Apply Online Application for admission: Masters and Doctoral Studies APPLICATION FOR ADMISSION What year do you plan to start your studies at NWU/GST? Have you ever registered at the NWU before? Yes No If yes, please indicate your student number: Last year of registration (e.g. 1994) Method of instruction you would like to follow (mark with X) Agreement QUALIFICATION Qualification you would like to follow: BIOGRAPHICAL DETAILS OF APPLICANT: Identity/Passport number Surname Initials Date of birth Title Full names Gender Male Female Preferred name Marital Status Maiden name Population group Asian White Coloured Black Information confidential Nationality LANGUAGE PREFERENCE: Home Language: English Correspondence language: English CONTACT DETAILS: Preferred communication channel Email E-mail address: Preferred account correspondence channel: Email Account E-mail address: Residential address Postal code Postal address (if different from residential address) Postal code Cell phone number Work Telephone number Home Telephone number ACADEMIC HISTORY Please complete in order (starting with the most recent) all tertiary academic qualifications (required for evaluation purposes) Bachelors (Honours) Name of University/College/Seminary Certificate Awarded Study Completed (Yes/No) Start Date Completion Date Month Year Month Year YesNo Please provide information on the following: Research dissertation (topic/length ect.) Published articles in accredited journals (reviewed ones), or in scientific books on your relevant field of interest. Masters Name of University/College/Seminary Certificate Awarded Study Completed (Yes/No) Start Date Completion Date Month Year Month Year YesNo Please provide information on the following: Research dissertation (topic/length ect.) Published articles in accredited journals (reviewed ones), or in scientific books on your relevant field of interest. Doctors Name of University/College/Seminary Certificate Awarded Study Completed (Yes/No) Start Date Completion Date Month Year Month Year YesNo Please provide information on the following: Research dissertation (topic/length ect.) Published articles in accredited journals (reviewed ones), or in scientific books on your relevant field of interest. Proposed title of the thesis: If an applicant requires a student card, the applicant must complete the following section of the application form, and a photograph must also be submitted with the application for admission. Should no photograph be submitted, it will be accepted that the applicant does not require a student card. Should the applicant decide to request a student card at a later stage, the applicant will be required to report to the Department of Protection Services and wait in the queue in order to obtain such a card. I request a student card, and submit a photo as requested: Yes I do not request a student card: Yes Please submit the following with your application: Full academic transcripts Preliminary description Proof of Identification Terms and Conditions (if the student is under age, the University require the signature of a parent or guardian.) 1. The University will at all times be entitled to cancel the student’s registration immediately if it should appear that the information provided in this form is false or incorrect. 2. The student is subject to all the rules and regulations as contained in the brochures and the Institutional Statute of the University, including the rules and procedures regarding student discipline. 3. The University will take all reasonable steps to prevent the student from being injured or impaired through any injury, loss or damage, be it caused by the negligence of the University or any of its employees, or a fellow-learner. The student undertakes to not institute any claim against the University regarding such injury or damage and furthermore, the student undertakes to indemnify the University if the University incurs accountability due to any negligence or other deed or failure by the student. 4. By signing this application form and any subsequent registration forms, the student confirms and acknowledges, and if applicable, his/her natural or lawful guardian, that the above-mentioned provisions form part of the student’s study contract with the University and is binding on the student, his/her indicated guardian and their dependants, executors, administrators and representatives. 5. Potchefstroom is considered the place where this agreement originated, regardless of where it is signed. 6. I, the undersigned, will be responsible for the punctual payment of all and any money payable to the University in terms of my enrolment and/or connection with the University, now and in the future, as explained in more detail in the official brochures as determined from time to time and amended by the University. The contents of these brochures form the basis of the financial agreement between the University and the student and are considered to be included in this agreement. Henceforth I will make available to the University proof of each deposit/payment regarding money paid into the University’s bank account, to enable the University to credit the student’s account in so doing. 7. If I, the student fail to make payments on predetermined dates, the University may, in its discretion, hand the student’s account over to attorneys for any amount for recovery. I, the student, undertake to pay all costs whatsoever due and payable, including tracking fees, recovery levies, advocate fees and any expenses of whatever nature on an attorney-and-own-client scale. A wage attachment order may also be issues against my/our employer(s) to attach my/our salary/salaries in order to recover the outstanding amount in total or in instalments. 8. Any amount owed and payable to the university in terms of the University’s financial rules as published in the brochure entitled “Fees payable and financial rules” is determined and proven by means of a certificate issued and signed by an authorised official of the University. Such a certificate will be binding and will prima facie serve as proof of the extent and the existence of such an amount, unless and until evidence to the contrary has been submitted. 9. I hereby commit myself separately and jointly and in solidum along with the student to duly comply with all the conditions contained herein. 10. These conditions are valid and of effect for the entire duration of the student’s enrolment as a student at the University and thereafter until all obligations in terms of hereof have been met. 11. I have satisfied and subject myself to all rules and regulations as contained in the brochures and in the Institutional Statute of the University that form part of this agreement and/or as amended from time to time. 12. Hereby I give North-West University permission to check my academic records and personal details during my admission application, and if necessary to contact other tertiary institutions so as to obtain this information.