Ukukhula Bursary
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Student Application
Phone Number:
Email:
First Name:
Last Name:
ID Number:
Date of Birth:
Gender:
--Select Gender--
Female
Male
Ethnicity:
--Select Ethnicity--
African
Indian
Coloured
Department:
--Select Department--
CompSci
BEng
GameDev
Amount (Rands):
Student Marks:
CourseYear:
Submit