time employment, the period of tenancy, the payment and forfeiture of boarding fees, the closing dates for payments, the closing dates for the cancellation of residence, damage to and restitutional damages in respect of student residences and lodgings, disturbance of the peace, the cancellation of my contract in respect of residence and eviction by the University. 5. Amendment to this agreement 5.1. I acknowledge that, unless expressly changed in writing, all the terms of this agreement shall remain in force and shall stand for as long as I am a registered student of UJ, irrespective of whether or not my studies may be suspended. 5.2. I declare that no amendment or change to this agreement, including this clause, shall be valid unless it has been duly authorised in writing by either the Vice-Chancellor or his/her duly authorised representative. 6. Access to information 6.1. I accept, agree and understand that UJ keeps and processes data and documents in electronic and paper format, including the data supplied by me during application and registration. UJ may use and transfer such data and use such documents in electronic or other formats for UJ purposes. This includes but is not limited to the following: 6.1.1. UJ may make use of my personal information (including my surname and first name, identity number, passport number, student number, face image and fingerprints, as well as my cellphone number) for academic, administrative and support purposes. 6.1.2. Details relating to my academic performance, including my National Benchmark Test results, may be used in the interest of my own academic development and support which includes communication with my parent/s, guardian and/or bursary sponsor. 6.1.3. My name, address and phone number may be made available to the UJ Alumni Office and to potential employers for a possible employment opportunity or to such other persons as may be indicated if UJ is compelled by law to adhere to the request (e.g. national learner record database as required by the Department of Higher Education). 6.1.4. Every signatory hereby authorises UJ to collect all of the personal data supplied by them to UJ respectively for research, statistical, credit control and publication purposes, to retain such data and to process the data for the aforestated purposes of UJ and to publish such data and make this data available to third parties. Without detracting from the generality of the aforegoing, the applicant / student irrevocably authorises UJ to account, communicate and report to the spouse, parents or legal guardians of the applicant /student and any person or body responsible for the payment of the tuition and other fees or who has awarded a bursary to the applicant /student to pay in part or in full for the studies and other expenses of the applicant /student regarding the academic and general progress of the applicant /student and in respect of any monies due to UJ and to communicate to all of the aforesaid and any prospective employer all personal data required by such a third party. In general, each signatory agrees to the publication of personal information in any format to such third parties as UJ may deem necessary or may be required to do in the conduct of its responsibilities. All signatories to this agreement agree and acknowledge that my/our consent extended to UJ to disseminate personal information is irrevocable. 7. Cession of intellectual property rights I hereby cede to the UJ any existing, future or contingent copyright or any other intellectual property right that may arise from any incomplete or completed work, including, without limitation, any paper, article, assignment, dissertation, thesis or minor-dissertation, that may in any way whatsoever have originated or originate from any study or research project I may have undertaken or have launched or may undertake or

3.3

Every signatory to this agreement hereby consents to and authorises UJ to enquire about creditworthiness from credit bureaus and to publish any event of non-payment to credit bureaus. 3.4 I confirm that, in the event of my failure to pay any amount due by or demanded of me on the due date, all outstanding fees owing to UJ at that point shall become due and payable in one sum with immediate effect. 3.5 I agree that the nature and amount of my indebtedness to UJ shall at any time be proven by a written certificate purporting to be signed by or on behalf of the Vice-Chancellor of UJ or his duly authorised representative whose authority need not be proved, acting reasonably and in good faith, and this certificate shall constitute prima facie proof of the contents thereof and of the amount of my indebtedness and the fact that such an amount is due and payable in any legal proceedings against me. 3.6 In respect of students not fulfilling their financial obligations on time and as prescribed, the University retains the right: (a) to exclude students from University residences; (b) to withhold students examination results or diplomas/degrees; (c) to cancel students registration after the specified dates and to hold them liable for payment of the outstanding amounts as agreed upon and signed in the special arrangement made with UJ; (d) not to allow students to register if the previous years fees have not been paid in full; (e) not to issue a certificate of conduct; and (f) to institute legal action against students, who will be liable for all UJs legal costs. 4. Residence in one of the student residences or housing units of UJ If I take up residence in one of the UJ student residences or housing units for senior students, I hereby undertake to: 4.1 duly complete and sign the application forms with regard to my year of entry and type of residence;

First semester modules all fees must be paid by 15 April; Second semester modules all fees must be paid by 15 August; Year modules 60% of fees must be paid by 15 April and the balance by 15 August.

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launch at UJ, irrespective of whether such work has been or may be accepted for examination, in accordance with national legislation, the Universitys policy related to intellectual property and the Academic Regulations. Intellectual property rights will also be applicable to any existing, future or contingent copyright or intellectual property rights that may arise from computer software or patent rights, patentable invention or registrable model programme that has originated or may originate from any study or research project whatsoever that I have undertaken or have launched or that I may undertake or launch at UJ. 8. 8.1 8.2 General terms I hereby: declare that this agreement which has been completed and duly signed is applicable to my total period of study at UJ; declare that I have acquainted myself with, and in the future will keep myself acquainted with, the contents of the Universitys Statute, policies, academic and financial rules and regulations pertaining to study at UJ and published on the UJ web: http://www.uj.ac.za; declare that, in the event of my being under-aged, this agreement is concluded with the privity consent and assistance of my parents and/or guardian; declare that should it be deemed necessary by UJ (as a result of this agreement) to institute legal proceedings against me, and should I be unsuccessful in such legal proceedings, I shall be liable for the legal costs according to the attorney and own client scale of fees; accept the jurisdiction of the magistrates court in the event of any action or claim for damages being instituted or brought against me, irrespective of the extent of the action or the measure of damages; consent to an emolument attachment order if UJ should succeed in any legal action to claim or recover any monies from me; declare that UJ reserves the right to move students to extended degrees

if their academic performance is not adequate in the first semester; 8.8 declare that in accordance with the rules, regulations, policies and procedures of UJ, I will give written notification to the faculty officer concerned in the event that I should decide: (a) to change my course of study or curriculum; (b) to terminate my studies in part or in their entirety; (c) not to pursue a particular programme of study in the second semester; or Failure to do so will result in my being indebted in any amount of tuition fees that, owing to my omission, would have become payable to UJ. 9. Domicilium citandi et executandi (physical address for official notices) 9.1 I/we, the undersigned, hereby appoint as our domicilium citandi et executandi for all purposes in terms of this agreement, including the service of legal process, the address set out below. 9.2 I hereby elect, for the purpose of serving all process documents and any other notices pertaining to my studies or research at UJ, the address entitled Domicilium citandi et executandi (physical address), as stated on this agreement form. 10. Surety Each signatory (hereinafter referred to as the surety/ies) to this agreement, other than the applicant /student, hereby bind/s myself/ ourselves as surety/sureties and co-principal debtor/s jointly and severally for and with the applicant /student (the principal debtor) in solidum in favour of UJ for the payment of all debts and due fulfilment of all obligations of whatever nature and however arising which the applicant /student may now or hereafter owe to UJ.(an application fee, for instance)

8.3 8.4

8.5 8.6 8.7

Date: Signature of applicant/student * (Duly assisted by his/her parent/guardian, as may be required by law)

And also signed in his/her own capacity and assisting the applicant /student where necessary by [full name of parent/legal guardian/next-of-kin/spouse]: * DETAILS OF PARENT/GUARDIAN/SPOUSE: Surname: First name: Identity number: Domicilium citandi et executandi (physical address) refer to clause 9

Country:

Postal/zip code:

Country tel. code: Telephone number: Email address:

Dialling code:

* Signature of parent/legal guardian/spouse:

Date:

* Note: An applicant/student under the age of 18 must have this form signed by either of his/her parents. If an applicant /student has no parents (e.g. they are deceased) or the parents are divorced, a legal guardian is normally officially appointed. In such cases, the legal guardian must sign this form. If you do not have a parent or a legal guardian, a responsible adult family member (next-of-kin) or other responsible adult who is prepared to make the declaration and the undertaking must sign with you. The details of the parent/legal guardian must be listed on this form. PLEASE SIGN THE ATTACHED INDEMNITY AND UNDERTAKING FORM (Page 12)

11

INDEMNITY AND UNDERTAKING

Exemption and indemnity Applicants/students under the age of 18 years old must be assisted by their parent or guardian. (This must be the same person listed as next-of-kin.) I, the applicant/student and (where applicable) I, the parent/guardian/next-of-kin/spouse of the applicant/student, declare and agree as follows: 1. I understand and acknowledge that with a view to keeping fees affordable, there is no obligation on the University of Johannesburg (the University) to take out insurance to cover risks to which applicants/students are exposed while studying at the University. 2. Each signatory of this exemption and indemnity waives all rights that he/she may have or may acquire to claim compensation for loss or damage arising from the conduct of the University or someone for whose conduct the University is responsible. 3. Each signatory of this exemption and indemnity furthermore assumes the obligation of the University or person for whose conduct the University is responsible in respect of such a liability. 4. I understand that for purposes of the exemption and indemnity, the expression conduct includes omissions. 5. The exemption and indemnity will not apply where the liability of the University or person for whose conduct the University is responsible is covered by insurance or a statutory compensation scheme (for example the third party compensation scheme relating to motor vehicle accidents). It will also not apply if the loss or damage arises from the gross negligence of the University or a person acting on behalf of the University. ALL APPLICANTS/STUDENTS MUST SIGN BELOW - THANK YOU

Date: Signature of applicant/Student (Duly assisted by his/her parent/guardian, as may be required by law)

And if the applicant/student is under 18 years of age, assisted by [full name of parent or legal guardian or next-of-kin]: First name

Last name/surname

* Signature of parent/legal guardian/spouse:

Date:

* Note: An applicant/student under the age of 18 must have this form signed by either of his/her parents. If an applicant /student has no parents (e.g. they are deceased) or the parents are divorced, a legal guardian is normally officially appointed. In such cases, the legal guardian must sign this form. If you do not have a parent or a legal guardian, a responsible adult family member (next-of-kin) or other responsible adult who is prepared to make the declaration and the undertaking must sign with you. The details of the parent/legal guardian must be listed on this form.

12