Future Africa long stay accommodation

Biographical data

Title*

Please select your appropriate title

Name*

Please indicate your name/s, with names in the order that you would usually write them.

Surname*

Please enter your surname

South African ID or Passport number*

South African ID or Passport number

Attach copy of ID document*

Max. file size: 68 MB.

Nationality*

Nationality

Country of residence*

Country of residence

Do you have a vehicle?

Yes

No

Contact information

Email*

Please enter your email address

Mobile number*

Mobile telephone number, please include the international dialing prefix.

Motivation

Motivation for applying*

Stay required from*

Stay required until*

Future Africa Accommodation awards rental agreements on an annual basis, meaning all applications are reviewed at the end of this year for approval of stay during the following year.

UP Affiliation

UP Affiliation*

UP Staff or student number

Are you an employee of the University of Pretoria?*

Yes

No

Attach copy of student card*

Max. file size: 68 MB.

Attach proof of registration*

Max. file size: 68 MB.

University / Institution*

Please enter your name university or institution name

Faculty*

Please enter your faculty, if relevant

Department*

Please enter your department, if relevant

HOD or Principal Investigator*

Please enter your department, if relevant

HOD or Pi contact email*

UP Supervisor | Project Leader*

Supervisor | Project Leader email

Attach a letter of confirmation and support from the supervisor or invitation from the research project and|or program*

Max. file size: 68 MB.

Period of Affiliation*

Expected year of completion*

Research Experience and Accomplishments

Highest level of qualification*

Current field of study*

It is important for us to understand your current research interest and fields of expertise.

Scholarly profile and|or Scholalry Website

Submission declaration

Read the following carefully, and complete the form. I declare to the best of my knowledge that the information in this application is accurate. I acknowledge that providing misleading or untrue information may lead to my application being rejected. When you apply, Future Africa will collect and use your information to: Process your application; Shortlisting you as a potential resident; Verify the information you provide with external third parties to ensure the information is complete, accurate and not misleading; Share your personal information with relevant parties pertaining to your stay at Future Africa For more information about how the University uses personal information, visit our Privacy Notice. Please view the University of Pretoria’s job applicant privacy notice here.

Future Africa campus forms part of a larger precinct and broader research and science community associated with the University of Pretoria and other stakeholders beyond the academe. Our scholarly community is expected to contribute to this collaborative and evolving merger of minds and knowledge outputs as it occurs. This forms an innate part of living at Future Africa and I undertake to engage meaningfully towards this goal. I understand the campus environment and with this application confirm that I want to live at Future Africa and I will adhere to the requirements of the campus and transformative sustainable science research platform.

Full name and surname*

Date*

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