APPLICATION FOR PhD (Art History) SCHOLARSHIP SOUTH AFRICAN RESEARCH CHAIR IN SOUTH AFRICAN ART AND VISUAL CULTURE INSTRUCTIONS You are required to fill in all the information below. An official academic record of courses completed at universities and the results you obtained must accompany your submission. Your completed application form plus your academic results must be e-mailed to Prof Brenda Schmahmann e-mail BIOGRAPHICAL DETAILS SURNAME: FIRST NAME: ID NUMBER: RACE: GENDER: DATE OF BIRTH: CITIZENSHIP: PLEASE INDICATE IF YOU HAVE A DISABILITY: CONTACT DETAILS POSTAL ADDRESS: PRIMARY TELEPHONE NUMBER: FAX NUMBER: MOBILE (CELL) NUMBER: PRIMARY E-MAIL ADDRESS: ALTERNATE E-MAIL ADDRESS: QUALIFICATIONS
APPLICATION FOR PhD (Art History) SCHOLARSHIP SOUTH AFRICAN RESEARCH CHAIR IN SOUTH AFRICAN ART AND VISUAL CULTURE INSTRUCTIONS You are required to fill in all the information below. An official academic record of courses completed at universities and the results you obtained must accompany your submission. Your completed application form plus your academic results must be e-mailed to Prof Brenda Schmahmann e-mail BIOGRAPHICAL DETAILS SURNAME: FIRST NAME: ID NUMBER: RACE: GENDER: DATE OF BIRTH: CITIZENSHIP: PLEASE INDICATE IF YOU HAVE A DISABILITY: CONTACT DETAILS POSTAL ADDRESS: PRIMARY TELEPHONE NUMBER: FAX NUMBER: MOBILE (CELL) NUMBER: PRIMARY E-MAIL ADDRESS: ALTERNATE E-MAIL ADDRESS: QUALIFICATIONS