PASSPORT SIZE
PHOTOGRAPH OF
APPLICANT TO BE
PASTED HERE
FACULTY of INFORMATICS and DESIGN
2016 ~ BIOGRAPHICAL INFORMATION
APPLICANT INFORMATION
Name and Surname
First Language:
If *Other please indicate
Citizenship
Postal Address
English
Afrikaans
*Other
Home Telephone No
Cellphone No
Email Address
Have you completed Grade 12? If YES:
Year Passed
Name of High School
Are you currently in Grade 12 (in 2015)? If YES:
Name of High School currently attending
PARENT/GUARDIAN INFORMATION
Name and Surname
Relation to Applicant
Postal Address
Home Telephone No
Cellphone No
Email Address
COURSE APPLIED FOR
National Diploma
CAMPUS YOU INTEND STUDYING AT IN 2016
Please choose ONE
CAPE TOWN CAMPUS
BELLVILLE CAMPUS
This relates specifically to those applicants applying for the Graphic Design programme as the programme is offered at both
the Cape Town and the Bellville Campus (all other courses are offered at the Cape Town Campus).
Printed NAME and SURNAME
of APPLICANT
SIGNATURE of
APPLICANT
DATE
Printed NAME and SURNAME
of PARENT/GUARDIAN
SIGNATURE of
PARENT/GUARDIAN
DATE