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STUDENT INFORMATION CONTROL SHEET
STUDENT’S NAME:
STUDENT’S SURNAME:
CAMPUS: Johannesburg □ Pretoria □
COURSE:
EMAIL ADDRESS:
CONTACT NUMBER:
ID/PASSPORT NUMBER:
RESIDENTIAL ADDRESS:
POSTAL ADDRESS:
PARENT / GUARDIAN’S NAME & SURNAME:
PARENT/ GUARDIAN’S EMAIL ADDRESS:
PARENT/GUARDIAN’S CONTACT NUMBER:
DATE & AMOUNT OF DEPOSIT PAYMENT:
INSTAGRAM FACEBOOK TWITTER BLOG
SHORT COURSE APPLICATION JULY INTAKE 2019
To secure your place, a Registration Deposit of R 4000 must be paid into the LISOF account, see details below: Account name: LISOF Account number: 001972847 Bank: Standard Bank Branch: Rosebank Branch Code: 051001 Swift Code: SBZAJJ Payment Reference: GRC- Student’s name & surname FOR JOHANNESBURG Please email the following documents to [email protected]:
1. Please email proof of payment 2. A certified copy of the student’s GRADE 10 or Matric certificate 3. A certified copy of the student’s ID/passport 4. A certified copy of the account payer’s ID/passport
FOR PRETORIA Please email the following documents to [email protected]:
1. Please email proof of payment 2. A certified copy of the student’s GRADE 10 or Matric certificate 3. A certified copy of the student’s ID/passport 4. A certified copy of the account payer’s ID/passport