This form contains 64 fields organized into 6 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Applicant Consent Signature and Date
Date of Applicant Signature Date
Enter the date on which the applicant signed the consent form.
Applicant Signature Text
Enter the applicant's full handwritten signature consenting to the statements on this form.
Applicant Initials Text
Enter the applicant's initials to confirm and corroborate the signature on this consent form.
Applicant Disclaimer Signature and Date
Date of signature (applicant) Date
Enter the date on which the applicant signed the disclaimer.
Applicant signature (disclaimer) Text
Provide the applicant's handwritten signature to acknowledge and accept the disclaimer and terms.
Date of Signature (Month - ones digit) Checkbox
Check this box to indicate the ones digit of the month when entering the applicant's Date of Signature in the Applicant Disclaimer section.
Applicant full name (printed) Text
Print the applicant's full name (first name(s) and surname) to clearly identify who signed the disclaimer.
Applicant initials (disclaimer) Text
Enter the applicant's initials as they appear on their identification document to confirm the disclaimer.
Date of Signature (Month - tens digit) Checkbox
Check this box to indicate the tens digit of the month when entering the applicant's Date of Signature in the Applicant Disclaimer section.
Applicant ID Number
Applicant ID Number (Main) Number
Enter the applicant's main NSFAS identification number as assigned to the applicant.
Applicant ID Number — digit 1 Checkbox
Check this box to indicate that this digit position of the Applicant ID Number is the number 1.
Applicant ID Number — digit 2 Checkbox
Check this box to indicate that this digit position of the Applicant ID Number is the number 2.
Applicant ID Number — digit 3 Checkbox
Check this box to indicate that this digit position of the Applicant ID Number is the number 3.
Applicant ID Number — digit 4 Checkbox
Check this box to indicate that this digit position of the Applicant ID Number is the number 4.
Applicant ID Prefix Text
Enter the small prefix, leading digit or short code shown as part of the applicant ID (e.g., a campus code or check digit) if required.
Applicant ID Number — digit 5 Checkbox
Check this box to indicate that this digit position of the Applicant ID Number is the number 5.
Father/Guardian Details
Cellphone number (second block) Number
Enter the final block of the father/guardian's cellphone number as provided for contact. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
Date of signature Date
Enter the date on which the father/guardian signed this form. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
Surname (as per ID document) Text
Enter the father/guardian's surname exactly as it appears on their ID document. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
ID number Number
Enter the father/guardian's official ID number as shown on their ID document.
Initials (as per ID document) Text
Enter the father/guardian's initials exactly as they appear on the ID document. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
Cellphone number (first block) Number
Enter the first block of the father/guardian's cellphone number used for contact. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
Email address Text
Enter the father/guardian's primary email address for correspondence. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
First names (as per ID document) Text
Enter the father/guardian's given names exactly as they appear on their ID document. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
Title / Prefix Text
Enter the father/guardian's title or prefix (for example Mr, Mrs, Ms, Dr) as shown on the ID document. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
ID Number Checkbox
Tick this box after you have entered the parent/guardian's ID number in the ID Number boxes to indicate the ID number field has been completed. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
Surname (as per ID Document) – box 1 Checkbox
Tick this box once you have entered the parent's/guardian's surname (first surname character box) exactly as it appears on their ID document. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
Surname (as per ID Document) – box 2 Checkbox
Tick this box once you have entered the parent's/guardian's surname (second surname character box) exactly as it appears on their ID document. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
Surname (as per ID Document) – box 3 Checkbox
Tick this box once you have entered the parent's/guardian's surname (third surname character box) exactly as it appears on their ID document. Fill only if 'Or Guardian', 'Father' is 'Yes' (any fields selection).
Depends on: Father, Or Guardian
Or Guardian Checkbox
Tick this box if the person completing and signing this section is the applicant's guardian.
Father Checkbox
Tick this box if the person completing and signing this section is the applicant's father.
Mother/Guardian Details
Mother/Guardian Date of Signature Date
Enter the date when the mother or guardian signed this form. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
Cellphone Number (remaining digits) Text
Enter the remaining digits of the mother/guardian's cellphone number (subscriber portion) without spaces. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
Mother/Guardian ID Number Text
Enter the mother/guardian's identity number exactly as shown on their ID document, without spaces. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
Mother/Guardian Surname (as per ID) Text
Enter the mother/guardian's family name exactly as it appears on their identity document. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
Cellphone Number (prefix) Text
Enter the first block or prefix of the mother/guardian's cellphone number without spaces. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
Initials (as per ID) Text
Enter the mother/guardian's initials exactly as they appear on the identity document. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
Signature of Mother/Guardian Text
Provide the mother/guardian's signature as their official signature for this form. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
Mother/Guardian Email Address Text
Enter a valid email address for the mother/guardian for contact purposes. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
Mother/Guardian Selection Text
Enter either 'Mother' or 'Guardian' to indicate which applies to the person completing this section. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
Residential Address (Mother/Guardian) Text
Provide the mother/guardian's full residential address including street and suburb/city. Fill only if 'Guardian', 'Mother' is 'Yes' (any fields selection).
Depends on: Mother, Guardian
textbox_0_37_1012c674 CheckBox
Depends on: Mother, Guardian
textbox_0_40_dd69d6ff CheckBox
Depends on: Mother, Guardian
textbox_0_41_cd78d9ff CheckBox
Depends on: Mother, Guardian
textbox_0_49_c431916f CheckBox
Depends on: Mother, Guardian
textbox_0_53_bfd27c03 CheckBox
Depends on: Mother, Guardian
textbox_0_54_e08226d9 CheckBox
Depends on: Mother, Guardian
textbox_0_55_a5bd1883 CheckBox
Depends on: Mother, Guardian
Guardian Checkbox
Check this box if the person completing and signing this section is the applicant's legal guardian (instead of the mother).
Mother Checkbox
Check this box if the person completing and signing this section is the applicant's mother.
Spouse Details
Spouse cellphone — last digits Text
Enter the last portion of the spouse's cellphone number (the digits after the dash) as it appears on their phone number. Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Spouse surname Text
Enter the spouse's family name/ surname exactly as it appears on their official ID document. Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Spouse ID number Text
Enter the spouse's identification number exactly as shown on their identity document, without spaces unless required by the ID format. Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Spouse date of signature Date
Enter the date on which the spouse signed this form. Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Spouse cellphone — first digits Text
Enter the first block or prefix of the spouse's cellphone number (the digits before the dash), without additional symbols. Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Spouse initials Text
Enter the spouse's initials exactly as they appear on their official ID document (typically one or more letters). Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Spouse signature — right segment Text
Enter the right-hand portion of the spouse's handwritten signature in this box (the signature area is split into segments). Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Spouse email address Text
Enter the spouse's email address for contact (e.g., [email protected]). Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Spouse signature — left segment Text
Enter the left-hand portion of the spouse's handwritten signature in this box (the signature area is split into segments). Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Surname (As per ID Document) – box 1 Checkbox
Tick this box to confirm the first highlighted character position of the spouse's surname (as per ID document) has been completed/verified. Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Surname (As per ID Document) – box 2 Checkbox
Tick this box to confirm the second highlighted character position of the spouse's surname (as per ID document) has been completed/verified. Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Surname (As per ID Document) – box 3 Checkbox
Tick this box to confirm the third highlighted character position of the spouse's surname (as per ID document) has been completed/verified. Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Surname (As per ID Document) – box 4 Checkbox
Tick this box to confirm the fourth highlighted character position of the spouse's surname (as per ID document) has been completed/verified. Fill only if 'Spouse (tick if applicable)' is 'Yes'.
Depends on: Spouse (tick if applicable)
Spouse (tick if applicable) Checkbox
Tick this box if the person completing this section is the spouse of the applicant.