1.

Applicant’s full name (BLOCK LETTERS PLEASE) Form No M30 E (p1)

PRESENT SURNAME MAIDEN SURNAME

GUNDA N/A
…………………………………………………………………………….… ……………………………………………………………………………….

FIRST NAMES (AS ON PASSPORT/BIRTH/IDENTITY DOCUMENT)

BILAAL TADIWA
………………………………………………………………………………………………………………..………………………………………………………………….
16/09/2002 * PLEASE COMPLETE
2. Date of birth: ……………………………………………………………………………………………
39 Newbury Drive *E-MAIL ADDRESS
3. Postal Address: …………………………………………………………………………………………
New Germany
bilaal7fs@gmail.com
………………………………………………………………………………………..
Pinetown, Durban
………………………………………………………………………………………..
*FAX NUMBER
Postal Code: N/A
361…………………………………………………………………………………………

4. Full particulars regarding applicant’s educational qualifications:

(a) School certificate: (b) Post-school qualification

Name of certificate: Name of diploma:

ZIMSEC
…………………………………………………………………………………………… …………………………………………………………………………………………..

Year of completion: Institution where obtained:

2019 and 2022
…………………………………………………………………………………..……… ………………………………………………………………………………………….

Examination Number: Year of completion:

3025 and 5010
………………………………………………………………………………………….. …………………………………………………………………………………………

School subjects passed Month Grade Symbol School subjects passed Month Grade Symbol
Year Year

Degree for which applicant proposes to study: Year of first registration: Name of proposed university:

…………………………………………………………………………….... ………………………………………….. ………………………………………………

OFFICIAL USE ONLY:

CONDITION: ………………………………………………………………………………………………………………………………………………………

FURTHER COMMENTS: …………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………………………………………………..
W.E.F.: EXPIRY DATE: MB OFFICIAL: LANGUAGE:

Form No M30 E (p2)

MATRICULATION BOARD
APPLICATION for an EXEMPTION CERTIFICATE for Admission to Bachelor’s Degree Studies

PO Box 3854, Pretoria, 0001

Int. Code 2712 (012) 481-2847/8
(012) 481-2922
web http://www.sauvca.org.za/mb
______________________________________________________________________________________________

NB: THIS FORM SHOULD ONLY BE COMPLETED BY CANDIDATES WHO INTEND TO REGISTER AT
SA UNIVERSITIES (NOT TECHNIKONS OR COLLEGES)

A. This form must be accompanied by:

1. Original Educational qualifications (High School and post-school qualifications) or copies certified correct by the
Registrar of a South African public university or by a South African Embassy, Consulate, High Commission or
Trade mission or by public Notary in a foreign country. Sworn translations into either English or Afrikaans must
accompany documents originally issued in another language.

2. Holders of American High School Diplomas must submit a letter issued by the Registrar of an accredited university
in the United States of America to the effect that the holder is eligible for unconditional admission to degree
studies at such a university.

3. An Original official academic record reflecting the courses passed in different years, if the application is based on
the grounds of post-school qualifications, with a prescribed minimum duration of at least three years uninterrupted
study (RSA students only)

4. A certified copy of the particulars in the applicant’s identity document reflecting his/her date of birth, or of the
applicant’s birth certificate.

5. A married woman must also submit a certified copy of her marriage certificate or divorce order.

6. The applicable exemption fee. The money is not refunded if the applicant does not qualify or fails to respond to
letters regarding the application.

7.
Applications for conditional exemption on the grounds of mature age, together with the Items mentioned under 1
to 6 above, must be submitted to the Registrar of the University at which the candidate proposes to
register. The form must be signed by the Registrar if he supports the application.
__________________________________________________________________________________________________________

FOR OFFICE USE ONLY

Receipt No. ………………………………………………………………………………………… Amount: ……………………….

Applicant No. ……………………………………

______________________________________________________________________________________________

TO BE COMPLETED BY UNIVERSITY SUPPORTING THIS APPLICATION (“MATURE AGE” AND “SENATE’S DISCRETION”
AND “FOREIGN CONDITIONAL” APPLICATIONS ONLY) (IF APPLICATION IS SUBMITTED BY UNIVERSITY)

Certificate : In the opinion of the Senate of this University, the abovementioned applicant may reasonably be expected to
complete the course.

OFFICIAL STAMP

OF UNIVERSITY

CONCERNED

AND

SIGNATURE
 STUDENT NO.:

NB: IF APPLICATION IS SUBMITTED IN BATCHFORM BY UNIVERSITY – DO NOT INCLUDE THIS PAGE

IF APPLICATION IS SUBMITTED BY A INDIVIDUAL (NOT UNIVERSITY) – DO NOT INLUDE THIS PAGE, UNLESS ALREADY ACCEPTED AT
UNIVERSITY.