UNISA APPLICATION FORM

Only for first time applicants who have not previously studied for a formal programme at Unisa.

This application form consists of sections A-E. All applicants must complete sections A, B, C, D and E.

Required documents:

Certified copy of ID document/ birth certificate (RSA students) or passport/birth certificate (foreign students)Certified copy of grade 12 qualification(s) (e.g. Senior Certificate) (not applicable to current Grade 12 learners)Certified copies of transcripts of complete academic records from all previous tertiary institutions attended (complete and incomplete studies) and conduct certificate (where applicable)

PLEASE TAKE NOTE: Application phase and registration phase

Unisa will only process complete applications. If you qualify for admission to the qualification, you will be informed and a registration pack will be posted to you.

Section A: Proposed qualification (Select either higher certificate, advanced certificate, postgraduate certificate, diploma, advanced diploma or bachelor degree course)

Higher Certificates

Advanced Certificates

Postgraduate Certificates

Diploma

Advanced Diploma

Bachelor Degrees

Do you intend applying for course exemptions or transferring of credits from previous studies? If yes, you should submit certified copies of your tertiary academic record*

YesNo

Section B: Personal details

Full name*

Surname*

Initials*

Title (e.g. Dr, Mr, Mrs e.t.c)*

Identity number (RSA) or passport number (foreigners)*

Marital status*

SingleMarriedDivorcedWidow/ widower

Gender*

MaleFemale

Maiden name and/or previous surname (if applicable)

Home language*

Language of correspondence*

AfrikaansEnglish

Do you have a disability?*

YesNo

If you answered yes above, what is the nature of your disability (e.g. amputation, eyesight, wheelchair e.t.c) (skip if not applicable)

The completion of the home address is compulsory and your application will not be processed without it.

Home address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Postal address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cellphone number (dialing code & number)*

E mail*

example@example.com

The university uses cellphone numbers to communicate official information to you. It is your responsibility to inform the university whenever you change your cellphone number.

Section C: Please supply the following for statistical purposes

Race (e.g. African, white, coloured e.t.c)*

Nationality (e.g. South African, Zimbabwean e.t.c)*

Are you employed?*

YesNo

Section D: Required documents

Certified copy of ID document/ birth certificate (RSA students) or passport/birth certificate (foreign students)*

Certified copy of grade 12 qualification(s) (e.g. Senior Certificate) (not applicable to current Grade 12 learners)

Certified copies of transcripts of complete academic records from all previous tertiary institutions attended (complete and incomplete studies) and conduct certificate (where applicable)

Section E: Declaration and undertaking

Terms and conditions*

I declare that all the particulars furnished by me on this form are true and correct. I undertake to comply with all the rules, regulations and decisions of the university and any amendments thereto, and I have taken note of advice which may be applicable to students in general.

Please verify that you are human*