See instructions in the CAO UNISA

Handbook
Write neatly so that your information can be
captured correctly
Do NOT use a photocopy of this form. Each one contains
a unique CAO number.
YOUR CONTACT DETAILS
First names
Surname
Title Mr Mrs Ms Miss Other ID or passport number
Date of birth
ADDRESS FOR
POSTAL DELIVERIES
Postcode Country (if not South Africa)
Use this address until /indefinitely
ALTERNATIVE OR NEW POSTAL ADDRESS (for CAO to use if letters are returned)
Postcode Country (if not South Africa) Use
after until /indefinitely
EMAIL ADDRESS
For the attention of address @
Use until /indefinitely
FAX NUMBER
For the attention of code number
Use until /indefinitely
PHONE NUMBERS Home code number
Cellphone For SMS messages
Work code number Ext
If we can’t contact you, is there another phone number we can ring to leave a
message for you?
Person to speak to code number
ABOUT YOURSELF
PREVIOUS SURNAME (if applicable)
COUNTRY OF CITIZENSHIP
Afrikaans English
LANGUAGE OF CORRESPONDENCE AT UNISA

(refer to CAO UNISA Handbook)

PREFERRED EXAMINATION CENTRE
FORMAT FOR REGISTRATION MATERIAL Hardcopy Email CD
CONFIDENTIALITY

No

Yes
Do you wish your details to be shown only to UNISA?
If you answer ‘NO’, other institutions will be able to contact you about places
they may have available.
FINANCIAL AID
Tick this box if you intend applying for financial assistance. Financial aid is
available for students intending to register for
under/postgraduate qualifications. Application must be made on UNISA’s financial
aid form.
PLEASE PROVIDE THE FOLLOWING FOR STATISTICAL PURPOSES
Indian
African
Single/not currently married
Male
Coloured White
 Female
Married
HOME LANGUAGE
Afrikaans English isiNdebele seSotho
sePedi siSwati
xiTsonga seTswana tshiVenda isiXhosa
isiZulu Other
Which of the following best describes what you have been doing so far this year?
Grade 12 learner at high school Upgrading Senior Certificate
Working Unemployed Degree student
Diploma student FET College student College of
Nursing student Private College student
Student at a foreign tertiary institution Other (give details)

(refer to CAO
Occupation Economic Sector
UNISA Handbook)
CENTRAL APPLICATIONS
OFFICE
www.cao.ac.za
enquiries@cao.ac.za
tel: 031 268 4444
fax: 031 268 4422
ONE form! ONE fee!
ONE office!
Attach your documents inside the form
APPLICANTS WITH DISABILITIES
Higher education institutions are sensitive to your needs. Please indicate if you
have any conditions requiring assistance.
Blind Partially sighted Deaf Partially deaf Wheelchair
Crutches/callipers Paraplegia
Ailments requiring support Epilepsy Cerebral palsy
Psychological or learning difficulty
Other (give details)
HIGH SCHOOLS ATTENDED
School name From To School name From
To School name From To
SCHOOL LEAVING EXAMINATION RESULTS
Year of exam
National Senior Certificate (from 2008) Senior Certificate
National Certificate Vocational
N3/4 HIGCSE GCE IB Other
Examining authority e.g. KZN, Eastern Cape, IEB
Examination number
Send us copies of all available examination results and any exemption. If you are
writing in 2008 enter the subjects (and grades/

Level/
Level/
Grade/
levels where applicable) to be written. Grade/
Level (e.g. Symbol
Level (e.g. Symbol
Subject Subject
achieved %
HG, ‘O’) achieved %
HG, ‘O’)
Complete the following section if you wrote Senior Certificate (prior to 2008).
 Type of exemption Full Ordinary Conditional Mature Age
Immigrant Foreign None/Not yet awarded
Enter the mark range shown on your Senior Certificate (e.g. 950-1199)
–
Aggregate as shown on Senior Certificate
OTHER POST-SCHOOL EXAMINATION RESULTS Rewriting/upgrading
Other (e.g. N4)

Level/
Level/
Grade/
Grade/
Year of exam

Level (e.g. Symbol

Level (e.g. Symbol
Subject Subject
HG, ‘O’) achieved %
%

achieved

HG, ‘O’)
SCHOOL EXAMINATION RESULTS (if you are still at school)
Send us additional results as they become available.
My position in Grade 11 was out of a total of learners in
the whole of Grade 11.
Final exams Grade 11 June exams
Grade 12 Trials/Mocks

Year of exam
Year of exam Year of exam

Mark

Mark Level
Mark
Level Level
Subject
achieved Mark
Ma
rk out of

out of
achieved Mark %
out of achieved
%

%
ARE YOU STUDYING NOW OR HAVE YOU EVER STUDIED?
Date
Qualification Student Qualification Awaiting
From To Institution Campus
name number complete result

Yes No Yes No

Yes No Yes No
 Have you previously studied at UNISA (including former TSA)? If so, apply
directly to UNISA for registration.
Have you ever been excluded from a tertiary institution or a residence? Yes
No If yes, year of exclusion
Institution Details
WHAT PROGRAMMES ARE YOU APPLYING FOR?
Programmes on offer and their codes are listed in the CAO UNISA Handbook and on
the website www.cao.ac.za
Programme code Year of entry Entry term
Entry level Programme name
Choice e.g. SA - 9 - BCQ e.g. 2009
e.g. 1st yr e.g. B Com in Human Resource Management
1st – –
2nd – –
3rd – –
4th – –
5th – –
6th – –
Institution – campus – programme
HAVE YOU INCLUDED?
Copy of your identity document or passport
Copy of Senior Certificate or Statement of Symbols, Matriculation
Certificate or school leaving exam
Copy of school examination results certified by school principal (if
still at school)
Academic record and certificate of good conduct (if you have already
studied at a tertiary institution)
Programme codes of the programmes for which you are applying
Please do NOT send us your original documents.
INDICATE METHOD OF PAYMENT The CAO does not accept cash payments.
cheque* money order* postal order*
direct deposit credit card
*Make payable to CAO and write your CAO number on the back.
Closing date for Semester 1 and year modules is 30 September. Late
applications will be accepted until
09 January 2009. Closing date for Semester 2 is 30 April. Late
applications will be accepted until 31 May.
If you miss these final closing dates your application will be
carried to the next registration period.
There are no closing dates for applications for
Masters and Doctoral studies.
If we do not receive payment, or your payment is not honoured,
we shall send your form back to you.
THE APPLICATION FEE IS NOT
REFUNDABLE.
Payment by credit card
Type of card:

Visa Mastercard
Type of card Visa Mastercard
(regret other cards not acceptable)
Credit card number
Amount paid..............................
When does your card expire?
Credit card payment
Card validation number (last 3 digits on back of card)
authorised by
Please debit my credit card the sum of R .......................................
// the value of

..................................................
US$ .................................. in South African Rand (see over for
charges)

Date form posted ....................

Card holder’s name
.........................................................................
Card holder’s identity number
........................................................
Card holder’s daytime contact number ...........................................

KEEP THIS SECTION AS

YOUR RECEIPT
Card holder’s signature
...................................................................
DECLARATION BY THE APPLICANT
I,
(name and surname) the undersigned applicant,
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 UNISA Handbook
and/or on the CAO website.
I understand that this application cannot be processed until the payment of the
application fee has been received and 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 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 form and copies of
outstanding examination results, to inform the CAO of any change in address and
to confirm in writing my acceptance or refusal
of any places offered to me.
Signature of person Mother
Signature
assisting if you are Father
Date of applicant
under 18 Guardian
DECLARATION BY OR ON BEHALF OF THE SCHOOL PRINCIPAL
(where the applicant’s National Senior Certificate results are not yet
available)
I,
the undersigned, confirm that the
school record and examination results provided with this application, and, to
the best of my
knowledge, the other information provided in this form are correct.
Date Signature
School stamp
APPLICATION FEE (not refundable)
SA Residents International Applicants
Semester 1/Yr Prog
Semester 2
If form and fee reach us by 30 Sept 2008
30 April 2009 R150 R250 or US $70
 After these dates until 9 Jan 2009
31 May 2009 R300 R500 or US$140
Applicants paying in the currency of Lesotho, Namibia or Swaziland should pay
the Rand amount.
If using this form after 1 June 2009 please
contact us to confirm the fee.
Post this form
to:
Central Applications Office, Private Bag X06, Dalbridge, 4014
Referenced Deposit received
FOR OFFICE USE ONLY
by First National Bank
Amount paid ..............................
Teller’s stamp

Deposit Slip -
CAO Number
for use at any branch of First National Bank

Conditions: Cheques etc. for collection to

Payment deposited at FNB

be available as cash when paid. While acting

in good faith, the Bank cannot accept

.................................... branch
responsibility for ensuring that depositors

have lawful title to cheques etc. collected.

Referenced Deposit
Amount paid ...........................

Teller’s stamp
Teller’s stamp

Date ................................
Cheque or postal order number Account Name: CENTRAL
APPLICATIONS OFFICE
Rands Cents
(if sent with form)
Branch: DURBAN 22-14-26
Notes
............................................
Account No.: 62008899190
Coins
Reference No.:
Sub-total
Date form posted ......................

Cheque Bank No.

Drawer
KEEP THIS SECTION AS
.............................
............................
YOUR RECEIPT
Deposited by
(Signature) Total R