UNIVERSAL ACCESSIBILITY & DISABILITY SERVICES (UADS)

STUDENT REASONABLE ACCOMMODATIONS APPLICATION FORM

 

Please ensure that your application is completed in full.  Failure to submit all requested documentation may result in delays and declines.  All applications are valid for ONE academic year and therefore must be renewed annually.

 

Submit your application form with all valid documentation (not older than 3 years).

 

PERSONAL  INFORMATION

Nationality:

Accommodation:











 

DISCLOSURE

I, the applicant, hereby:

  1. Declare that all information in this document is true and correct.

 

  1. Declare that I have read the application process and understand that if I do not adhere to the application process it may have a negative impact on my application.

 

  1. Grant permission to the UADS to enquire about and verify my medical documents  or any other information needed on this application form.

CONFIDENTIALITY

Confidentiality is central to trust between UADS and the student and as a student, you have the right to expect that your personal information will be held in confidence and effectively protected against improper disclosure at all times.  No personal information will be disclosed to any other party except the Concession Committee that is responsible to make approval of the application.


Do you give permission that this information can be shared? Yes / No:


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POPIA information:

The Protection of Personal Information Act, 2013 (POPI Act) has been promulgated and implemented on 1 July 2020. All personal identifiable information provided by you shall be treated in accordance with this statute and only used for academic and academic administration purposes, as indicated in the University’s Privacy Policy. By providing your information, you are giving consent for the use of all your personal identifiable information, provided to the University, for the aforesaid purposes.

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