Name *

Surname*

Gender
—Please choose an option—MaleFemale

Ethnicity
—Please choose an option—Black AfricanIndianColouredWhiteForeign National

Personal Email Address *

Phone Number *

Which university are you attending? *
—Please choose an option—UCTUJUKZNUPRhodesWitsUWCOther

What degree have you obtained/are you studying towards? *
—Please choose an option—Information Systems 3rd yearInformation Systems HonsComputer Science 3rd yearComputer Science HonsElectrical or Chemical Engineering 3rd yearElectrical or Chemical Engineering Final year

What is/are your major/s? *

Have you had to repeat any subjects?*
—Please choose an option—YesNo

Do you have a current bursary? *
—Please choose an option—YesNo

Please enter your ID number *

How would you describe your awareness of BSG? *
—Please choose an option—Fully AwareSome AwarenessTotally Unaware

Please attach your CV(PDF)*

Please attach your "Why" letter(PDF)*
(Why You? Why BSG? Within this detail any community outreach work you do and any leadership roles you have held at school and in university?)

Please attach your matric results*

If you have a bursary, please attach all relevant information

Please attach a copy of your ID*

Please attach a recent photo of yourself*

Please attach all your tertiary results to date (including results from multiple institutions, if attended more than one):*

Privacy of Personal Information Policy*
I understand the personal information and grant BSG permission to store my details.

POPI Compliance *
I give BSG consent to capture and store my information in line with the POPI Act.