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Date Submitted: 10/08/2013 01:10 AM

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Central Applications Office

Private Bag X06 Dalbridge 4014

NPC

‘Helping turn career dreams into reality’

DECLARATION BY THE APPLICANT

1. Sign the declaration 2. Complete the checklist 3. Make payment 4. Return this page to the CAO with your documentation

DECLARATION

CAO Number:

900185901712

I, Happy Ntsako Hlebela (ID/Passport number 9401016210081), the undersigned applicant, being over 18/assisted by my parent or legal guardian as I am under 18, declare that all the information supplied is true to the best of my knowledge and that none of the information requested has been withheld. I have read and I understand the terms and conditions in the CAO Handbook and/or on the CAO website. I understand that this application cannot be processed until the application fee has been paid. I agree that the CAO should proceed with processing my application even if it is too late for some or all of the programmes I have selected. I understand that the application fee is not refundable. I understand that institutions apply selection procedures and that offers of places may be withdrawn if the conditions are not met or if the institutions discover that I have provided false information in my application for admission. I undertake to submit to the CAO any documentation not included with this declaration and copies of any outstanding examination results when requested to do so, and to inform the CAO of any change in contact information. Date: ……………………… Signature of Applicant: …………………….…………………. Signature of parent or legal guardian: (if you are under 18) ………………………………………. Relationship of person assisting: Mother Father Guardian

CHECKLIST Have you included? - Please do NOT send us original documents – We cannot be held responsible for your documents’ safe keeping. If a portfolio is required, send it directly to the institution and NOT to the CAO.      Certified copy of your identity document or passport? Certified copy of school leaving exam results or...