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ENROLMENT CONTRACT 2019 APPLICATION FOR ADMISSION 2019

Note: The Enrolment Contract is binding on approval of the Application for Admission by the Student Recruitment, Admission and Selection Committee and submission of proof of registration payment.

PAYMENT OF FEES
Self *Company Bursary Bursary from MANCOSA Guardian or Parent / Surety
*Students applying with a Company Bursary will default to payment plan 1. The following must accompany the
Application For Admission form:
PAYMENT PLAN - Please indicate the choice of payment plan
• A certified copy of your
CASH FEE Full payment of fees upon registration. Identity Document and
PLAN 1 Initial deposit and the balance to be paid in TWO equal instalments as stipulated in the current fee schedule. Matric Certificate
PLAN 2 Initial deposit and the balance to be paid in FIVE equal instalments as stipulated in the current fee schedule.
• Certified copies of all academic
PLAN 3 Initial deposit and the balance to be paid in NINE equal instalments as stipulated in the current fee schedule.
qualifications and transcripts
METHOD OF PAYMENT: Tick the relevant selection below  • Motivation letter and reference letter
• Curriculam vitae
DIRECT DEPOSIT (Terms and conditions apply)
Must be made on or before the due dates of instalments into one of MANCOSA’s banking accounts as indicated on the
fee schedule and pro forma invoice (issued on acceptance onto programme by the Admission and Selection Committee).
SECTION A: REGISTRATION DETAILS
DEBIT ORDER
(To draw against my bank account for the instalments necessary to pay the fees. *The monthly instalments can be drawn New Student New Programme
on the 15th, 25th or the last day of each month following receipt of this notice. The instruction will remain in force until my
account with MANCOSA has been settled in full. I agree to pay any bank charges relating to this debit order instruction.
Student No.
Receipt of this instruction shall be regarded as receipt thereof by my / our bank. Valid only in South Africa)
*NB: The dates allowed must fall on a working day or nearest working day.
1st Year 2nd Year Distance
Student name and surname: Branch code:
Bank: Branch:
Account number: Debit order date: 15th 25th Last day of the month
INDICATE THE PROGRAMME YOU ARE APPLYING FOR 
Master of Business Administration General
Student signature: Date:
Master of Public Administration
PARENT / GUARDIAN / SURETY
(To pay via either of the aforementioned methods on behalf of the student as he/she is a minor/unemployed) Bachelor of Commerce Honours in Human Resource Management

Method of payment: Direct deposit Debit order Bachelor of Commerce Honours in Marketing Management
Parent/Guardian name and surname: ID number: Bachelor of Commerce Honours in Supply Chain Management
Student name and surname: Student number: Bachelor of Business Administration Honours
Postal address: Physical address: Bachelor of Public Administration Honours
Contact details: (W) (H) (C) E-mail:
Postgraduate Diploma in Business Management
Parent/Guardian signature: Date:
Postgraduate Diploma in Educational Management
DECLARATION BY STUDENT RELATING TO APPLICATION FOR ADMISSION AND THE ENROLMENT CONTRACT
Postgraduate Diploma in Family Business Management
I, the undersigned applicant, do hereby: its rights under this contract, including, but not by be converted to plan 3. Non-settlement of plan 3 will
a) Acknowledge that I understand the provisions way of limitation, attorneys and own client fees and attract a penalty. Postgraduate Diploma in Project Management
of the declarations herein and am bound by the collection charges and all tracing charges. l) Acknowledge that a certificate issued by
provisions of this registration, and the rules and g) Agree that MANCOSA reserves the right to MANCOSA, shall be proof of the full amount owing by
procedures of MANCOSA currently in force and/or withhold programme/module results should there the student for the purpose of all legal proceedings.
SECTION B: APPLICANT DETAILS
which may be amended at a later date. be any default in payments according to this signed m) Acknowledge that, notwithstanding the existence
b) Acknowledge that I have familiarised myself Enrolment Contract. of appeal processes, the academic judgement of
Title: Mr Mrs Ms Dr Prof
with the prospectus of the relevant programme for h) Accept that if I choose a payment plan, I am MANCOSA will be regarded as final.
which I have applied to register and certify that the in a position to fulfil my financial obligations to n) Accept and agree to adhere by the rules, policies
Surname:
information provided in this form is accurate and MANCOSA. and procedures as set out by MANCOSA.
complete. i) Accept that I may cancel my registration for o) Agree to pay the non-refundable registration fee,
First name/s:
c) Confirm that I have to satisfy the requirements of the current year of study as a whole and shall be which is included in all fees.
due performance as laid down by MANCOSA. exonerated from the liability for the full fee (excluding p) All learning materials and resources are to be used
ID/Passport Number: Date of birth:
d) Hold myself responsible for the payment of full the registration fee) provided that MANCOSA is by the registered student only and cannot be shared
tuition fees relating thereto, notwithstanding the informed in writing within 14 days of registration. or replicated under any circumstances, in part or
Gender: Male Female
fact that my employer/sponsor has undertaken to j) Agree that MANCOSA may approach credit full at any time. MANCOSA has a vested right to all
pay the full tuition fees relating thereto. agencies with a view of ascertaining my credit record learning material, resources
*
Race: Black African Black Coloured Black Indian White
e) Agree that where tuition fees are payable to and that in the event of me being in arrears with this and related intellectual property.
MANCOSA in instalments, failure to pay any single account or failing to pay it, then MANCOSA shall
Nationality:
Confidentiality constitutes a
instalment timeously will result in the full amount have an irrevocable right to inform credit agencies
owing becoming due and payable immediately. thereof.
serious aspect of the relationship Citizen status: D - Dual (SA plus other) O - Other PR - Permanent Resident SA - South Africa
between the student and
f) Agree that MANCOSA shall be entitled to recover k) Agree that should my account not be settled
from me all legal costs incurred in order to enforce within the stipulated date my chosen plan option will
MANCOSA . *Please Initial Home language:
Disability status: None Hearing Impaired Communication
*I (student name and surname) (student/reference
Physical Intellectual Emotional
number) acknowledge that I have read and understood the contents of the declaration set out on the Enrolment Contract.
Multiple Sight Impaired Disabled but unspecified
Signature: Date:

POLOKWANE CAPE TOWN PORT ELIZABETH EAST LONDON DURBAN PIETERMARITZBURG JOHANNESBURG PRETORIA
Tel: +27 15 290 2896/9 Tel: +27 21 671 6576 Tel: + 27 41 816 2100/2159 Tel: + 27 43 721 1774 Tel: +27 31 300 7200 Tel: +27 33 816 0350 Tel: +27 11 853 3000 Tel: +27 12 742 8450/8499
Email: polokwane@mancosa.co.za Email: capetown@mancosa.co.za Email: portelizabeth@mancosa.co.za Email: eastlondon@mancosa.co.za Email: undergrad@mancosa.co.za Email: pmb@mancosa.co.za Email: jhb@mancosa.co.za Email: pretoria@mancosa.co.za
IMPORTANT INFORMATION APPLICATION FOR ADMISSION 2019
SECTION G: CREDIT AND EXEMPTIONS
SECTION C: STUDENT CONTACT DETAILS
Postal address: Institution Module NQF level Year completed
Code:
Physical address:
Code:
Contact details: (H) (C)
NOTE:
Email:
a) Credit and requests for exemption must be completed at the time of application Qualifications Framework (NQF) level. Consideration may be given to grant
Preferred Courier Address: for admission and subject to approval of the Selection Committee. credit from a module/course at a higher NQF level to a lower level on condition
b) Applications for credit must be accompanied by a detailed module outline/ it meets all other requirements, for example, module content at the discretion
transcript supplement. of MANCOSA.
c) Credit of up to a maximum of 50% may be granted for relevant modules/ g) International students and students who have verifiable qualifications from
SECTION D: NEXT OF KIN DETAILS courses that have already contributed toward the award of another qualification, other countries are normally expected to have their qualifications evaluated
provided the other rules in this section are met. by the South African Qualifications Authority (SAQA) and submit the SAQA
Surname: First name/s: d) The granting of credits does not allow for fast tracking of the semester. report and evidence with the completed Application for Admission form. This
e) Credit is generally not granted in the case of modules/courses completed more requirement may be reviewed in certain instances.
Physical address: than five years previously as the module content may be out of date. h) Students who are granted credits for up to 50% per year of study may only
Relationship: Contact details: f) Credit will only be granted for modules/courses which are at the same National select a maximum of 6 months payment plan.

ACKNOWLEDGEMENT OF APPLICATION AND REGISTRATION PROCESS


SECTION E: WORK ADDRESS,WORK EXPERIENCE AND QUALIFICATION DETAILS
I understand that completing the application form does not deem me an accepted and registered student. Acceptance is
Present employer: Commencement date:
confirmed by the Student Recruitment, Admission and Selection Committee and receipt of a MANCOSA Acceptance Letter.
Work Address:
Current job title: Sector: Private Public
*Print Name Signature Date
Telephone:(work) (fax)
DEPARTMENT OF HIGHER EDUCATION AND TRAINING STUDENT DECLARATION
Institution Qualifications Completed(Y/N) Year completed Duration I (student name and surname)
(student number), am fully aware that the programme I have applied for admission, that is the
with SAQA ID is
approved by the Department of Higher Education and Training to the Management College of Southern Africa
(MANCOSA): Reg 2000/HE07/003, as indicated on the registration certificate dated
SECTION F: STUDENT SUPPORT DETAILS I acknowledge that I have familiarised myself with the relevant programme and certify that the information
I will write exams in: given in this form is accurate and complete in all respects.

Blantyre East London Kimberley Mauritius Nelspruit Pretoria Signature of applicant: Signature of witness:
Bloemfontein Gaborone Lusaka Manzini Pietermaritzburg Richards Bay *Print name: Print name:
Cape Town Harare Mafikeng Mthatha Polokwane Rodriguez
Date:
Durban Johannesburg Maseru Newcastle Port Elizabeth Windhoek
Venues listed below are not applicable for all programmes .
FOR OFFICE USE ONLY
Please consult your student advisor regarding venues available for your selected programmes. VERIFICATION CHECKLIST
I will attend workshops in: Certified ID copy Curriculum vitae
Cape Town East London Johannesburg Pretoria Polokwane Pietermaritzburg Certified academic qualifications and transcripts Other
Durban Gaborone Lusaka Port Elizabeth Windhoek Mbabane Motivation letter and reference letter Date and signature of team leader

Study Groups Decision of the Student Applicant meets the minimum admission requirements for the
Recruitment, Admission and programme, application approved
Yes, my details may be made available to other students for No, my details may not be made available to
Selection Committee Applicant does not meet the minimum admission requirements for
the purpose of networking and study groups. other students.
the programme, application declined
Applicant recommended for RPL application
Internet Access and Computer Literacy
Applicant recommended for alternative programme
Students enrolled on the programme must have a personal computer as well as internet access and be
computer literate. Credits / Exemptions allocated
Comments
Information regarding the Programme was obtained from: Signature of committee
Newspaper Advert Schools/Career Expo Web Colleagues representatives
Employer Students Mail/Brochure Other (please specify) Date

MANCOSA is registered with the Department of Higher Education and Training (DHET) as a private higher education institution under the Higher Education Act, 1997 (as amended). Registration No.2000/HE07/003. www.mancosa.co.za