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2025 Bursary Application
JB Marks Education Trust Fund in association with the National Union of Mineworkers (NUM)
APPLICANT DETAILS
EDUCATION
FINANCIAL AID
YOUR MOTIVATION
ADDRESS FOR CORRESPONDENCE
NUM MEMBER OR STAFF DETAILS
SUPPORTING DOCUMENTS
First Name(s)
*
Applicant’s First Name(s)
Surname
*
Applicant’s Surname
Maiden Surname
Applicant’s Maiden Surname (optional)
Gender
*
Male
Female
Applicant Gender
Date of Birth
*
Date of Birth e.g. Jun 16, 1985
Identity or Passport Number
*
Applicant’s Identity or Passport Number
T-Shirt Size
*
Small
Medium
Large
X-Large
XX-Large
T-Shirt Size
House/Unit Number
*
House Number or Complex Unit Number with Complex Name
Street
*
Street Name
Town
*
City
*
Eastern Cape
Eastern Cape
Free State
Gauteng
KwaZulu-Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
Other
Province
*
Postal Code
*
South Africa
South Africa
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
*
Country
Home Telephone
Home Telephone (optional)
Mobile Number
*
Mobile Number
Email
*
Email
Confirm Email
Are you a NUM Member?
*
Yes
No
Head Office
Head Office – All NUM Employees
Carletonville
Eastern Cape
Free State
Head Office
Highveld
Kimberly
Kwa-Zulu Natal
Matlosana
MDA – Eastern Cape
MDA – Head Office
MDA – Lesotho
MIT Family (JB Marks, EBMTC, SATRI, NUMPROP, MDA, MIC, MIT)
North East
PWV
Rustenburg
Western Cape
What is your/parentʼs NUM Region?
*
Father
Father
Mother
Spouse
How is the NUM member related to you?
*
Applicant Signature
Signed on:
Are you currently in High School?
Yes
No
What is the name of your High School?
*
University of Technology
College
University
University of Technology
What type of institution do you intend studying at?
*
National Certificate
National Certificate
Higher Certificate
Diploma
National Diploma
Degree
Honours
Masters
PhD/Doctorate
What qualification do you intend to achieve?
*
What is the Faculty of the intended course of your choice?
*
What is the course you intend studying?
*
What is the name of the institution you intend studying at?
*
Are you currently studying at tertiary institution?
Yes
No
Honours
Masters
PhD/Doctorate
Level 1
Level 2
Level 3
Level 4
Level 5
Level 6
Level 7
Level 8
Level 9
N1
N2
N3
N4
N5
N6
S1
S2
S4
S5
What is the level of study are you currently at?
*
Honours
Masters
PhD/Doctorate
Level 1
Level 2
Level 3
Level 4
Level 5
Level 6
Level 7
Level 8
Level 9
N1
N2
N3
N4
N5
N6
S1
S2
S3
S4
S5
What is your intended level of study next year?
*
College
College
University
University of Technology
What type of institution are you studying at?
*
National Certificte
National Certificte
Higher Certificate
Diploma
National Diploma
Degree
Honours
Masters
PhD/Doctorate
What type of qualification do you intend to achieve?
*
What is the name of your Faculty?
*
What is the course you are currently studying?
*
What is the name of the institution you are currently studying at?
*
Are you currently studying?
Yes
No
Grade 8
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
What is the highest High School qualification do you have?
*
Which year did you achieve your highest qualification?
*
What other qualification do you have?
Which year did you achieve your other qualification?
College
College
University
University of Technology
Select the type of institution you intend studying at:
*
National Certificate
National Certificate
Higher Certificate
Diploma
National Diploma
Degree
Honours
Masters
PhD/Doctorate
Select the type of qualification you intend to achieve
*
What is the faculty of your qualification?
*
What is the name of the course you intend studying?
*
Provide the name of the institution you intend studying at?
*
High School Subjects
Afrikaans First Additional Language
Afrikaans First Additional Language (Afr. FAL)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Afrikaans FAL Subject Level
*
Afrikaans Home Language
Afrikaans Home Language (Afr. HL)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Afrikaans HL Subject Level
*
English First Additional Language
English First Additional Language (Eng. FAL)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
English FAL Subject Level
*
English Home Language
English Home Language (Eng. HL)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
English HL Subject Level
*
Setswana Home Language
Setswana Home Language (Tswana HL)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Tswana HL Subject Level
*
IsiZulu Home Language
IsiZulu Home Language (Zul. HL)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
IsiZulu HL Subject Level
*
SiXhosa Home Language
SiXhosa Home Language (Xhosa HL)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
SiXhosa HL Subject Level
*
Sesotho Home Language
Sesotho Home Language (Sotho HL)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Sesotho HL Subject Level
*
Sepedi Home Language
Sepedi Home Language (Pedi HL)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Sepedi HL Subject Level
*
Life Orientation
Life Orientation (LO)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Life Orientation Subject Level
*
Life Science
Life Science (LS)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Life Science Subject Level
*
Biology
Biology (Bio)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Biology Subject Level
*
Geography
Geography (Geo)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Geography Subject Level
*
Accounting
Accounting (Acc)
Standard Grade
No Option Selected
Higher Grade
Standard Grade
Accounting Subject Level
*
Business Studies
Business Studies (Bus. Stud.)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Business Studies Subject Level
*
Physical Science
Physical Science (Physics)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Physical Science Subject Level
*
Mathematics
Mathematics (Maths)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Mathematics Subject Level
*
Mathematics Literacy
Mathematics Literacy (Maths Lit.)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Mathematics Literacy Subject Level
*
Engineering Graphics and Design
Engineering Graphics and Design (Eng. Graph)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Engineering Graphics and Design Subject Level
*
Electrical Technology (Power Systems)
Electrical Technology (Power Systems) (Elect. Tech)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Electrical Technology (Power Systems) Subject Level
*
Economics
Economics (Econ.)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Economics Subject Level
*
Tourism
Tourism (Tour)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Tourism Subject Level
*
Agriculture Science
Agricutlture Science (Agri.)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Agriculture Science Subject Level
*
Dramatic Arts
Dramatic Arts (Drama)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Dramatic Arts Subject Level
*
Religious Studies
Religious Studies (Reli. Stud.)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Religious Studies Subject Level
*
Computer Applications Technology
Computer Applications Technology (Comp. Tech)
No Option Selected
No Option Selected
Higher Grade
Standard Grade
Computer Applications Technology Subject Level
*
Have you received your Acceptance letter from the institutions you have applied to?
*
Yes
No
Have not yet applied at any institution
Are you currently receiving any other Financial Aid?
*
Yes
No
From when?
Would you require accommodation? NB: Accommodation will only be provided to the applicant who has requested it.
*
Yes
No
Tell us why you chose this particular field of study?
*
0
/ 1000
House/Unit Number
*
Street Name
*
Town
City
*
Postal Code
*
Eastern Cape
Eastern Cape
Free State
Gauteng
Kwa-Zulu Natal
Limpopo
Mpumalanga
Northern Cape
North West
Western Cape
Other
Province
*
South Africa
South Africa
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
*
Do you have a Postal/Private Bag number?
*
Yes
No
P.O. Box/Private Bag Number
*
Town
City
*
Postal Code
*
Are you a NUM member or Staff member?
*
Yes
No
First names in full
*
Surname
*
Maiden Surname
Optional
Identity or Passport Number
*
South Africa
Please select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Costa Rica
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Guiana
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Other
Head Office – All NUM Employees
Carletonville
Eastern Cape
Free State
Highveld
Kimberly
Kwa-Zulu Natal
Matlosana
MDA – Eastern Cape
MDA – Head Office
MDA – Lesotho
MIT Family – JB Marks, EBMTC, SATRI, NUMPROP, MDA, MIC & MIT
North East
PWV
Rustenburg
Western Cape
Other
Which Region are you from?
*
NUM Region
If other, specify
Branch Name
*
Branch Name
Home Telephone
Home Telephone (optional)
Mobile Number
*
. Mobile Number
Member Email
*
Email
Name of Company
*
Your Industry Number
*
Company Telephone Number
*
Company Telephone Number
Company Fax Number
Company Fax Number
Energy
Construction
Energy
Metals
Mining
Please indicate the nature of your industry
*
I, (Name and Surname of NUM Member)
*
Signed on:
NUM Member Signature
Supported Filetypes:.doc/.docx, .jpg/.jpeg, .png, .pdf, .rtf, .pages, .zip
Certified copy of NUM Member Identity Document
*
Drop file here or click to select a file from your device
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Certified copy of the applicant Identity Document
*
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% Completed
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Proof of Address
*
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% Completed
0
Latest Grade 12 Results or Latest Tertiary Results
*
Drop file here or click to select a file from your device
% Completed
0
Latest payslip for verification of NUM Membership
*
Drop file here or click to select a file from your device
% Completed
0
Proof of acceptance from the institution you’ve applied to (e.g. TVET College, Univ. of Tech. or University)
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% Completed
0
Proof of Financial Aid
*
Drop file here or click to select a file from your device
% Completed
0
Proof of dependency – Marriage Certificate for Spouses/Abridged Birth Certificate/Clinic Immunization Card/Medical Aid Beneficiary Certificate or Magistrate Guardianship letter
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% Completed
0
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