APPLICATION FORM/AANSOEKVORM 2014

BEFORE YOU START COMPLETING THIS FORM PLEASE READ AND SIGN THE FOLLOWING CONSENT TO COLLECT PERSONAL INFORMATION:/ VOORDAT U BEGIN OM HIERDIE VORM IN TE VUL, LEES EN ONDERTEKEN DIE VOLGENDE INSTEMMING OM PERSOONLIKE INLIGTING TE BEKOM: I/We accept, agree and understand that UJ must collect and process my/our personal information for academic, administrative and support services. I/We hereby consent to the processing of my/our personal information for this purpose. Ek/Ons aanvaar, stem in en verstaan dat UJ my/ons persoonlike inligting vir akademiese, administratiewe en ondersteuningdienste moet bekom en verwerk. Ek/Ons stem in tot die verwerking van my/ons persoonlike inligting met die oog hierop. Signature of applicant Handtekening van aansoeker Signature of parent if applicant is under 18 years of age Handtekening van ouer van aansoeker indien jonger as 18 jaar oud is

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:

INSTRUCTIONS FOR COMPLETING THE APPLICATION FORM INSTRUKSIES OM DIE AANSOEKVORM IN TE VUL VERY IMPORTANT Please read the instructions carefully and complete all sections. Incomplete forms will not be processed. Only ONE application form per applicant (Please ensure that you qualify for the programme which you are applying for). The completion of the National Benchmarking Test (NBT) is required for all first-time entry applicants. (See NBT Website www.nbt.ac.za or call NBT call centre at 021 6503523). Please allow 4 weeks before checking on the status of your application. You can do so by going to www.uj.ac.za where you will also be able to print a letter regarding your application status. BAIE BELANGRIK Lees asseblief die instruksies sorgvuldig deur en vul al die afdelings in. Onvolledige vorms sal nie verwerk word nie. Slegs EEN aansoekvorm per aansoeker ( maak asseblief seker dat u vir die program waarvoor u aansoek doen, kwalifiseer). Die voltooiing van die Nasionale Normtoets (NNT) word vir almal wat vir die eerste keer aansoek doen, vereis. (Raadpleeg die NNT-webwerf www. nbt.ac.za of skakel die NNT- inbelsentrum by 021 6503523). Gee asseblief vier weke tyd voordat u die status van u aansoek nagaan. U kan dit doen deur na www.uj.ac.za te gaan waar u ook n brief rakende u aansoekstatus sal kan uitdruk.

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 programme for which you intend to enrol. This Career Prospectus can also be downloaded from www.uj.ac.za. Raadpleeg asseblief die brosjure Loopbaanprospektus, wat by die Studente-inskrywingsentrum beskikbaar is, vir volledige besonderhede oor die toelatingsvereistes met betrekking tot die program waarvoor u beoog om in te skryf. Hierdie Loopbaanprospektus kan ook by www.uj.ac.za afgelaai word. 2. APPLICATION DEADLINES/AANSOEKKEERDATUMS
BEd HONS (EDUCATIONAL PSYCHOLOGY) MEd EDUCATIONAL PSYCHOLOGY BEd HONS (OPVOEDKUNDIGE SIELKUNDE) MEd OPVOEDKUNDIGE SIELKUNDE

26/07/2013 @ 12:00 FACULTY OF EDUCATION

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 PAID PREVIOUSLY BELANGRIK: MOET NIE DIE AANSOEKFOOI BETAAL AS U REEDS VOORHEEN BETAAL HET NIE.

FAKULTEIT OPVOEDKUNDE 30/08/2013 @ 12:00 INTERNATIONAL STUDENTS BUITELANDSE STUDENTE 27/09/2013 @ 12:00 ACCOMMODATION/ VERBLYF FACULTY OF ART, DESIGN AND ARCHITECTURE FAKULTEIT KUNS, ONTWERP EN ARGITEKTUUR FACULTY OF ECONOMIC AND FINANCIAL SCIENCES FAKULTEIT EKONOMIESE EN FINANSILE WETENSKAPPE FACULTY OF EDUCATION FAKULTEIT OPVOEDKUNDE FACULTY OF ENGINEERING AND THE BUILT ENVIRONMENT FAKULTEIT INGENIEURSWESE EN DIE BOU-OMGEWING FACULTY OF HEALTH SCIENCES FAKULTEIT GESONDHEIDSWETENSKAPPE FACULTY OF HUMANITIES FAKULTEIT GEESTESWETENSKAPPE FACULTY OF LAW FAKULTEIT REGSGELEERDHEID FACULTY OF MANAGEMENT/FAKULTEIT BESTUUR FACULTY OF SCIENCE/FAKULTEIT NATUURWETENSKAPPE 25/10/2013 @ 12:00 FACULTY OF ECONOMIC AND FINANCIAL SCIENCES FAKULTEIT EKONOMIESE EN FINANSILE WETENSKAPPE

GENERAL/REFUGEES/ASYLUM SEEKERS ALGEMEEN/VLUGTELINGE/ASIELSOEKERS

ALL ALLE PROGRAMME UNDERGRADUATE PROGRAMMES VOORGRAADSE PROGRAMME UNDERGRADUATE PROGRAMMES VOORGRAADSE PROGRAMME ALL ALLE PROGRAMME ALL ALLE PROGRAMME UNDERGRADUATE PROGRAMMES VOORGRAADSE PROGRAMME UNDERGRADUATE PROGRAMMES VOORGRAADSE PROGRAMME ALL/ALLE PROGRAMME ALL/ALLE PROGRAMME

POSTGRADUATE PROGRAMMES NAGRAADSE PROGRAMME

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 R100-00 for 2014 intake/vir 2014 inname R950-00 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 ON CAMPUS LW: KONTANT WORD NIE OP DIE KAMPUS AANVAAR NIE

4.

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/ Voorgraadse SA Final Grade 11 results (if currently in Grade 12)/Finale graad 11-uitslae (indien u tans in graad 12 is) Senior Certificate OR National Certificate Vocational with relevant endorsement OR National Senior Certificate with endorsement for degree, diploma or certificate OR Independent Examination Board certificate. Senior Sertifikaat OF Nasionale Sertifikaat (Beroepsgerig) met toepaslike endossement OF Nasionale Senior Sertifikaat met endossement vir graad, diploma of sertifikaat OF Onafhanklike Eksamenraad-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 N3-/N4-/N5-/N6-uitslae 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 Postgraduate SA/ Nagraadse SA International/ Buitelandse *

* * 3 3 3 * * 3 3

3 3

* If applicable/Indien van toepassing

5. 6. 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.

7.

FOROMO YA GO DIRA DIKGOPELO/ IFOMU LESICELO 2014

PELE O KA THOMA GO TLATA FOMO YE HLE BALA O BE O SAENE TUMELELO YE E LATELAGO GORE RE KGONE GO KGOBOKETA TSHEDIMOO YA GAGO:/NGAPHAMBI KOKUBA UQALE UKUGCWALISA LELI FOMU KUCELWA UFUNDE FUTHI USAYINE IMVUME ELANDELAYO YOKUQOQA ULWAZI LOMUNTU: Ke/Re amogela, dumela le go kweia gore UJ e swanete go kgoboketa le go omia tshedimoo ya ka go mabaka a thuto, taolo le ditirelo ta thekgo. Ka gona, Ke/Re dumela gore tshedimoo ya ka/rena e omiwe go mabaka a. Ngi(si)yamukela, ngi(si)yavuma futhi ngi(si)yaqonda ukuthi i-UJ kufanele iqoqe isebenzise ulwazi ngami/ngathi emisebenzini yezemfundo, yezokuphatha neyokweseka. Ngi(si)vumela ukusetshenziswa kolwazi lwami/lwethu kulokhu.

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: UNGAKHOKHELI UKUFAKA ISICELO UMA NGABE UKE WAKHOKHA NGAPHAMBILI. SE BOHLOKWA: O SE KE WA LEFA TEFO YA KGOPOELO GE E LE GORE O ILE WA LEFA NAKO YE E FETILEGO.

Tshaeno ya modirakgopelo mengwaga e 18 Ukusayina komceli kweminyaka eyi-18

Tshaeno ya motswadi ge modirakgopelo a le ka fase ga Ukusayina komzali uma ngabe umceli ungaphansi

DITAELO TA GO TLATA FOROMO YA GO DIRA DIKGOPELO IZIQONDISO ZOKUGCWALISA IFOMU LESICELO TE BOHLOKWA KUDU Hle bala ditaelo ka edi o be o tlate dikarolo ka moka. Difomo te di sego ta tlatwa ka botlalo di ka se lekolwe. Fomo ya kgopelo ke e TEE FELA go modirakgopelo o mongwe le o mongwe (Hle dira bonnete bja gore o na le maswanedi go thuto yeo o dirago kgopelo go yona). Go tsenela National Benchmarking Test (NBT) go a nyakega go badiradikgopelo ka moka bao ba tsenago la mathomo. (Lebelela websaete ya NBT mo go www.nbt.ac.za goba ikgokaganye le senthara ya tshedimoo ya NBT mo go 021 6503523). Hle emela sebaka sa dibeke te 4 pele o ka lebelela maemo a kgopelo ya gago. O ka dira seo ka go ya go www.uj.ac.za moo o tla go kgona go gatia lengwalo la mabapi le maemo a kgopelo ya gago. OKUBALULEKE KAKHULU Sicela ufundisise kahle imiyalelo bese ugcwalisa zonke izigaba. Ifomu elingagcwalisiwe ngokuphelele ngeke lamukelwe. Ifomu ELILODWA lokufaka isicelo kumceli ngamunye (Kucelwa uqinisekise ukuthi uyafanela yini ukungena ohlelweni ofaka kulona isicelo). Ukugcwaliswa kokuHlola kokuLinganisa amaZinga kukaZwelonke (NBT) kuyadingeka kubo bonke abaqala ukubhalisa. (Bheka isizindalwazi se- NBT www.nbt.ac.za noma shayela i-call centre ye-NBT ku- 021 6503523). Kucelwa ulinde amasonto ama-4 ngaphambi kokuba uhlole ukuthi lihambe kanjani ifomu lakho. Ungenza lokho ngokuya ku-www.uj.ac.za lapho uzokwazi nokuphrinta khona incwadi mayelana nokuhamba kwesicelo sakho.

1. DINYAKWA TA KAMOGELO/IZIMFUNEKO ZOKWAMUKELWA ADMISSION REQUIREMENTS Hle lebelela pukwana Career Prospectus yeo e hwetagalago go twa go Senthara ya Boingwadio bja Baithuti go hweta dintlha ka botlalo ta dinyakwa ta kamogelo ta mabapi le lenaneo la dithuto leo o nyakago go le tsenela. Career Prospectus ye e ka hwetwa go twa go www.u.ac.za. Sicela ubheke izincwajana ezithi Uhlelo lweZifundo ezitholakala Esikhungweni Sokubhalisa Abafundi ukuze uthole imininingwane egcwele yezimfuneko zokwamukelwa ezisebenza kulezo ziqu/uhlelo ofuna ukulibhalisela. Le ncwajana Uhlelo lweZifundo ingatholakala ku-www.u.ac.za 2. MATATIKGWEDI A GO TSWALELELA DIKGOPELO/ IZINSUKU ZAMANQAMU ZOKUFAKA IZICELO
BEd HONS (SAEKHOLOTI SA THUTO) MEd SAEKHOLOTI SA THUTO BEd HONS (ISAYIKHOLOJI YEZEMFUNDO) MEd ISAYIKHOLOJI YEZEMFUNDO BA KAKARETO/BAFALADI/BAFALADI BAO BA NYAKAGO THIRELETO JIKELELE/ABABALEKI/AMAKHOSELA

26/07/2013 @ 12:00 FAKHALITHI YA THUTO IFAKHALITHI YEZEMFUNDO 30/08/2013 @ 12:00 BAITHUTI BA BODITHABATHABA ABAFUNDI BAMAZWE NGAMAZWE 27/09/2013 @ 12:00 MADULO/ INDAWO YOKUHLALA FAKHALITHI YA BOKGABO, MOAKANYO LE THUTA BOAGI IFAKHALITHI YOBUCIKO, IMIDWEBO NOKUMISWA KWEZAKHIWO FAKHALITHI YA DISAENSE TA EKONOMI LE DITHELETE IFAKHALITHI YESAYENSI YEZOMNOTHO NEZIMALI FAKHALITHI YA THUTO IFAKHALITHI YEZEMFUNDO FAKHALITHI YA BOENTENERE LE BOAGI BJA TIKOLOGO IFAKHALITHI YOBUNJINIYELA NOKUBUNJWA KWEZAKHIWO FAKHALITHI YA DISAENSE TA MAPHELO IFAKHALITHI YEZESAYENSI YEZEMPILO FAKHALITHI YA TA BOTHO IFAKHALITHI YEZIFUNDO ZOBUNTU FAKHALITHI YA MOLAO IFAKHALITHI YEZOMTHETHO FAKHALITHI YA TAOLO/IFAKHALITHI YEZOKUPHATHA FAKHALITHI YA SAENSE/IFAKHALITHI YEZESAYENSI 25/10/2013 @ 12:00 FAKHALITHI YA DISAENSE TA EKONOMI LE DITHELETE IFAKHALITHI YESAYENSI YEZOMNOTHO NEZIMALI DITHUTO TA KA MORAGO GA TIKRII IZINHLELO ZABAZUZE IZIQU KA MOKA ZONKE IZINHLELO DITHUTO TA TIKRII YA MATHOMO IZINHLELO ZABANGAKABI NEZIQU DITHUTO TA TIKRII YA MATHOMO IZINHLELO ZABANGAKABI NEZIQU KA MOKA ZONKE IZINHLELO KA MOKA ZONKE IZINHLELO DITHUTO TA TIKRII YA MATHOMO IZINHLELO ZABANGAKABI NEZIQU DITHUTO TA TIKRII YA MATHOMO ZABANGAKABI NEZIQU IZINHLELO KA MOKA/ZONKE IZINHLELO KA MOKA/ZONKE IZINHLELO

3. 4.

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 R100-00 ka/ngo2014 R950-00 ka/ngo2014 Residence deposit ELA HLOKO: OTARA YA POSO GA E AMOGELWE/QAPHELA: AMAPHOSTAL ODA AWAVUNYELWE NB: KHEE GA E AMOGELWE MO KHAMPHASENG. OKUBALULEKILE: IMALI AYEMUKELWA ESIKHUNGWENI. 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 mafelelo ta Kreiti 11 (ge ga bjale o le ka go Kreiti ya 12) Imiphumela yokugcina yeBanga 11 (Uma ngabe useseBangeni 12) Setifikeiti sa ka Godimo GOBA Setifikeiti sa Bosethaba sa Moomo sa go ba le tiieto ya maleba GOBA Setifikeiti sa ka Godimo sa Bosethaba seo se dumelelago dithuto ta tikrii, diploma goba setifikeiti GOBA setifikeiti sa Lekgotla la go Ikema la Ditlhahlobo. Isitifiketi sikaMatikuletsheni NOMA Isitifiketi sezeMisebenzi esinemvume efanele NOMA Isitifiketi sikaMatikuletsheni esivumayo ukuthi ufundele iziqu, i-diploma NOMA Isitifiketi seBhodi lokuHlola elizimele (IEB). Setifikeiti sa sekolo sa Cambridge sa Maemo a A/O, ICGSE/HICGSE, NSSC MAEMO A GODIMO/ A TLWAELO Isitifiketi sesikole iCambridge izinga A/0, ICGSE/HICGSE, IZINGA ELIJWAYELEKILE Dipoelo ta N3/N4/N5/N6/Imiphumela ka-N3/N4/N5/N6 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 3 3 3 3 3 3 3 Ditikrii ta ka godimo SA/ Abangatholi iziqu baseSA Bodithabathaba/ Abamazwe Omhlaba *

* * *

3 3 * * 3 3

5. 6. 7.

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 2014

STUDENT NUMBER (PREVIOUSLY ALLOCATED)

FILEPLAN NUMBER
FOR OFFICE USE ONLY APS <= 17 M-SCORE APS SPORT POSTGRADUATE NOTES: SOWETO CAMPUS BUNTING RD CAMPUS DOORNFONTEIN CAMPUS KINGSWAY CAMPUS

9FD/9.1.3.1

UNDERGRADUATE POSTGRADUATE EXTRA-CURRICULAR INTERNATIONAL

DOCUMENTS OUTSTANDING ACCOMMODATION ORANGE CARPET AGREEMENT & INDEMNITY

BURSARY DISABILITY RPL/EVL REFER

Signature: Supervisor SECTION A: QUALIFICATION DETAILS 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) SECTION B: PERSONAL DETAILS 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)

AND/OR

Signature: HOD

8.

Date of birth e.g.

7 D D M M Y Y Y Y

9. Marital status (Mark with an X) 10. 11. Single Gender Divorced Male Married Female Widowed

Cohabiting

Home language (Mark with an X) Xitsonga Setswana Tshivenda IsiXhosa IsiZulu South Sotho

Afrikaans English IsiNdebele Sesotho sa Leboa SiSwati Other Home Languages (Specify)

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 (Please tick all relevant blocks) 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? 15.3 Name of higher education institution attended (if applicable)

SECTION C: SCHOOL-LEAVING DETAILS 1. Highest grade passed to date Grade 11 2. 3. Examination number (If already available) Type of certificate (Mark with an X) SOUTH AFRICAN MATRIC TYPE Joint Matriculation Board Full Exemption Grade 12 [National Senior Certificate (NSC) with relevant endorsement] National Certificate Vocational (NCV) [N3, N4, N5, N6] Independent Examination Board (IEB) Senior Certificate (Before 2008) Other Matric ( Specify): Other Matric ( Specify): INTERNATIONAL MATRIC TYPE HIGCSE / AS-Level IGCSE / O-Level IB (International Baccalaureate) A-Level Grade 12 Year

MATRICULATION ENDORSEMENT Specify endorsement type eg certificate, diploma, degree

MATRICULATION ENDORSEMENT If applied for exemption at HESA , specify endorsement:

4.

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.

SECTION D: HIGHER EDUCATION QUALIFICATIONS 1. PREVIOUS HIGHER EDUCATION STUDIES Supply full details of studies at higher education institution(s) as indicated on previous page, 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)

SECTION E: 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

SECTION F: ADDRESSES (COMPULSORY) 1. 1.1 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 2. ACCOUNT ADDRESS Dialling code Dialling code Dialling code Number Number Number

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). BANKING DETAILS: ABSA Bank - Auckland Park Branch Branch code - 632005 Bank account number - 3240141018 (If using ID number) Bank account number - 2840189565 (If using student 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. NB: BOTH POINTS 1 AND 2 MUST BE COMPLETED AND SIGNED 2. I hereby declare that this information is correct

1.

I hereby declare that this information is correct

Initials and surname of applicant please print Initials and surname of person liable for payment of fees please print Signature of applicant (Duly assisted by his/her parent/guardian, as may be required by law) Signature of person liable for payment of fees

Date 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 27 SEPTEMBER 2013

ONLY FOR: FIRST TIME ENTERING APPLICANTS

1. INSTRUCTIONS FOR PAYMENT OF RESIDENCE DEPOSIT Proof of payment of a R950 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. If Yes STATE THE NATURE WOULD YOU REQUIRE ACCOMMODATION WITH MODIFICATIONS TO SUPPORT YOUR DISABILITY?/ Yes No

B. ACCOMMODATION You can only apply for accommodation on the campus where you will be attending classes (Mark with an X) Auckland Park Kingsway (APK) Auckland Park Bunting Road (APB) Doornfontein (DFC) Soweto (SWC) If you are familiar with a residence that you would like to be placed in, you may then specify the name below:

Choice 1

Choice 2

Please not the UJ will try to accommodate you as best as we can, however, once a residence has reached capacity, your second choice or an alternative will be considered.

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 (Please print)

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

Date Date

IV
I,

STUDENT AGREEMENT 2014

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.

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 / Parent / Guardian / Spouse 10.1 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) 10.2 Each Surety / Parent / Guardian / Spouse that signs this agreement consents to the collection and processing of their personal information for the administrative purposes of the applicant to this agreement.

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.

10

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.

11