my Registration @ Unisa 2013 - University of South Africa

DSAR03
Changes of address/examination centre and contact numbers
Initials & surname
Student number
Registered qualification
Old postal address
New postal address
Postal code
Country
Postal code
Country
Old physical address
New physical address
Postal code
Country
Postal code
Country
Old courier address
(Street address only: no P0 Box/Private bag)
New courier address
(Street address only: no P0 Box/Private bag)
Postal code
Postal code
Examination centre
The my Registration @ Unisa brochure contains a list of
examination centres and codes
Contact numbers
Home
Cell
Work
Fax
Name
Code
For office use only
Name of Unisa office: ………………………………………………………………………
Operator’s code: ……………………………………………………………………………….
File: …………………………………………………………………………………………………….
Completed by (signature): .……………………………………………………………..
Signature
Date
Y Y Y Y M M D D
This form can be faxed to 012 429 4150 or posted
to the university at PO Box 392, Unisa, 0003
121