Date of Birth
Institution of Study
Undergraduate / Postgraduate? ---UndergraduatePostgraduate
Which year of your course are you entering ---Year 1Year 2Year 3Year 4Year 5Final Year
Name of Degree / Course
Current place of residence
How did you hear about us?
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Would you like a parking bay?---YesNo
*Please note - the parking bay comes at an additional cost of R450/month.
*Guarantor - The person/institution responsible for the payments of accounts.
Name of Employer
Work Tel. No
Copy of IDs/Passports (Applicant and Guarantor)
Proof of Earnings (Payslip or 3 months bank statements)
Proof of Registration/Acceptance at Institution
Letter of Bursar/Sponsor, if Applicable
Please attach your proof of payment, as well as the reference you used when making the payment. If you have not done so, please see banking details below in order to do so. Proof of Payment Reference: