Application Form - PGCE, BAH, BACD

Post Grad Certificates and Honours Degrees

1Applicant's Info > 2Applicant's Family Info > 3Personal Info > 4Educational Info > 5Financial Info > 6Medical Info > 7Statistical Info
Fields marked with a red star are compulsory
Name * Title First Middle Last Suffix
Date of Birth * / DD / MM YYYY
Proposed Programme of Study *
Proposed Programme Second Choice: *
Campus *
Main Campus Online / Distance
Application for Admission for the year: *
R300 Application for admission fee to accompany your application

Send completed application with supporting documents to:
Tel: 021 448 0050
E-mail: applications@cornerstone.ac.za
Website: https://cornerstone.ac.za

Registered as Cornerstone Institute (RF) NPC with the Department of Higher Education and Training as a private higher education institution under the
Higher Education Act, 1997, Registration Certificate No 2001/HE08/006.
A. Application
A.1 Applicant's Biographical Particulars
Surname *
Previous Surname (if applicable): *
First name and middle names: *
Have you been registered at Cornerstone before? *
Yes No
If so, please state student number:
Identity number:
Alternate ID; Passport no; Refugee no; none
Date of Birth (YY/MM/DD): * / MM / DD YYYY
Religion:
Title: *
Mr Miss Mrs Dr Other
Marital Status *
Unmarried Married Other
Language Preference *
Afrikaans English isiNdebele isiXhosa isiZulu sePedi seSotho seTswana siSwati TschiVenda Other
Citizenship *
S.A. Dual Permanent Residence Unknown Other
Specify (if ‘other’):
Permit Number (If foreign):

If foreign
Permit Expiry Date / MM / DD YYYY
Permit Type
Study Permit Residence Permit Other
Please specify if other.
Equity Status *
Asian Black: African Black: Coloured Black: Indian White
For Department of Higher Education and Training statistics only.
Gender *
Male Female Other
Residential Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Between address lines, leave comma only e.g. 11 LANSDOWNE ROAD, CLAREMONT :
Postal Address
(Complete only if different from residential address):
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Complete only if different from residential address.
Forwarding Address for Account
Residential Postal Other
If other, fill relevant address in below.
If 'other,' fill in the relevant address below:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Applicant's telephone number, office hours:

Telephone number during office hours.
Applicant's telephone number, after hours:

Telephone number during after hours.
Cellphone Number *
Email Address *
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Enter Your Email Address

A special link to resume the form will be sent to your email address.

Application Form - PGCE, BAH, BACD

Application Form - PGCE, BAH, BACD

R300 Application for admission fee to accompany your application

A. Application

A.1 Applicant's Biographical Particulars