The details supplied by me in the Application for Financial Assistance, is a true reflection of my position for 2017. Should I be granted financial assistance by Polokwane Municipality- I undertake to abide by Polokwane Municipality’s rules pertaining to the granting of financial assistance. I understand that the bursary will not be renewed automatically and that a new application form must be submitted each year. I agree that Polokwane Municipality’s External Bursary Committee retains the right to reduce the award if the amount exceeds the full prescribed University fees for that particular academic year. I agree that no credit balance of Polokwane Municipality administered award will be refunded to me. I hereby authorize the Polokwane Municipality to supply any Institution or Organization with any information pertaining to my financial and academic position as may be required by that Institution or Organization. I understand that, should any relevant information be omitted or found to be incorrect, Polokwane Municipality shall withdraw the bursary. Signed at on the Day of 20… …………………………. …… ………….………………. Signature of Applicant: Commissioner of Signature of Parent/ legal Guardian (if Applicant is under the age of 18 years): Witness: Witness:
The details supplied by me in the Application for Financial Assistance, is a true reflection of my position for 2017. Should I be granted financial assistance by Polokwane Municipality- I undertake to abide by Polokwane Municipality’s rules pertaining to the granting of financial assistance. I understand that the bursary will not be renewed automatically and that a new application form must be submitted each year. I agree that Polokwane Municipality’s External Bursary Committee retains the right to reduce the award if the amount exceeds the full prescribed University fees for that particular academic year. I agree that no credit balance of Polokwane Municipality administered award will be refunded to me. I hereby authorize the Polokwane Municipality to supply any Institution or Organization with any information pertaining to my financial and academic position as may be required by that Institution or Organization. I understand that, should any relevant information be omitted or found to be incorrect, Polokwane Municipality shall withdraw the bursary. Signed at …………………………. on the …… Day of ………….………………. 20… Signature of Applicant: Commissioner of Signature of Parent/ legal Guardian (if Applicant is under the age of 18 years): Witness: Witness:
Bursary%20application%20form%20(8)%20(6)%20(2).docx