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Your Payment

What country are you paying from?*

State*

Will you exceed the US$250,000 foreign exchange limit in the calendar year 01 April -31 March*

Payer PAN Number*

Payer Social Security Number*

Payer CPF*

Payment Method*

Total Payment

Total*

2

Student Details

Who is making the payment?*

(Cash, Cheques, Drafts or Funds from a Company account will not be accepted)

Student Name

ID Number

Student ID*

IMPORTANT-please write this number on your deposit slip and ensure that it appears on your bank payment receipt

Title*

First Name*

Family Name*

Date of Birth*

DD/MM/YYYY

E-mail address*

Passport / National ID File

Please make sure you upload a copy of the bio-data page of your passport (the one with your photo on it). The copy must be clear and legible and no parts of the page must be cut-off, hidden or have the camera flash on them (including the two rows of the machine readable zone below your photo).

Passport / National ID File

Allowed file types: pdf, jpg, jpeg, gif, png, tif
File size limit: 5.00 MB

Country of residence*

City*

Zip/Post Code*

Home Address*

(Please use letters from the English alphabet and/or digits from 0-9)

Phone Number*

Mobile Number

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Payer Details

Bank / Company Name*

Payer Name*

(First Name Family Name)

Payer Name

ID Number

Payer Nationality*

Relationship to Student*

Payer City*

Payer Zip/Post Code*

Payer Address*

Payer Telephone Number*

Payer E-mail*

Contact Person*

Company registered name*

Company registered number*

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Confirmation

Choose a password*

Password Requirements:

Between 8 and 50 characters.
At least one uppercase character (A-Z)
At least one lowercase character (a-z)
At least 1 digit (0-9)
At least 1 special character: (~!@#$%^&*_- =` | \(){}[]:;"'<>,.?/)

Repeat your password*

I have read and understood
the terms and conditions*

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