Food Parcel Application

Dear student, please complete the application form below and click on the Submit button.

The requested information will only be processed to ensure the delivery and/or realisation of the No Student Hungry Programme. The personal information will be given all the necessary security safeguards as required by POPIA.

Campus^* The Campus field is required.

Student number^* The Student Number field is required.

Name^* The Name field is required.

Surname^* The Surname field is required.

Contact number^* The Contact Number field is required.

Email address (which you use daily)^* The Email Address field is required.

Degree registered for^* The Degree field is required.

Which academic year are you in now?^* The Academic Year field is required.

Name of residence or
your address in Bloemfontein^* The Study Address field is required.

Home address^* The Home Address field is required.

Medical aid scheme name

Food Parcel Criteria

Are you the first in family to study at a university^*
The Is First in Family field is required.

Yes

Do you have more than one sibling at tertiary institutions^*
The Has More Sibilings field is required.

Yes

Will you receive a NSFAS bursary this year^*
The Has NSFAS Bursary field is required.

Yes

Will you receive Edu-loan this year^*
The Has Edu-Loan field is required.

Yes

Will you receive other loans this year (e.g. banks)^*
The Has Other Loans field is required.

Yes

Please specify

Will you receive other bursaries this year^*
The Has Other Bursaries field is required.

Yes

Please specify

Does the applicant's family income exceed R200 000 per annum?^*
The Is Above Income Threshold field is required.

Yes

Other Information

Employment details of parent(s) or guardian(s)

Please describe any special information about your family and/or special social circumstances

Please upload the following documents:
Documentation must not be older than three months.

Proof of income: Salary advise or bank statement. If unemployed, attached an affidavit stating that your parents are unemployed. If your household receive a child grant or pension please include confirmed documentation, such as pension slip or bank statements.

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Food Parcel Application

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