UNIVERSITEIT STELLENBOSCH UNIVERSITY

DEPARTEMENT MUSIEK | DEPARTMENT OF MUSIC

BEURSAANSOEKVORM 2012
BURSARY APPLICATION FORM 2012
STUDENTENOMMER
STUDENT NUMBER
1 7 1 8 2 8 8 3

Merk asb u keuse van aansoek(e) en keuse vir voorgraads of nagraads (met 'n X)
Please mark your choice of application(s) and choice for undergraduate or postgraduate (with an X)

(klavier, viool of sang |

x Anton Hartman Hilda Hendrikz (sang | voice) Smallie piano, violin or voice)

[voorgraads | undergraduate] [voorgraads | undergraduate] [voorgraads | undergraduate]

[nagraads | postgraduate] [nagraads | postgraduate]

x JM Franken HA Molteno JC Coetzee (orrel | organ)

[voorgraads | undergraduate] [nagraads | postgraduate] [voorgraads | undergraduate]

x Myra Chapman
[voorgraads | undergraduate]
[nagraads | postgraduate]
x Finansieel behoeftige of benadeelde student[e] wie se ouers/voogde se totale inkomste minder as R60 000
per jaar is. NB: MOET BEWYS VAN INKOMSTE BY AANSOEK AANHEG
Financially needy or disadvantaged student(s) whose parents'/guardians' total income is less than R60 000
per year. NB: MUST ATTACH PROOF OF INCOME TO APPLICATION

Stuur terug na Karen Valentine

Return to Dept Musiek | Dept of Music Faks | Fax 086 600 1850
Universiteit Stellenbosch / Stellenbosch University
Privaat Sak X1 / Private Bag X1, Matieland 7602 Epos | Email kmv@sun.ac.za

SLUITINGSDATUM : 31 OKTOBER / CLOSING DATE: 31 OCTOBER

A. PERSOONLIKE BESONDERHEDE / PERSONAL DETAILS (Vul volledig in | All particulars must be completed)

ID Nommer Program/Jaar (bv. BMus I)

9 2 0 3 1 6 0 2 7 8 0 8 2 BMus II
ID Number Programme/Year (eg. BMus I)
Van
Van Blerk
Surname
Volle Naam
Michaela
Full Name
Epos
17182883@sun.ac.za
Email
Tuis | Home Selnr | Cell no
Tel nr
Tel no. 021 558 8336 083 2688 467
Woonadres | Residential address Posadres | Postal Address

70 Malmesbury Road, Welgelegen, 7500

70 Malmesbury Road, Welgelegen

Kursus wat u voornemens is om gedurende 2013 te volg

BMus
Course you intend to pursue in 2013
Ontvang u enige finansiële steun? (Indien Ja, spesifiseer asb) Enige verdere besonderhede insake finansiële omstandighede.
Are you receiving any financial assistance? (If Yes, please specify) Any further information regarding your financial situation.

No
Mother – Medically Boarded

Father – Self-Employed