Student Number:

APPLICATION FOR ENROLMENT FORM SECTION 1 STUDENT DETAILS

Title: Mr Mrs Ms Other Surname:

Name: ID Number:

Passport Number: Have you registered / studied at Forensics4Africa before? If yes supply student no. Race: White African Coloured Indian Gender: Male Female Yes No

Please note that this information is required by the Department of Education

Marital Status:

Single English Other

Married Other

Divorced

Widowed

Home Language: Nationality: SA

Date of Birth: Day

Month

Year

Highest qualification obtained: Institution Obtained from (year)

SECTION 2 COMMUNICATION DETAILS

Your contact number (You must provide at least 2 contact numbers) Work: Home: Email Address: Physical address Fax: Cell: Postal Address Skype Address:

Suburb: City: Country: May we send you important information by e-mail or SMS? Preferred Method of communication: e-mail SMS Postal Code:

Suburb: City: Country: Yes other No Postal Code:

Initial

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SECTION 3 PROGRAMME DETAILS

APPLICATION FOR ENROLMENT FORM

I HEREBY APPLY TO ENROL AS A STUDENT OF FORENSICS4AFRICA FOR THE FOLLOWING QUALIFICATION:

NQF level 6: National Certificate: Forensic Biology (57977)

R 23 000

NQF level 5: National Certificate: Forensic Science (57651) Choose an elective:

R 26 000

Crime Scene Reconstruction:

RPL Required: Yes No

Investigating Fraudulent Documents: Forensic Biology and DNA:

I HEREBY APPLY TO ENROL AS A STUDENT OF FORENSICS4AFRICA FOR THE FOLLOWING COURSES / WORKSHOPS:

Forensic Phylogenetic Workshop: (for Scientists) Forensic Phylogenetic Workshop (for Non-scientists) Bridging to Forensic Science:

R 3 000 / R 3 500 Includes Laptop hire R 2 000 R 1 500

SECTION 4 CONSENT / CERTIFICATE OF AUTHENTICITY

I consent to Strategic Investigations and Seminars (Pty) Ltd and its division Forensics4Africa (F4A), requesting and reporting my Confidential Information, Credit and Prescribed Information, and Criminal Record for the prescribed purposes. I consent to the storage of my personal data in the Strategic Investigations and Seminars (Pty) Ltd Head Office. I certify that the above information is true and correct to the best of my knowledge. Falsification of any information on this application is grounds for denial or revocation of registration to these courses (Cancellation Policy will be applied). If this application is accepted, I agree to abide by the Standard Operating Procedures and Terms and Conditions of Strategic Investigations and Seminars (Pty) Ltd. Acceptance to these courses is a privilege and not a right.

Please attach Certified copies of the following documents: your ID / passport your qualifications your Curriculum Vitae (Not Certified)

Postal Address Send to: Post Net Suite 90, Private Bag x 37 Lynnwood Ridge 0040, Gauteng, South Africa or Fax : 086 684 9119

How did you hear about us? S-I-S Website Printed Media Forensics4Africa Website Radio Interview Word of Mouth Promotional SMS // E-mail

Employer

Date

Learner Applicants Signature

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SECTION 5 - PAYMENT OPTIONS

PAYMENT IN FULL PAYMENT PLAN Learning material for the first skills programme will be issued after payment of the registration fee. Learning material for the remaining skills programmes will be issued after payment for each has been received. on enrolment for each Course, Workshop and Qualification .

I AM PAYING BY: Cash Electronic Funds Transfer (Use the following banking details)

BANKING DETAILS: (Current Account) Account Name: Strategic Investigations and Seminars Account No: 013351044 Reference No: (Use your ID Number as reference) Credit Card

Bank: Standard Bank Branch Code: 012445

If paying by Credit Card please complete the following details: Please debit my: Expiry Date: MasterCard: Visa: Card No. Other: Amount

(Type of card - e.g: Standard Bank Master Card)

Cardholders Name: Last 3 digits on back of card

Straight:

Budget:

Months:

Cardholder Signature:

Signature: Applicant / Learner:

Date:

Signature: Parent / Guardian: ( If Delegate is under 18 )

Signed for Forensics4Africa

Date:

APPLICATION FOR ENROLMENT FORM

SECTION 6 Terms and Conditions: I, the undersigned declare that the information in this application is complete and correct. I authorise F4A to verify information contained in this application form, and make any other enquiries that may be necessary. I understand that if any part of it is found to be incomplete, false or misleading, F4A may cancel this registration. The Student hereby accepts that Strategic Investigations and Seminars (S-I-S) and its divisions, hereinafter referred to as Forensics4Africa (F4A) shall have the right to vary the course syllabus at any time, without prior notification and without furnishing reasons thereof. F4A shall have the right at its sole discretion, to cancel any course or subject initially advertised and offered, on the basis of insufficient demand. In the event of the signatories to this agreement, other than F4A, having completed this form incorrectly, or the payment details herein not being in accordance with the requirements of F4A, then such incorrect information or payment details shall be deemed to have been amended so as to be in accordance with the requirements of F4A, without further notice. F4A shall be deemed to include any division of S-I-S or any other juristic person to whom the rights and obligations of F4A, as contained herein may be ceded and/or assigned. When applicable, F4A facilitates examinations, examination fees are included in the course fees. F4A does not accept responsibility for a students eligibility or entry for public examinations. Course material will be supplied to the student in parts as and when tests/assignments/exams are completed. The applicant takes responsibility for the payment of all fees and other charges due to F4A. The applicant agrees to be liable for all costs of debt recovery, including professional fees and collection commission. Postage on all material sent to F4A is payable by the student. The replacement of study materials will be for the account of the student. Person dealing with Forensics4Africa on the Students behalf F4A will only correspond and deal with the student. F4A will not enter into correspondence with anybody or organisation representing the student, except for: the Ombudsman; a parent or guardian (only in the case where the student is a minor); a person representing a relevant accrediting body or institute; or the Students lawyer. F4A will specifically not engage in further servicing, communication or correspondence with a student once that student has cancelled. The cancellation process brings to an end the relationship between F4A and the student. Adhering to Entrance Criteria The student is responsible to ensure that he/she is on the correct course and that he/she adheres to the latest and correct entrance criteria. F4A will not accept students who do not adhere to the entrance criteria for the course on which they register. F4A will cancel students who register without adhering to the entrance criteria for the course on which they register. Updates to Study Material F4A is responsible to ensure that study material is up to date. Up to the point where the student requests a specific set of study material, F4A automatically updates the study material. Once a student has requested and received a specific set of study material, F4A remains responsible for keeping that material up to date for a period of three months. If in that period there are significant changes of an academic nature to the study material, F4A will send the student updated study material at no cost. If there are significant changes of an academic nature to the study material issued to a student, but these changes happen more than three months after the student was issued with the study material, F4A will inform the student of the changes, and give the student the option to buy the updated study material from F4A. Capacity to enter into Agreement For a Business: The contracting party (the business) hereby warrants to F4A that the signatory (representing the business) has the required legal capacity to enter into, and be bound by these terms and conditions. The business accepts all the terms and conditions of the entire agreement. For the Individual: I hereby declare that there is no legal impediment to my concluding this agreement and that I am legally bound to this contract, and accept all the terms and conditions of the entire agreement. Client Data: I undertake to notify F4A in writing of any changes in my contact details, including but not limited to: my business, postal or residential addresses, my home, work or cellphone number(s), and my e-mail address, within7 (seven) days of such change. Contractable Address: I choose the address as disclosed herein as my domicilium citandi et executandi for all purposes arising from this agreement.
Initial PAGE 3 / 4

APPLICATION FOR ENROLMENT FORM

Other: F4A reserves the right to use your information to provide the materials to you and otherwise perform our obligations and enforce our rights under this Agreement. This agreement is subject to acceptance by F4A. This agreement constitutes the whole agreement between the Parties. I, the undersigned applicant / student undertake to abide by the policies and rules of F4A. I, the undersigned parent/guardian give permission to the above-mentioned applicant to enrol at F4A. COOLING OFF PERIOD AND CANCELLATIONS You have a 7-day cooling off period, within which you can cancel with full refund minus the cancellation fee. After the 7-day cooling off period, this agreement is binding and you are fully responsible for all fees. Cancellations are dealt with as per the cancellation form and policy. If a student pays course fees in advance, and then cancels, that student might be eligible for a partial refund of fees. F4A will refund the unused part of such fees paid in advance by a student. The unused part of the fees are calculated by adding up the original registration fee, plus the number of months the student studied (inclusive of the months in which studies start, and the month in which the student cancels) times the original monthly fee, plus a cancellation fee of R500; and then subtracting this amount from the monies the student paid in advance, minus any exam, membership or other institute fees. Institute related fees are not refundable. The student, applicant, account/fee payer, lawful guardian and/or sponsor are herein collectively referred to as the Student. By acceptance to F4A the Student shall be jointly and severally responsible for the fulfilment of all terms of the agreement. F4A reserves the right to cancel a students registration without having to give a reason for such cancellation. If F4A chooses to cancel the registration of a student, such a student is entitled to a refund as per the cancellation policy. In the event of any Student desiring to terminate studies, for any reason whatsoever, this shall not absolve the Student from full liability for the payment of fees and any other charges. The Students failure to make progress in his or her studies or to complete a programme of study, for whatever reason shall in no way entitle him/her to a reduction in fees, nor will it absolve him/her from full liability for the payment of fees and other charges. No cancellation of this contract shall be of force or effect without written consent thereto by an authorized officer of F4A; The right to tuition and examinations is not transferable. Cancellations and Refunds If a student is not satisfied with the services delivered by F4A, but continues studying, F4A will continue to service the student and work towards satisfying the students requests. F4A will also continue charging the student in this period. The student is specifically not eligible for a refund based on the period in which the student is or was registered with F4A. The only way a student can stop F4A charging for the availability of services, is to cancel. As long as a student is not cancelled, the student is responsible for all fees up to and including the end of the current month. Student fees 1. All fees are due by the Student on enrolment for each course or workshop and each skills programme within the National Certificates. 2. The Student will not receive any coursework unless the fees are paid in full. 3. A Student who has failed academically shall not receive any reimbursement of their tuition fee. Please initial each page to indicate that you have read and understood these terms and conditions.

Learner Applicants Signature

Date

Parent / Guardians Signature (if student is under 18)

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