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STUDENT INFORMATION CONTROL SHEET

STUDENT’S NAME:

STUDENT’S SURNAME:

CAMPUS: Johannesburg □ Pretoria □

COURSE:

EMAIL ADDRESS:

CONTACT NUMBER:

ID/PASSPORT NUMBER:

RESIDENTIAL ADDRESS:

POSTAL ADDRESS:

PARENT / GUARDIAN’S NAME & SURNAME:

PARENT/ GUARDIAN’S EMAIL ADDRESS:

PARENT/GUARDIAN’S CONTACT NUMBER:

DATE & AMOUNT OF DEPOSIT PAYMENT:

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SHORT COURSE APPLICATION JULY INTAKE 2019

To secure your place, a Registration Deposit of R 4000 must be paid into the LISOF account, see details below: Account name: LISOF Account number: 001972847 Bank: Standard Bank Branch: Rosebank Branch Code: 051001 Swift Code: SBZAJJ Payment Reference: GRC- Student’s name & surname FOR JOHANNESBURG Please email the following documents to phenyo@lisof.co.za:

1. Please email proof of payment 2. A certified copy of the student’s GRADE 10 or Matric certificate 3. A certified copy of the student’s ID/passport 4. A certified copy of the account payer’s ID/passport

FOR PRETORIA Please email the following documents to sinini@lisof.co.za:

1. Please email proof of payment 2. A certified copy of the student’s GRADE 10 or Matric certificate 3. A certified copy of the student’s ID/passport 4. A certified copy of the account payer’s ID/passport