Certificate in Digital Entrepreneurship Application Form Fields marked with an * are required. First Name/s* Last Name* ID Number* Passport Number Residential Address* Province* Email Address* Contact Number 1* Contact Number 2 WhatsApp Number (If different) Next of Kin Details Next Of Kin* GuardianSpouseParentPartner Next of Kin First Name* Next of Kin Last Name* Next of Kin Contact Number 1* Next of Kin Contact Number 2 Next of Kin Email Address* Computer/ Internet Access Do you have your own Laptop/Computer?* YesNo If no; Whose Laptop/Computer will you be using? Laptop/Computer Owner Name Relationship to Computer Owner Computer Owner Contact Number Is the computer owner aware of the bursary program and do you have their consent?* YesNo Do you have access to a stable Wi-Fi / Data / Fiber connection?* YesNo Employment/ Education Are you Currently Employed?* YesNo Employer Have you Matriculated?* YesNo If no; Highest grade Passed Year Matriculated High School Name* Are you Currently Studying?* YesNo Institution Name Family Details Are you:* SingleMarriedDivorcedWidowedPartnered Do you have children?* YesNo How many children? Age of Child(ren) Final Details... Do you have 6 to 8 hours per week to dedicate to this program?* YesNo How did you learn about this Opportunity?* TikTokEmailWord of MouthLinkedInInstagramFacebook What Religion Do You Subscribe to?* MuslimChristianTraditionalJudaismNoneOther I agree and commit to completing the online 12-month bursary program.* I Agree I attest that I have access to a laptop/computer and wifi/fibre/internet/data.* Yes I consent to IT Varsity contacting me via voice calls and/or electronic communication for the purposes and fulfilment of this bursary.* I Agree I understand that the standard course fee is R600.00 per month.* I Agree Δ
