APPLICATION FORM FOR BURSARY
Please print and complete this form
For Office Use Discipline: ATTACH YOUR RECENT PASSPORT PHOTO (Black and White)
Please complete the application form thoroughly using BLACK INK and in BLOCK LETTERS. Send it to: Impala Platinum, Bursary Department, PO Box 5683, Rustenburg, 0300 or visit our website www.implats.co.za
INSTRUCTIONS: • • • • Please read these notes carefully before completing the application form. Make sure that you read every section and that the information you provide is accurate. Mark your choice with a cross in the appropriate block where applicable. We welcome applications from persons with disabilities. However, selection will be subject to the physical demands of an occupation related to a degree. PLEASE NOTE: 1. 2. 3. Incomplete application forms can not be accepted. Applications close on 31 March and no late applications will be considered. If Impala has not responded within 30 days after the closing date, consider your application as unsuccessful. Correspondence will be limited to shortlisted applicants only. Should you qualify for a preliminary interview, it will take place at our Rustenburg operations situated in the North West Province. 4. Please supply ALL information requested or give reasons why you cannot provide it. Your applications will not be considered if you do not have university exemption, with minimum requirements, that is: Maths: Rating Code 5 or 60% Science: Rating Code 5 or 60% 5. The following should accompany this application form: – – – certified proof of your results full details of your academic transcript a certified copy of your personal identity document
– certificate of conduct from university (if already studying) – your curriculum vitae/resume
NB: Any changes of address or contact details must be forwarded in writing.
1. BURSARY INFORMATION
In which discipline would you like to study? Chemical Engineering Geology (Mining/Exploration)...