2024 LATE APPLICATIONS: PROSPECTIVE 1ST YEARS (VANDERBIJLPARK VAAL CAMPUS)
ONLY APPLICABLE TO VANDERBIJLPARK VAAL CAMPUS

Please fill in the below form if you would like to APPLY WITH LATE APPLICATIONS FOR RESIDENCE for 2024.
  • Please note that THIS GOOGLE FORM is only applicable to PROSPECTIVE 2024 STUDENTS.
  • Placement is subject availability of bed.
  • STUDENTS APPLYING WITH LATE APPLICATIONS WILL HAVE NO CHOICE OF RESIDENCE AND WILL BE PLACE WHERE BEDS ARE AVAILABLE.
  • Only one response per student are allowed.
  • Please note that UPLOAD of your FULL academic records are required.
  • No late submission or incomplete forms will be accepted or processed.
Student Number (Please make sure it is correct) *
Surname (For example, Nelson)
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Initials  (For example, S)
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Student Email Address (Please make sure it is correct)
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Type of student
(DO NOT APPLY ON THIS LINK IF YOU ARE A SENIOR OR POST-GRADUATE STUDENT - 2024)
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Gender
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Race
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Title
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Date of Birth
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MM
/
DD
/
YYYY
Age (Not older than 26 years)
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Nationality (For example, South Africa, Swaziland, Zimbabwe, ect.)
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Martial Status
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Student Cell Number
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Student Full Address, Town & Province
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Language
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Campus Applying For:
(You cannot apply for residence at Vanderbijlpark Campus and be registered at Potchefstroom/Mafikeng Campus)
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