Section/division
Form Number: CA 183-191
HUMAN RESOURCES
APPLICATION FOR BURSARY
PREFERRED FIELD OF STUDY (Tick Relevant Option)
Pilot Training (Fixed Wing)
Pilot Training (Helicopter)
Aeronautical Engineering
Aircraft Maintenance Engineering
PERSONAL DETAILS
Title
Mr
Mrs
Ms
Surname
Full names
Disability
South African ID No
Date of Birth
dd
Population Group
Black
mm
yy
yy
Age
Gender
Coloured
Indian
M
White
Home Address
Province
Code
CONTACT DETAILS
E-mail:
Contact Telephone:
Cell Phone:
EDUCATIONAL DETAILS
Are you presently studying?
Yes
No
High School / Tertiary Education?
Highest Grade Passed
Year
Name of High School
Province
Grade 11 Results
Subject
KEY ACHIEVEMENTS
%
Grade 12 Final or Latest Term Results or
NCV Level 4 Results
Subject
%
F
GROSS HOUSEHOLD INCOME (attach proof)
Below R100 000
R300 000 – R500 000
R100 000 – R300 000
Over R500 000
DECLARATION
i. I declare that the statements made in this application and in the accompanying documents are true, to the best of my knowledge
and belief.
ii. I also understand that the bursary assessment and allocation process is competitive, and that not all applicants who meet the
eligibility criteria will be awarded a bursary.
iii. I understand that providing inaccurate information in this application may result in cancellation of a bursary offer, or termination of
a bursary that has been paid to me.
iv. I understand that preference will be given to students who are not in possession of any other bursary/student loan (please attach
detailed proof, if receiving any other study assistance)
SIGNATURE OF APPLICANT
NAME IN BLOCK LETTERS
DATE
IMPORTANT NOTICE
1. This form must be accompanied by the following documents:
•
A certified copy if ID Document
• Latest school/matric results
• Latest academic transcript or Coaching Report (for post school training where applicable)
• Motivational letter
• Certified proof of parent’s income or affidavit
• Detailed proof any financial assistance received)
2. Incomplete or late applications will not be considered.
3. Submission of this application does not guarantee a bursary offer.
4. Only South African citizens are eligible to receive for the bursary
5. Correspondence will only be to the short-listed applicants
For enquiries or more information please contact Human Resources on BursaryApplications@caa.co.za
Applications must be sent to:
Email: BursaryApplications@caa.co.za
Or
Postal Address: Bursary Applications
Human Resources
South African Civil Aviation Authority
Private Bag x73
Halfway House
1685