2021
Bursary Application
Please read the following before filling in the application form
1. Dell South Africa has a limited number of bursaries, which have been made available to people who
the Company deems to be the most suitable and who qualify academically to further their studies.
2. The fact that you have submitted an application does NOT mean that you automatically qualify for a
bursary. The management of our scholarship programme will make this decision.
3. This form MUST be completed in all respects.
4. All relevant documents as requested in the checklist MUST be attached to your application.
5. The original must be delivered and NOT faxed to your financial aid office
6. All family income to be disclosed and substantiated in full.
7. Although this bursary is paid directly to the educational institution on behalf of the student, it is the
student’s responsibility to furnish the company with his/her results as stipulated in the Contractual
Agreement.
8. Your application will NOT be considered if you already hold a scholarship/bursary from another company
or organization.
9. Dell South Africa may request that the recipient, upon completion of his/ her studies, to complete an
internship program at Dell. Further details will be made available upon acceptance.
10. All successful bursary recipients will be required to sign a contractual agreement.
11. Please submit completed application forms to your financial aid office at your campus within the
requested time frames
12. Our preference is studies within the following fields: Computer Science, Information Systems, Information
Technology, Marketing.
Surname First name
Year of Study Degree & Majors
Attach ID Photo
Year-end average Citizenship
Gross earnings of Date of
Household per annum Application
FOR OFFICE USE ONLY:
Date Application Date Approved/
received Declined
Bursary
Amount Approved
Approved By
Section A
Personal details
Surname
First Names
Date of Birth
Identity number
Age
Where were you born? (Town &
Country)
Nationality
Disability (if applicable)
Where do you intend to staying while
studying?
Residential/Home address
Student Address
Home Telephone code & Number
Cell phone Number
E-mail Address
Section B
Parents/Guardians’ details
Guardian: FATHER MOTHER
Surname
First Names
Date of Birth
Home Address
Home Telephone code & Number
Occupation
Employer
Employer phone number
Duration of employment
(months/years)
Number of children under the age of
18
Ages
Number of post matrics in the house
Gross Income per month
Total household expenses per month
Total Family gross income per month
*Total combined household income per annum should not exceed R 350 000.
•
Section C
Educational Background
(Must be completed by all applicants)
Name of High School which you presently attend
Town/City
Province
What year are you in
Student no.
List your matric subjects, your latest results and level (standard/ higher grade), as well as attach proof
of your completed results to date
Subject: Symbol Level Subject: Symbol Level
Average mid-year mark (Percentage) Promoted? YES NO
What degree would you like to study for next year?
Name of University which you would like to attend?
Have you been accepted by this institution?
What year would you qualify for next year?
Section D
General Information
(Must be completed by all applicants)
Describe yourself in 50 words or less:
Give reason for requesting financial assistance:
Why did you choose this particular course and how do you intend utilizing it?
Section D
Continue
Further particulars you wish to give in support of your application?
What courses will you study next year e.g. Economics 178
Other bursaries you applied for? What Reply have you received?
Section E
Financial Details
Note: Please ensure that you research the cost of the various funding categories thoroughly when filling in the
requested column. These must reflect the actual amount that needs to be paid.
Registration fees: Actual requirement as per institution
Tuition fees: Should reflect the sum of the individual courses you intend to study next year
Residence fees: Actual amount and not estimates
Books: To be reasonable estimate
Meals: The sum of the daily food allowance if staying at a self-catering residence
Travelling: Provide a schedule of daily travelling expenses if you are not staying in res.
Other: please explain in detail and provide proof of cost
DESCRIPTION AMOUNT: AWARD (For office use)
Registration fees: R R
Tuition Fees: R R
Books per year: R R
Residence fees per year: R R
Meals per year R R
Travelling per year R R
Other 1* R R
Other 2* R R
TOTAL: R R
*Please explain in full what these expenses are needed for:
Other 1*
Other 2*
Section F
References
Names of persons prepared to recommend you to study this course – not a family member)
1. Title, First name & Surname
Occupation
Telephone code & number
Address
2. Title, First name & Surname
Occupation
Telephone code & number
Address
Declaration by Applicant
I hereby confirm that I _______________________________ (student name) have read and attached all applicable
documents as listed in the checklist which accompanied the issue of this application form.
I have read the information and understand it.
I understand that my application form WILL NOT be considered unless the form is fully completed and all the
requested documents are attached.
I agree that Dell South Africa and its bursary administration may confirm the details I have provided.
I confirm the above information is true and correct.
I will accept the final decision of Dell South Africa.
SIGNED ON THE ______DAY OF _____________________ 202_. APPLICANTS SIGNATURE ______________________
Bursary Application
Checklist
NAME ________________________________________ STUDENT NUMBER ______________________________________
Before delivering your application, use this checklist to make sure that you have completed your application
and attached all the required document
Incomplete Applications will not be considered.
DOCUMENTATION:
1. A certified copy of your South African ID document or passport.
2. A recent photograph of yourself.
3. A certified copy of your latest examination results
4. A certified copy of your matric certificate (when available)
5. Proof of acceptance to the Educational institution to which you have applied
6. Registration fees
7. Tuition fees – by course you intend on studying in the following year
8. Residence fees – official residence fees indicating full service or self-catering
9. Meals – provide schedule of daily food allowance if staying in self-catering residence
10. Travelling – provide schedule of actual daily travelling expenses if not staying on campus
11. If your parents or guardians are deceased or divorced – provide a copy of death certificate or divorce decree
(including details of any maintenance payments)
12. If your parents or guardians are unemployed – a sworn affidavit signed by the unemployed person before a
commissioner of oaths proving unemployment must be provided
13. If your parents or guardians are employed – provide the most recent pay slip for each person, giving full details
of gross income and all other benefits
14. If either of your parents or guardians are pensioners – a certified copy of their pension slip must be provided
15. If either of your parents or guardians work in the informal sector or own any business – provide an audited
financial statement or sworn affidavit indicating estimated gross monthly income.
PLEASE ENSURE THAT ALL DOCUMENTATION IS ATTACHED TO THE BACK OF YOUR APPLICATION FORM.
