Digital Entrepreneurship Bursary Application Form B

Digital Entrepreneurship Bursary Application Form 2026

Student Details

Please fill in all the required fields below

First Name

ID Number

Date of Birth

Email Address

Contact Number 1

Contact Number 2

WhatsApp Number (if different)

Last Name

Passport Number

Address Line 1

Address Line 2

City

Province

Country

Zip Code

Referrer

Next of Kin Details

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Next Of Kin

Guardian

Spouse

Parent

Partner

Next of Kin Contact Number 1

Next of Kin Contact Number 2

Next of Kin First Name

Next of Kin Last Name

Next of Kin Email Address

Computer / Internet Access

Please fill in all the required fields below

Do you have your own Laptop / Computer?

Yes

I will be using someone elses

Is the computer owner aware of the bursary program and do you have their consent?

Yes

Do you have access to a stable Wi-Fi / Data / Fiber connection?

Yes

Laptop Owner Name

Relationship to the Computer Owner

Computer Owner Contact Number

Employment / Education

Please fill in all the required fields below

Employer

If No; Highest Grade Passed?

If Yes; Year Matriculated?

High School Name

Family Details

Please fill in all the required fields below

Final Details

Please fill in all the required fields below