Bongani Mayosi - National Health Scholars Programme - Application form

A partnership between the NDoH, PHEF and the SAMRC

A National Health Research Committee Initiative 

Request for Applications

(2023 enrolment)

Full applications must be completed online, and all additional documents requested emailed to Mr Vincent Fipaza on or before 18 May 2023 (extended to 25 May 2023) at Vincent.Fipaza@mrc.ac.za (Tel 021 938 0311). 

For enquiries contact: Dr Lindokuhle Ndlandla at Lindokuhle.Ndlandla@mrc.ac.za / Tel 021 938 0442

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Personal details
Title (Ms, Mr, Dr) *
First Name *
Surname *
Gender *
Population group *
Citizenship *
South African ID no: *
eMail a certified copy of the ID document
Postal Address *
Physical Address *
Work telephone number
where applicable
Mobile number *
University eMail address *
Personal eMail address *
Academic Information
Highest qualification *
Profession *

Years of experience in the profession

 *
Current position
Where applicable
Employer
Where applicable
Income per annum 
pretax, where applicable - Email recent payslip, not older than three months

Are you registered for a PhD?

 *
Please Mark the correct box (if yes, please Email evidence of current registration)
PhD registration in 2023 *
Year of PhD Study in 2023 *
University at which currently registered *
Date of first registration for the degree to be funded *
Email evidence
Faculty *
Department *

Title of PhD research project

 *
PhD supervisor *
Email address of supervisor *
PhD Co-supervisor
where applicable

My research project has ethics clearance

 *
(Please Mark the correct box)
The post graduate office or equivalent office has accepted the project title *
(Please Mark the correct box)
Protection of Personal Information Act (POPIA)
As of the 1st of July 2021, the new Protection of Personal Information Act (POPIA) came into full effect. The law is designed to protect how all juristic persons use, store and process data. You can read the full details on the act here: https://popia.co.za/

The SAMRC as a responsible statutory science council will comply with POPIA. The SAMRC will receive personal information through applications submitted to the SAMRC for the purposes of applying for funding. The personal information requested on the application template is necessary for the SAMRC to fully evaluate the applications for funding. This information will be shared with members of Scholarship Selection Committees of the SAMRC and external funders and/or stakeholders where applicable as well as the SAMRC management for the purposes of processing the applications. The SAMRC will process this personal information strictly in accordance with POPIA. The SAMRC undertakes specifically to process the personal information on the basis that (a) it was provided voluntarily and (b) the information will be processed only as far may be necessary and within the limitation and ambit of the purpose of evaluating the application for funding (i.e., the purpose with which the personal information was received). The SAMRC confirms that it is lawfully processing the information since the purpose of processing is to seek quality research proposals for funding which the SAMRC is mandated to do in terms of Section 4 of the SAMRC Act 58 of 1991, thus the SAMRC is fulfilling its legislated and lawful mandate, and strategic objectives as provided for in the SAMRC Act.
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