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Bursary Application

Bursary Form

2025 Bursary Application

Name
Address
Have you ever been convicted of a criminal offence, dismissed from employment or requested to resign?
Did you consult a vocational counsellor regarding your choice of study?
Have you previously received an IMASA bursary?
Are you presently enrolled at a tertiary institution/college?

Are/were you in possession of another bursary/scholarship?

Address

Review, Suspension And Extension

The Islamic Medical Association reserves the right, at any time and on any terms or conditions to: A) Review The Continuation Of The Bursary; Or B) Suspend The Bursary; Or C) Having Suspended The Bursary, Reinstate The Bursary; Or D) Extend The Period Of The Bursary. E) No Correspondence Will Be Entered Into And The Committee’s Decision Is Final. F) Funding Will Only Be Considered If Nsfas Has Declined Your Application.

Declaration

I declare that the information provided is true and correct. I understand that this application for a bursary is not a loan and declare that the above particulars are complete and correct. Bursaries will be considered for health sciences studies that are registered with a recognised association, such as Health Professionals Council of South Africa (HPCSA); South African Health Products Regulatory Authority (SAHPRA); South African Council for Social Service Professions (SACSSP); South African Veterinary Council (SAVC), or any registered body not mentioned here, pertaining to Health Sciences. It is compulsory to declare any other grant, scholarships, bursaries or applications being made presently or in the future.
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Study Plan

Name
Max. file size: 10 MB.
Name
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Details Of Monthly Income And Expenditure

Name Of Parent
Print Name & Surname