APPLICATION: PUBLISHED ARTICLE BURSARY PAYMENT - PG STUDENT
To be signed by the applicant, recommended by the HoD and approved by the Vice-Dean
Research/Dean. A certified copy of the applicant’s ID (or passport in the case of non-South
Africans) and Bank certified banking details must be attached to this form.
STUDENT’S SURNAME:
INITIALS:
STUDENT NUMBER:
DEPARTMENT:
DEGREE:
SUPERVISOR:
CO-SUPERVISOR:
TITLE OF PUBLISHED ARTICLE
(Also indicate number of authors)
DELAILS OF ACCREDITED
JOURNAL:
AMOUNT CLAIMED:
ARE YOU STILL A REGISTERED
STUDENT?
DO YOU WANT THE BURSARY
TO BE PAID INTO YOUR
STUDENT ACCOUNT?
IF NOT, DO YOU WANT THE
MONEY PAID INTO A UJ
RESEARCH TRUST ACCOUNT?
IF YOU DON’T WANT THE
MONEY TO BE PAID INTO UJ
TRUST ACCOUNT SUPPLY YOUR
BANKING DETAILS AND INCOME
TAX NUMBER *
(Note that if the money is is paid
into a UJ research account no
income tax is levied but if it is
paid into your bank account there
are income tax implications.)
R
YES
NO
YES
NO
YES
ACC #
Bank:
Name of Account Holder:
Branch number:
Account number:
Account Type:
INCOME TAX NUMBER:
APPLICANT’S SIGNATURE
DATE
HOD’s SIGNATURE
DATE
VICE-DEAN / DEAN’S SIGNATURE
DATE