inskrywingsvorm / enrolment form - woelwater€¦ · inskrywingsvorm / enrolment form r500...

Inskrywingsvorm / Enrolment form

R500 Registrasie fooi – Nie-Terug Betaalbaar R500 Registration fee – Non-Refundable

Reg fooi ontvang/Reg fee received:_________ Datum van inskrywing / Date of enrolment___________________________________ Van / Surname________________________________________________________ Naam van kleuter / Name of Child_________________________________________ Ouderdom / Age__________ Geboortedatum / Date of Birth____________________ Geslag / Sex_____________ Huistaal / Home Language_______________________ Huis / Home Tel____________________ Straatadres / Street Address Posbus /P.O.Box ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Vader /Father______________________Moeder/Mother_______________________ ID Nommer:_______________________ID Nommer:__________________________ Beroep / Occupation_________________Beroep /Occupation___________________ Werkgewer/Employer________________Werkgewer/Employer__________________ Werk/Work Tel_____________________Werk/Work Tel________________________ Sel/Cell___________________________Sel/Cell_____________________________ E-pos/E-mail:______________________ E-pos/E-mail:________________________ Vorige skool bygewoon/Previous school attended_____________________________ MEDIESE GESKIEDENIS / MEDICAL HISTORY Allergië/Allergies_______________________________________________________ Algemene gesondheid / General health_____________________________________ Mediese probleme / Medical problems______________________________________ Huisdokter/Family practitioner_______________________Tel___________________ Mediese Fonds/Medical Aid_________________________Nr___________________ Hiermee gee ek toestemming dat my huisdokter gekontak mag word i.g.v. nood Herewith permission to contack my family practitioner in case of emergency. ____________________________________________________________________ Signature Naam van ander persoon buiten uself wat kleuter by die skool mag kom haal. Name of person other than yourself who is allowed to fetch child from school. ____________________________________________________________________ Stuur asb! Afskrifte van ID (Ouers), geboortesertifikaat (kind)en immuniseringskaart Please send! Copies of ID(parents, birth certificate (child) and immunisationcard.

Please note that Woelwater’s Mother tongue is Afrikaans and that all meetings and the concert is done in Afrikaans.

Neem kennis dat Woelwater se voertaal Afrikaans is en dus geskied alle vergaderings en die konsert in Afrikaans.

Handtekening van ouer/voog:…………………… Signature of parent/guardian:……………..…

Pre-primary School Pre-primêre Skool

Posbus 13 P.O.Box 13 Amanzimtoti 4125

Tel: 031 904 1821 Cell: 079 699 4374 Fax: 031 904 1853 Email: [email protected]

VRYWARINGSVORM / INDEMNITY FORM

ONS, die ondertekendes, WE, the undersigned VADER_________________________________________(Volle name en van) FATHER (Full names and surname) MOEDER________________________________________(Volle name en van) MOTHER (Full names and surname) Van /of ________________________________________________ Volle name van kleuter Full names of child hiermee vrywaar en stel skadeloos / hereby indemnify and hold harmless Woelwater Pre-Primêre skool (insluitende die personeel, werknemers, agente, beheerraad en kontrakteurs) van enige eise, verliese, skade en kostes wat ontstaan weens die dood of besering van my kind, en van enige verliese of skade aan eiendom van watter aard ookal en hoedanig ookal opgedoen, insluitende gevolgskade, terwyl my kind hom/haar mag bevind onder die beheer ent toesig van Woelwater Pre-Primêre skool. Woelwater Pre Primary school (including personnel, employees, agents, governing body and contractors) against any claims, losses, damages, costs or demand arising from the death of or injury to my child or any loss of or damage to property, of whatsoever nature and howsoever sustained, including consequential loss, whilst my child is in the care and under the control of Woelwater Pre Primary school. OUER HANDTEKENING /PARENT’S SIGNATURE VADER/FATHER________________________ID NR:______________________________ MOEDER/MOTHER______________________ID NR:_____________________________

DATUM/DATE___________________________




SKOOLFONDSBETALING ONDERNEMINGSVORM

1. Hiermee onderneem ek: Vader:____________________________,(Volle name en van)

ID nommer:________________________________, en

Moeder:_________________________________________,(Volle name en van)

ID nommer:______________________________________, om die skoolfooie, soos deur

die Beheerraad vasgestel, per debiet order en maandeliks vooruit en nie later as op die 1ste

dag van die maand vir elke daaropvolgende maand te betaal solank as wat my/ons kleuter by

Woelwater Pre-Primêr skoolgaan.

2. Ek stem in om een (1) kalendermaand skriftelik kennis te gee, sou my kleuter die skool

verlaat en aanvaar dat ek ook verantwoordelik is vir die betaling van skoolfooi vir die kennis maand.

3. Ek bevestig ook dat ek kennis dra van die rëel dat indien my skoolfooie nie ten volle tot op

datum betaal is voor of op die 7de van elke maand nie, my kleuter sy/haar plek in die skool met onmiddelike effek sal verloor totdat alle agterstallige fooi opbetaal is.

4. Ek gee hiermee toestemming dat Woelwater Pre-Primêre Skool my persoonlike details asook

die besonderhede van hoe ek die betaling van my kind se skoolfonds en ander finansiële

verpligtinge teenoor Woelwater Pre-Primêre Skool nagekom het, mag oordra en kommunikeer

aan enige geregistreerde kredietburo, in die geval van wanbetaling. Ek gee ook hiermee

toestemming dat sodanige inligting deur alle sodanige geregistreerde kredietburos gedeel

mag word asook deur enige ander persoon soos bedoel in die Nasionale Kredietwet (34/2005)

5. Ek gee hiermee toestemming aan Woelwater Pre-Primêre Skool om jaarliks my debietorder

aan te pas ooreenkomstig die eskalasie van die skoolfooie.

Geteken te__________________________(plek) op____________________(datum)

________________________________ ________________________________

Handtekening van Vader Handtekening van Moeder




ACKNOWLEDGEMENT FOR PAYMENT OF SCHOOLFEES

1. I, Father:___________________________________, (Full names & surname)

ID number:___________________________________, and

Mother:______________________________________, (Full names & surname)

ID number:___________________________________, hereby undertake to, pay the school fees, per

debit order, as stipulated by the School’s Governing Body, and monthly in advance and not later than

on the 1st day of the month for every consecutive month for as long as my/our child is enrolled in

Woelwater Pre-Primary School.

2. I agree to give one (1) month’s written notice should my child leave Woelwater Pre-Primary School

and agree to pay the one month’s school fee in advance for the notice month.

3. I acknowledge the rule that if the school fees for my child is not paid on or before the 7th of the month,

my child will loose his/her place at the school with immediate effect until all arrear fees are paid up.

4. I hereby consent to Woelwater Pre-Primary School transmitting details of how I have performed in

paying my child’s school fees and in meeting my other financial obligations to Woelwater Pre-Primary,

including personal information, to all registered credit bureau, in the case of non-payment of school

fees; and I hereby consent that such information may be shared by all such registered credit bureau

and any other person as contemplated by in the National Credit Act (34/2005), for the prescribed

purposes of the Act.

5. I/we hereby give consent to Woelwater Pre-Primary School to annually adjust my debit order amount in

accordance with the escalation of the school fees.

Signed at_______________________________(place) on __________________(date)

_________________________ _____________________

Signature of Father Signature of Mother




REGISTRASIE VORM

MAGTIGING VAN ALTERNATIEWE PERSOON OM MY/ONS KLEUTER(S) NAMENS MY/ONS TE KOM AFHAAL BY DIE SKOOL

Hiermee gee ek,…………………………………… en ………………………………………….. (Naam van Vader) (Naam van Moeder) toestemming dat my/ons kleuter(s): ……………………………………………………. ………………………………………..…… Naam van kleuter Groep …………………………………………………….. …………………………………………… Naam van kleuter Groep …………………………………………………….. …………………………………………… Naam van kleuter Groep saam met die volgende Persoon/Persone mag saam gaan; indien ek self nie betyds sal wees om my kleuter(s) by die skool te kom oplaai nie: Genomineerde Persoon: Naam & Van: ……………………………………. ID Nr.: …………………………………………. Naam & Van: ……………………………………. ID Nr.: …………………………………………. Ek sluit hiermee ‘n afskrif van die Genomineerde persoon/persone se ID dokument in. Geteken te …………………………….. op hierdie ……………….van ……………… 20……. . …………………………………. ………………………………….. Handtekening van Vader/Voog Handtekening van Moeder/Voog


Posbus 13 Amanzimtoti 4125

Tel: 031 904 1821 Cell: 079 699 4374 Faks: 031 904 1853 E-pos: [email protected] Webtuiste: www.woelwater.co.za

mailto:[email protected]

REGISTRATION FORM

NOMINATION OF AN ALTERNATIVE PERSON TO COLLECT MY/OUR CHILD/CHILDREN FROM SCHOOL ON MY/OUR BEHALF

I/We,…………………………………… and ………………………………………….. (Name of Father) (Name of Mother) Hereby give consent that my/our child/children: ……………………………………………………. ………………………………………..…… Name of child Group …………………………………………………….. …………………………………………… Name of child Group …………………………………………………….. …………………………………………… Name of child Group May be collected by the nominated person/s on my behalf from School in the case where I/we can not be there to collect my/our child/children by myself/ourselves. I/We hereby nominate the following person(s) to do so on my/our behalf: Nominated Person: Name & Surname: ……………………………………. ID Nr.: ……………………………………. Name & Surname: ……………………………………. ID Nr.:……………………………………. I hereby attached hereto a copy of the above mentioned nominated person’s ID document. Signed at …………………………….. on this day the …….of ……………… 20……. . …………………………………. ………………………………….. Signature of Father/Guardian Signature of Mother/Guardian


Posbus 13 Amanzimtoti 4125



Naam van rekening: Woelwater Pre-Primêre Skool Name of account: Woelwater Pre-Primary School ABSA bank: Amanzimtoti Account Nr: 3300145786 Branch Nr: 632 005 Account type: Cheque Reference: Child’s surname & name

School fees are payable by debit order, monthly in advance and not later than on the 1st day of the month for every consecutive month for as long as your child is enrolled in Woelwater Pre-primary School.

Thank you.




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Geagte Ouers/Voogde

SKOOLFONDS OOREENKOMS – 2017

Tydens die Algemene Jaarvergadering gehou met ouers op 13 Oktober 2016, is 'n voorstel

aanvaar dat die jaarlikse skoolfooie vir die 2017 skooljaar met 5.00% sal verhoog. Die

skoolfooie struktuur sal soos volg wees:

Die skoolfooie is ten volle betaalbaar op die eerste skooldag van die skooljaar (11 Januarie

2017).

Ten einde u as ouers tegemoet te kom, word hierdie skoolfooie verhaal oor 11 paaiemente,

by wyse van 'n verpligte debietorder, beginnende op 1 Januarie 2017 en eindig op 1

November 2017.

Indien u die volle jaarlikse skoolfooie voor of op 31 Januarie 2017 betaal sal u 'n korting van

5% ontvang.

Halfdag Jaarfooi

Halfdag Fooi (betaalbaar

oor 11 maande)

Voldag Jaarfooi (Nasorg

Ingesluit)

Voldag fooi (Nasorg, ingesluit; betaalbaar oor 11

maande)

Babas (3mnde tot 24mnde) R 23 969.00 R 2 179.00 R 30 569.00 R 2 779.00

1ste Kind R 18 513.00 R 1 683.00 R 25 113.00 R 2 283.00

2de

Kind R 17 017.00 R 1 547.00 R 22 517.00 R 2 047.00

3de Kind R 15 334.00 R 1 394.00 R 20 834.00 R 1 894.00

Nasorg (1ste Kind) (12:15-17:15) R 600.00

Nasorg (2de Kind)(12:15 – 17:15) R 500.00 Nasorg Oggend fooi gedurende Skoolvakansies: Ekstra fooi (06:30-12:00

gedurende skoolvakansies)

(Slegs Woelwater kleuters wat ‘n nasorg fooi betaal, mag vakansiesorg bywoon)

R 40.00 per oggend


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Die volgende skoolgelde is eenmalig betaalbaar voor of op 31 Januarie 2017 en maak nie

deel uit van die skoolfooie nie:

Waslap & Beker fooi R 30.00

Instappies vir die jaar R 350.00 (2jaar tot 6jaar)

Boodskapboek & Oortreksel R 30.00

Totale bedrag betaalbaar: (eenmalig voor of op 31 Januarie 2017)

R 410.00 per kind

Skoolgereedheid: Gr. 0 en Gr. 00 Kleuters:

(Kleuters kan nie met skoolgereedheid begin voordat die onderstaande fooi betaal is nie).

Gr 0 fooi (eenmalig): R 450.00 per kind

Gr 00 fooi (eenmalig): R 400.00 per kind

*Fondsinsamelingsfooi eenmalig betaalbaar op die 28ste Februarie 2017:

R 500.00 per kind

*Gebruiksgoedere fooi eenmalig betaalbaar op die 28ste Februarie 2017:

R 200.00 per kind

Totale eenmalige bedrag betaalbaar per kind voor of op die 28ste Februarie 2017:

R 700.00 per kind.

* Nadat daar in die verlede slegs 'n gedeelte van die ouers betrokke was by fondsinsamelings en die voorsiening van

goedere soos bv. toiletpapier en snesies, is daar besluit, welke besluit aanvaar is, om die eenmalige fondsinsamelings-

en gebruiksgoedere fooie in te stel ten einde die verantwoordelikheid vir fondsinsamelings en gebruikersgoerdere

eweredig tussen al die ouers te versprei

NASORG:

Hiermee stel ek/ons die skool in kennis dat my/ons kleuter(s) die nasorg gaan bywoon/nie

gaan bywoon nie:

Ja, ek/ons skryf ons kleuter(s) by nasorg in

en sal die voldag skoolfooi betaal.

Nee, ek/ons skryf nie my kleuter(s) vir

nasorg in nie en sal die halfdag fooi betaal.

(Merk asseblief die toepaslike blokkie met ‘n “X”)

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TERME EN VOORWAARDES:

1 Ek (Vader/voog) _________________________________________(volle name en

van), Id nr._______________________, en

ek (Moeder/voog) ______________________________________ (volle name en

van), Id nr._______________________,

as ouer(s)/voog(de) van

NAAM VAN KIND(ERS):

1.________________________________ GEBOORTE DATUM: _____________________

2.________________________________ GEBOORTE DATUM: _____________________

3.________________________________ GEBOORTE DATUM: _____________________

onderneem en verbind my daartoe:

(a)

Opsie 1 Om die skoolgelde vir 2017 met 'n eenmalige bedrag van

R_________________ per kind voor of op 31 Januarie 2017 te betaal.

Opsie 2 Om die skoolgelde vir 2017 per debiet order met 'n maandelikse

paaiement van R_____________ te betaal, vooruit op die eerste dag

van die maand, beginnende 1 Januarie 2017 en dan elke eerste dag

van die maand vir elke daaropvolgende maand, met die laaste

paaiement op 1 November 2017.

(b) (indien u opsie 2 hierbo kies), om die aangehegde debietorder vorm (indien u nie

reeds die debietorder vorm ingevul het nie) korrek en volledig in te vul en nie later as

op die eerste dag wat u kleuter(s) skool begin nie, by die skool se administrasie

kantoor of via e-pos terug te besorg,

(c) (indien u opsie 2 hierbo kies) dat ek hiermee toestemming gee dat Woelwater Pre-

Primêre Skool my debietorder jaarliks kan aanpas ooreenkomstig die eskalasie van

die skoolgelde soos deur Woelwater Pre-Primêre Skool vasgestel,

(d) dat ek hiermee toestemming gee dat Woelwater Pre-Primêre Skool my persoonlike

details asook die besonderhede van hoe ek die betaling van my kind se skoolfonds

en ander finansiële verpligtinge teenoor Woelwater Pre-Primêre Skool nagekom het,

mag oordra en kommunikeer aan enige geregistreerde kredietburo, in die geval van

wanbetaling. Ek gee ook hiermee toestemming dat sodanige inligting deur alle

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sodanige geregistreerde kredietburos gedeel mag word asook deur enige persoon

soos bedoel in die Nasionale Kredietwet (34 van 2005)

(e) om een kalendermaand skriftelik kennis te gee (nasorg ingesluit) indien my kind vir

welke rede ookal die skool sou verlaat en dat ek verantwoordelik is vir die betaling

van die skoolgelde vir die kennisgewingsmaand.

(f) dat indien enige paaiement(e) volgens hierdie ooreenkoms nie voor of op die

bepaalde datum verskuldig, betaal is nie, die skool hierdie ooreenkoms onmiddellik

nietig kan verklaar, en dat die volle uitstaande balans onmiddellik betaalbaar is.

(g) Ek/Ons kies die adres

___________________________________________________________________

________________________ as my/ons domicilium citandi et executandi vir die

betekening van alle regskennisgewings en -prosesse totdat ek/ons die skool skriftelik

in kennis stel, welke skriftelike kennisgewing deur die skool ontang moet word, van

my/ons nuwe domicilium citandi et executandi.

Geteken te ___________________________ (plek) op _____________________ (datum)

___________________ _____________________

Vader/Voog Moeder/Voog

Geteken te ___________________________ (plek) op _____________________ (datum)

____________________

Prinsipaal

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Dear Parents/Guardians

SCHOOL FEES AGREEMENT - 2017

During our Annual General Meeting held with parents on the 13th of October 2016, a

proposal was agreed upon that the annual school fees for the 2017 school year will increase

with 5.00%. The school fee structure will be as follows:

The school fees is payable in full on the first school day of the school year (11 January

2017).

In order to accommodate parents, the school fee can be payable monthly in 11 instalments,

by way of compulsory debit order, starting on the 1st of January 2017 and ending on the 1st

of November 2017.

If you pay the annual school fee in full on or before 31 January 2017, you will receive a

discount of 5%.

Halfday Annual Fee

Halfday Fee (payable over 11

months)

Full day Annual Fee

(Aftercare included)

Fullday Fee (Aftercare

included; payable over 11 months)

Babies (3mnths to 24mnths) R 23 969.00 R 2 179.00 R 30 569.00 R 2 779.00

1st Child R 18 513.00 R 1 683.00 R 25 113.00 R 2 283.00

2nd Child R 17 017.00 R 1 547.00 R 22 517.00 R 2 047.00

3rd Child R 15 334.00 R 1 394.00 R 20 834.00 R 1 894.00

Aftercare (1st Child) (12:15-17:15) R 600.00

Aftercare (2nd Child)(12:15 – 17:15) R 500.00 Holiday care morning fee during school holidays – Extra fee (06:30-12:00 during

school holidays) (Only Woelwater children who pays for aftercare are allowed to attend Holiday care)

R 40.00 per morning


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The following fees is payable once off on or before the 31st of January 2017 and is not

part of the school fees:

Facecloth & Mug fee R 30.00

Presentations for the year R 350.00 (2yrs to 6 yrs)

Communication book & cover R 30.00

Total amount payable: (once off on or before the 31st

of

January 2017) R 410.00 per child

School readiness: Gr. 0 and Gr. 00 Children: (Children cannot start with school readiness if the following fee has not been paid).

Gr 0 fee (once off): R 450.00 per child

Gr 00 fee (once off): R 400.00 per child

*Fundraising fee once off payable on or before the 28th of February 2017:

R 500.00 per child

*Consumables fee once off payable on or before the 28th of February 2017:

R 200.00 per child

Total once off payment per child payable on or before the 28th of February 2017:

R 700.00 per child

* In the past it was found that only a small number of parents are involved in fundraising efforts and contribute

consumables such as toilet paper, tissues etc. It was therefore decided and agreed to raise a fundraising and

consumables fee in order to spread the responsibilities of fundraising and consumables amongst all parents.

AFTERCARE:

I/we hereby notify the school that my/our child(ren) will/will not be attending aftercare:

Yes, I/we am/are enrolling my/our child(ren)

to attend aftercare and will be paying the full

day fee.

No, I/we am/are not enrolling our child(ren)

to attend aftercare and we will be paying the

half day fee.

(Please indicate your choice with an “X” in the appropriate block).

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TERMS AND CONDITIONS:

1 I (Father/guardian) _________________________________________ (Full name

and surname), with Id nr._______________________, and

I (Mother/guardian) ______________________________________ (full name and

surname), with Id nr._______________________,

as parent(s)/guardian(s) of

NAME OF CHILD(REN):

1.________________________________ DATE OF BIRTH: _____________________

2.________________________________ DATE OF BIRTH: _____________________

3.________________________________ DATE OF BIRTH: _____________________

Undertake and bind myself:

(a)

Option 1 To pay the school fees for 2017 with a once-off payment of

R______________________ per child on or before 31 January 2017.

Option 2 To pay the school fees for 2017 per debit order with a monthly

instalment of R_____________ , in advance on the first day of every

month, starting on 1 January 2017 and then every first day of the

month for each following month, with the last instalment on 1

November 2016

(b) (if you choose option 2 above), to correctly complete the attached debit order form (if you have not completed the debit order form yet) and to return it by no later than the first day of your child’s school day, to the school’s administration office or via e-mail,

(c) (if you chose option 2 above) that I hereby give permission that Woelwater may

adjust my debit order annually according to the escalation of school fees as

determined by Woelwater Pre-Primary School.

(d) that I hereby consent to Woelwater Pre-Primary School transmitting details of how I

have performed in meeting my obligations in terms of school fees payable to

Woelwater Pre-Primary, including personal information, to all registered credit

bureaux and I hereby consent that such information may be shared by all such

registered credit bureaux and any other person as contemplated by in the National

Credit Act (34 of 2005), for the prescribed purposes of the Act.

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(e) to give one calendar months’ notice in writing (aftercare included) should my child for

any given reason leave the school and that I will be responsible for the payment of

the school fee for the notice month.

(f) that in the case where any instalment(s) according to this agreement is not paid on or

before the specific date, the school will void this agreement straightaway and that the

full outstanding amount will be payable immediately.

(g) I/We choose the address

___________________________________________________________________

________________________ as my/our chosen legal domicile for service of all legal

notices and processes until I/we advise the school in writing, which written notice

must be received by the school, of my/our new address, which will then become our

new legal domicile.

Signed at ___________________________ (place) on _____________________ (date)

___________________ _____________________

Father/Guardian Mother/Guardian

Signed at ___________________________ (place) on _____________________ (date)

____________________

Principal

STRATCOL USER NO: 8237 STRATCOL USER NAME: Woel Water Pre-Primere skool STRATCOL ABBREVIATED NAME: SAVF (This will be the name appearing on your Bank statement)

STRATCOL USER PHYSICAL ADDRESS: Posbus 13, Amanzimtoti, 4125 031 904 1821 fax: 031 904 1853/ 086 5400 460 [email protected] : www.woelwater.co.za

Woelwater Pre Primere Skool - SLEGS KANTOORGEBRUIK

EFT Kleuter naam en van : __________________________________

DEBIETORDER MAGTIGING

BESONDERHEDE VAN REKENINGHOUER: ID Nommer / Registrasienommer: _____________________Naam & Van / Naam v Besigheid: _______________________________________ Adres: ____________________________________________________________________________________________Kode____________ Kontak Besonderhede: ___________________________ (Huis) ___________________________ (Sel) ________________________ (Werk) Indien ‘n Besigheid, Naam van gemagtigde persoon vir die teken hiervan: ________________________________________________________ Rekeninghouer: ___________________________________________________ Bank: ______________________________________________ Takkode: ______________________________Rekeningnommer: _______________________________________________________________ Rekeningtipe: Besonderhede indien ANDER: ______________________________ : _____________________________

KOLLEKSIE INSTRUKSIE: Interval:

Is dit ‘n vaste bedrag of kan die bedrag wissel in die toekoms? Vaste Bedrag:

Wisselende Bedrag: Nota: Indien Wisselend, mag die bedrae hieronder (indien ingevul) oorskry word. * Eenmalige Aftrekking:

Kolleksiedatum: dd_____ /mm _____ / 20_____ R _____________. _______ (Bedrag)

* Herhalende Aftrekking: Herhaal die aftrekking onbepaald tot gekanselleer deur die kliënt? JA NEE

1ste Kolleksiedatum: dd_____ /mm _____ / 20_____ R _____________. _______ (Bedrag) Dag van Kolleksie daarna: ___________ (1-31)

* Weekliks: MA / DI / WO / DO / VR / SA Ek / Ons, die kliënt of behoorlike gemagtigde veteenwoordiger, gee hiermee goedkeuring aan StratCol om d.m.v ‘n elektroniese debietorder van die bogenoemde rekening te vorder, en om genoemde gelde oor te betaal aan die Stratcol gebruiker soos bo genoem. (Ek / Ons bevestig dat Ek / Ons die gemagtigde persone is vir die teken en magtiging van hierdie debietorder, met handtekening magtigings soos by My/ Ons bank geregistreer.

HANDTEKENING (1):_________________________HANDTEKENING (2):_________________________ DATUM: __________

Tjek

Eenmalig Maandelliks Kwartaalliks 6 Maandelliks Jaarliks Weekliks 2 Weekliks

SPAAR TRANSMISSIE ANDER


Bladsy 2

VOLTOOI EN TEKEN ASB STRATCOL GEBRUIKER NO: 8237

OOREENKOMS Ek / Ons gee hiermee toestemming aan STRATCOL om betaling instruksies uit te reik aan my /ons bankier vir die kolleksie teen my /ons bogemelde bankrekening by my /ons bank.

Die individuele betaling instruksies soos gemagtig, moet uitgereik en afgelewer word volgens die bogenoemde interval en op die datum wanneer die verpligting in terme van die ooreenkoms verskuldig is. Die bedrag van elke individuele instruksie kan nie verskil van dit wat hierin vervat word nie.

Die betaling instruksies soos gemagtig moet uitgereik word met 'n verwysings nommer, welke verwysing in die betalings instruksie ingesluit moet word om my / ons in staat stel om dien ooreenkoms die debiet op my / ons bankstaat te identifiseer. Die genoemde nommer moet aan hierdie vorm bygevoeg soos onder bladsy 1 aangedui is by kliënt verwysingsnommer en moet voor die uitreiking van enige betalingsopdrag en aan my / ons gestuur word direk nadat dit voltooi is deur my / ons.

Ek / Ons stem saam dat die eerste betaling opdrag uitgereik sal word en afgelewer soos per kolleksie instruksie. In die geval waar die relevante rekening nie genoegsame beskikbare fondse het om enige debiet te dek nie, is ek bewus dat n fooi gehef sal word teen my bank rekening vir die terugsending. Ek aanvaar die verantwoordelikheid om genoegsame en beskikbare fondse gelykstaande aan die minimum bedrag soos hierbo genoem te verseker (of soos aangepas van tyd tot tyd).

As die datum van die betaling instruksie egter op 'n nie – erkende bankdag val (naweek of openbare vakansiedag) stem ek / ons in dat die betaling instruksie teen my / ons rekening op die volgende of die vorige werkdag ingestel kan word.

MANDAAT:

Ek / ons erken dat alle betaling instruksies uitgereik deur die STRATCOL gebruiker sal hanteer word deur my / ons bogenoemde bank asof die instruksies persoonlik uitgereik is deur my / ons.

KANSELASIE:

Ek / Ons stem in dat hoewel hierdie gesag en mandaat gekanselleer mag word deur my / ons, sodanige kansellasie nie die ooreenkoms sal kanselleer nie. Ek / Ons verstaan ook dat ek / ons nie bedrae, wat uit my / ons rekening (betaal) onttrek is, in terme van hierdie instruksie mag herroep indien sodanige bedrae wettiglik verskuldig was aan die STRATCOL gebruiker nie.

OORDRAG:

Ek / ons erken dat hierdie gesag gesedeer kan word aan 'n derde party indien die ooreenkoms ook gesedeer word aan daardie derde party.

GETEKEN TE _______________________________ OP HIERDIE ________ DAG VAN ___________________ 20_____.

HANDTEKENING(E) SOOS BY BANK GEREGISTREER

____________________________________ _______________________________________

STRATCOL USER NO: 8237 STRATCOL USER NAME: Woel Water Pre-Primere skool STRATCOL ABBREVIATED NAME: SAVF (This will be the name appearing on your Bank statement) STRATCOL USER PHYSICAL ADDRESS: Posbus 13, Amanzimtoti, 4125 031 904 1821 fax: 031 904 1853/ 086 5400 460 [email protected] : www.woelwater.co.za

Woelwater Pre Primere Skool - SLEGS KANTOORGEBRUIK

EFT Kleuter naam en van : __________________________________

DEBIT ORDER AUTHORISATION

ACCOUNT HOLDER (DEBTOR) INFORMATION: ID Number / Registration Number: ________________________ Name & Surname / Company Name: _________________________________ Address: ____________________________________________________________________________________________Code____________ Contact Details: ___________________________ (Home) ___________________________ (Mobile) ___________________________ (Work) If Company / CC, Name of Person(s) signing this: ____________________________________________________________________________ Account Holder Name: ______________________________________________ Bank: ______________________________________________ Branch / Code: ______________________________Account Number: ___________________________________________________________ Account Type: If “Other” supply details: _______________________________ : _______________________________

COLLECTION INSTRUCTION: Interval:

Is this limited to fixed amounts, or to debits due in future that may vary? Fixed amounts:

Variable amounts: Note: if variable, the amount(s) hereunder may be exceeded. * Once off transaction:

Collection date: dd_____ /mm _____ / 20_____ R _____________. _______ (Amount)

* Recurring transactions: CONTINUE INDEFINATELY UNTILL CANCELLED BY DEBTOR? YES NO

1

st Collection date: dd_____ /mm _____ / 20_____ R _____________. _______ (Amount)

Day of Month thereafter: ___________ (1-31) Annual escalation: _______ (%) Escalation month: _____________

* If not indefinitely: _____________ (number of deductions) dd_____ /mm _____ / 20_____ (Final date) * If weekly: MON / TUE / WED / THU / FRI / SAT I / We, the above mentioned and undersigned, hereby authorise StratCol to collect by debit order from the above mentioned bank account, all amounts due in terms hereof and to pay same to the Stratcol User above. (I confirm that I / we are the person(s) with signature authority as registered with my / our bank).

SIGNATURE (1):_________________________SIGNATURE (2):_________________________ DATE: __________________

AGREEMENT

CURRENT

Once off Monthly Quarterly Biannually Annual Weekly Biweekly

SAVINGS TRANSMISSION OTHER


STRATCOL USER NO: 8237

I/we hereby authorise STRATCOL to issue and deliver payment instructions to my / our banker for collection against my/our abovementioned account at my/our abovementioned bank.

The individual payment instructions so authorised to be issued, must be issued and delivered according to the abovementioned interval on the date when the obligation in terms of the Agreement is due and the amount of each individual payment instruction may not differ as agreed to in terms of the Agreement.

The payment instructions so authorised to be issued, must carry a number, which number must be included in the said payment instruction and if provided to me / us should enable me / us to identify the agreement on my / our bank statement. The said number should be added to this form on page 1 under client reference number, before the issuing of any payment instruction and communicated to me / us directly after having been completed by me / us.

I/we agree that the first payment instruction will be issued and delivered as per collection instruction. In the event of the relevant account not having sufficient cleared funds to meet any debit, I am aware that an unpaid fee will be debited against my account by the bank and an additional unpaid fee will be charged by Sample relating to the return of the debit. I accept the responsibility to ensure sufficient cleared and available funds to the minimum of the limit above (or as amended from time to time).

If however, the date of the payment instruction falls on a non-processing day (weekend or public holiday) I / We agree that the payment instruction may be debited against my / our account on the following or previous business day.

MANDATE

I / we acknowledge that all payment instructions issued by the Stratcol User shall be treated by my / our abovementioned bank as if the instructions had been issued by me / us personally.

CANCELLATION

I / we agree that although this authority and mandate may be cancelled by me / us, such cancellation will not cancel the Agreement. I / we also understand that I / we cannot reclaim amounts, which have been withdrawn from my / our account (paid) in terms of this authority and mandate if such amounts were legally owing to the Stratcol User.

ASSIGNMENT

I / we acknowledge that this authority may be ceded or assigned to a third party if the Agreement is also ceded or assigned to that third party.

SIGNED AT ___________________________________ ON THIS ________ DAY OF ___________________ 20_____.

SIGNATURE(S) AS USED FOR OPERATING ON THE ACCOUNT

____________________________________ _______________________________________

inskrywingsvorm / enrolment form - woelwater€¦ · inskrywingsvorm / enrolment form r500...

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