general information and instructions...6. please return the completed form to: ms j badenhorst via...

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DEBIT ORDER FOR STUDY FEES 2019 R2 Student Number (Only complete if you have been issued a student number by SBS) Private Bag X03, Helderkruin, 1733 / Tel: +27 (0) 11 662 1444 / Fax: +27 (0) 11 662 1462 / e-mail: [email protected] / Web site: http://sbs.ac.za Southern Business School (Pty) Ltd is registered with the Department of Higher Education & Training as a Private Higher Education Institution under the Higher Education Act, 1997. Registration Certificate Number: 2002/HE07/015 GENERAL INFORMATION AND INSTRUCTIONS 1. THIS FORM MUST BE ATTACHED TO THE REGISTRATION FORM 2. Southern Business School (Pty) Ltd offers our students an interest free payment option for study fees. 3. Please complete this form in full, in block letters, to prevent unnecessary delays. 4. Please note that the REGISTRATION FEE for all qualifications DOES NOT FORM PART of this debit order payment option and must be paid up front with registration. 5. Please ensure that sufficient funds are available in your account on the 15th or 30th day of every month. A fee of R180 will be charged on all rejected debit orders. 6. Please return the completed form to: Ms J Badenhorst via e-mail: [email protected] or fax number: +27 (0) 86 576 7020 or it can be posted to: The Finance Department, Private Bag X03, Helderkruin, 1733. QUALIFICATION 2 SUBJECTS PER SEMESTER 3 SUBJECTS PER SEMESTER Higher Certificate R 780 per month R1170 per month Diploma R 780 per month R1170 per month Advanced Diploma R 950 per month R1425 per month Bachelor of Business Administration Degree R 888 per month R1332 per month BBA Honours R1188 per month R1782 per month Bachelor of Policing Practice Degree R 780 per month R1170 per month BPP Honours R1076 per month R1614 per month Bachelor of Commerce in Law R1026 per month R1539 per month I hereby authorise Southern Business School to deduct from my bank account the following: South African ID Number International ID Number (Applicants who are not South African citizens) Birth Date (YYYYMMDD) Title Initials Surname Name of Account Holder Bank Name (e.g. Standard Bank) Branch Name (e.g. Westgate) Branch Code (e.g. 01664100) Account Number (e.g. 401394506) Type of Account (e.g. Savings, Cheque) If you have a savings account, please enquire at your bank if debit order deductions are allowed on your savings account. Amount to be deducted every month on the weekday closest to the 15th or 30th until further notice is given in writing: On the 15th On the 30th I declare that the information provided are valid and correct and I agree to all the registration conditions. Signed at Initials and Surname Date (YYYYMMDD) Signature

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Page 1: GENERAL INFORMATION AND INSTRUCTIONS...6. Please return the completed form to: Ms J Badenhorst via e-mail: Finance1@sbs.ac.za or fax number: +27 (0) 86 576 7020 or it can be posted

DEBIT ORDER FOR STUDY FEES 2019

R2

Student Number (Only complete if you have been issued a student number by SBS)

Private Bag X03, Helderkruin, 1733 / Tel: +27 (0) 11 662 1444 / Fax: +27 (0) 11 662 1462 / e-mail: [email protected] / Web site: http://sbs.ac.za Southern Business School (Pty) Ltd is registered with the Department of Higher Education & Training as a Private Higher Education Institution

under the Higher Education Act, 1997. Registration Certificate Number: 2002/HE07/015

GENERAL INFORMATION AND INSTRUCTIONS1. THIS FORM MUST BE ATTACHED TO THE REGISTRATION FORM 2. Southern Business School (Pty) Ltd offers our students an interest free payment option for study fees. 3. Please complete this form in full, in block letters, to prevent unnecessary delays. 4. Please note that the REGISTRATION FEE for all qualifications DOES NOT FORM PART of this debit order payment option and must be paid up

front with registration. 5. Please ensure that sufficient funds are available in your account on the 15th or 30th day of every month. A fee of R180 will be charged on all

rejected debit orders. 6. Please return the completed form to: Ms J Badenhorst via e-mail: [email protected] or fax number: +27 (0) 86 576 7020 or it can be posted to:

The Finance Department, Private Bag X03, Helderkruin, 1733.

QUALIFICATION 2 SUBJECTS PER SEMESTER 3 SUBJECTS PER SEMESTERHigher Certificate R 780 per month R1170 per monthDiploma R 780 per month R1170 per monthAdvanced Diploma R 950 per month R1425 per monthBachelor of Business Administration Degree R 888 per month R1332 per monthBBA Honours R1188 per month R1782 per monthBachelor of Policing Practice Degree R 780 per month R1170 per monthBPP Honours R1076 per month R1614 per monthBachelor of Commerce in Law R1026 per month R1539 per month

I hereby authorise Southern Business School to deduct from my bank account the following:South African ID Number International ID Number (Applicants who are not South African citizens)

Birth Date (YYYYMMDD) Title Initials

Surname

Name of Account Holder

Bank Name (e.g. Standard Bank)

Branch Name (e.g. Westgate)

Branch Code (e.g. 01664100) Account Number (e.g. 401394506)

Type of Account (e.g. Savings, Cheque)

If you have a savings account, please enquire at your bank if debit order deductions are allowed on your savings account.Amount to be deducted every month on the weekday closest to the 15th or 30th until further notice is given in writing:

On the 15th On the 30th

I declare that the information provided are valid and correct and I agree to all the registration conditions.

Signed at Initials and Surname

Date (YYYYMMDD) Signature