DEBIT ORDER. The lessee must pay all rental and other charges for the duration of the lease by direct debit order system.
DEBIT ORDER. The Account Holder authorises Med-e-Mass to debit the Bank Account, details of which appear below, in payment of monies payable to Med-e-Mass for services rendered (a copy of a cancelled cheque must be enclosed herewith). BANK NAME: …………………………… ACCOUNT HOLDER: ………………………………………………………………........ ACCOUNT NO: ……………………………………..... ............ACCOUNT TYPE…………………………………………………... BRANCH CODE: .............................. Signed by (full name)................................................................................................. Signature ......................................................................................Date ..................../................../ 20.........................
DEBIT ORDER. 0.0.0.Xxx have authorised us to collect all amounts due under this agreement for the Services by way of a monthly debit order on a date nominated by you. In the event that a monthly debit order fails, for any reason, we will debit your account on any other date for that month’s subscription. For this purpose, we are entitled to use lawful means to monitor your banking account in order to assess the most appropriate time to execute the monthly debit order.
DEBIT ORDER. 5.2.1 Dates available are 1st, 15th, 25th of each month in advance.
DEBIT ORDER. (To draw against my bank account for the instalments necessary to pay the fees. *The monthly instalments can be drawn 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. 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. Student name and surname: Branch code: Bank: Branch: Account number: Debit order date: 15th 25th Last day of the month Student signature: Date: PARENT / GUARDIAN / SURETY (To pay via either of the aforementioned methods on behalf of the student as he/she is a minor/unemployed) Method of payment: Direct deposit Debit order Parent/Guardian name and surname: ID number: Student name and surname: Student number: Postal address: Physical address: Contact details: (W) (H) (C) Email: Parent/Guardian signature: Date: APPLICATION FOR ADMISSION Bachelor of Education in Senior Phase and Further Education and Training Teaching The following must accompany the Application for Admission form: • A certified copy of your Identity Document and Matric Certificate • Certified copies of all academic qualifications and transcripts (Terms and conditions apply)
DEBIT ORDER. The tenant shall be obliged to effect all payments in terms of this lease by way of a debit order system and shall sign all such documents as required by the landlord's bankers.
DEBIT ORDER. If you choose to pay by debit order: You warrant that there will be sufficient funds in the account for the payment of the debit order for the duration of this lease. You further warrant that you will pay any late fees, bank charges or other costs incurred by Us due to late payments by You. Banking Details: Payments to be made to: Account Holder: Atlantis Storage and Warehousing Pty Ltd. Bank: Nedbank Claremont Account Number: 0000000000 Banch Code: 10460900 Storage Guys Transport In the event that You choose to make use of the Storage Guys van transport service, You hereby acknowledge and agree that We, our employees, directors, agents or contractors will not be liable for any damage to, loss or theft of any Goods during packing, unpacking or in transit, whether incurred directly or indirectly Declaration I, the undersigned hereby declare that: I have read and fully understand the contents of this lease. I am the Tenant or a director/member/partner/sole proprietor of the Tenant and am duly authorized to enter into this lease. I agree to abide by StorageGuys terms and conditions and any reasonable instructions from their employees, agents, or contractors at the facility. The information in this lease and Rental Agreement is true, correct and up to date. Y Y Y Y M M D D Signed at: On the (Date): Tenant Storage Guys
DEBIT ORDER. (To draw against my bank account for the instalments necessary to pay the fees. *The monthly instalments can be drawn 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. 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. Student name and surname: Branch code: Bank: Branch:
DEBIT ORDER. (To draw against my bank account for the instalments necessary to pay the fees. *The monthly instalments can be drawn 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. 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. Student name and surname: Branch code: Bank: Branch: Account number: Debit order date: 15th 25th Last day of the month Student signature: Date: PARENT / GUARDIAN / SURETY (To pay via either of the aforementioned methods on behalf of the student as he/she is a minor/unemployed) Method of payment: Direct deposit Debit order Parent/Guardian name and surname: ID number: Student name and surname: Student number: Postal address: Physical address: Contact details: (W) (H) (C) E-mail: Parent/Guardian signature: Date: The following must accompany the Application for Admission form: • A certified copy of your Identity Document and Matric Certificate • Certified copies of all academic qualifications and transcripts (Terms and conditions apply) INDICATE THE PROGRAMME YOU ARE APPLYING FOR Postgraduate Certificate in Education in Further Education and Training Teaching SECTION B: APPLICANT DETAILS Title: Mr Mrs Ms Dr Prof Surname: First name/s: ID number: Date of birth: Gender: Male Female Race: Black African Black Coloured Black Indian White Nationality: Citizen status: D - Dual (SA plus other) O - Other PR - Permanent Resident SA - South Africa Home language: Disability status: None Hearing Impaired Disabled but unspecified Physical Sight Impaired DECLARATION BY STUDENT RELATING TO APPLICATION FOR ADMISSION AND THE ENROLMENT CONTRACT I, the undersigned applicant, do hereby:
DEBIT ORDER. (To draw against my bank account for the instalments necessary to pay the fees. *The monthly instalments can be drawn 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. 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. Student name and surname: Branch code: Bank: Branch: Account number: Debit order date: 15th 25th Last day of the month Student signature: Date: The following must accompany the Application for Admission form: • Two passport-sized photographs with your name on the back of each photograph • • Certified copies of all academic qualifications and transcripts Certified copy of the first page of your Identity Document • • • 3x Professional/academic letters of recommendation to study for the DBA Statement of intent with motivation and preliminary proposal (template) Copy of masters dissertation/research report (electronic) • • Proof of residence Curriculum vitae (Terms and conditions apply)
