Student Registration

1. Applicant details

Date of birth

Student number (returning)

First name:

Second name:

Surname:

Home language:

Gender:

Female

Male

Other

Ethnicity:

Asian

Black

Caucasian

Coloured

Indian

Other

Are you a SA citizen:

Yes

No

SA identity number:

Do you have a disability:

Yes

No

If you need assistance because of a disability, please specify the disability/ies so we can plan to help you:

* Note: Application is subject to review to stipulate availability/ accommodation for said disability

2. Programme details

The programme details are subject to change, therefore we request that you please confirm all information with your assigned student advisor or refer to our website at www.aie.ac for more information.

3. Applicant contact details

Home (Street) address:

Delivery address for study material: Same as home add.

Postal / zip code:

Cell no:

Additional no:

Email address:

4. Parent / guardian contact details

Compulsory for applicants under the age of 18 years old.

Surname of parent / guardian:

First names of parent / guardian:

Email address:

Cell no:

Additional no:

Identity / passport number of parent / guardian:

Relationship to applicant:

5. Person responsible for the account

Nature of sponsor:

Individual

Trust

Company

Close corporation

Same as applicant

Surname of account payer:

First names of account payer:

Identity / passport number: (if applicable)

Legal entity representative: (if applicable)

Legal entity registration number: (if applicable)

Legal entity name: (if applicable)

Street address:

Postal address:

Postal / zip code:

Email address:

Cell no:

6.Payment details

- The application will not be processed without the registration fee.
- All payment terms are subject to finance approval and completeness of documents submitted.
- Purchase order applicable to students who are sponsored by a business.
- Foreign students are required to pay 50% fees upfront.
- Please visit www.aie.ac to review “Pricing & Payment Options”.

Payment method:

Full upfront payment

Payment plan required

Purchase order

7. Accompanying documentation

The student should submit all of the following documents with their registration form:

1. Copy of student ID/passport
2. Copy of Matric Certificate/NQF4
3. Proof of highest qualification (if applicable)
4. Foreign students: study permit (if applicable)
5. Disability supporting documentation (if applicable)

The following documents must be submitted should payment terms be required

1. Copy of account payer ID
2. Copy of account payer’s most recent salary slip/3 months bank statements
3. Proof of account payer’s address
4. Legal entity registration documentation (CIPC Certificate) (if applicable)
5. Signed debit order authority form
6. Purchase order (if applicable)

8. Upload documentation

Please upload ALL required documentation as stipulated in section 7 above. No applications will be considered without the required documentation being in place. *Please upload all documents in PDF format

9. Disclaimer

I hereby confirm that the information supplied is true and correct.

Confirmed at on this day of 20

Please read the Terms and Conditions before submitting the application form.

I hereby confirm that I have read, understood and accept all Terms and Conditions as set out in the application form.

Form completed by:

Student

Parent / guardian

Sponsor

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Application for Registration

1. Applicant details

2. Programme details

3. Applicant contact details

4. Parent / guardian contact details

5. Person responsible for the account

6.Payment details

7. Accompanying documentation

The student should submit all of the following documents with their registration form:

The following documents must be submitted should payment terms be required

8. Upload documentation

9. Disclaimer

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