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download the registration form - Wits Language School

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REGISTRATION FORM<strong>Wits</strong> <strong>Language</strong> <strong>School</strong>Personal detailsSurname/Family nameO<strong>the</strong>r name(<strong>the</strong> name your friends and family use or <strong>the</strong> name you prefer to be called)First name/sMarital statussingle married divorced widow/erTitle Mr Miss Ms Mrs O<strong>the</strong>r Date of birthDay Month YearGender Male Female <strong>Wits</strong> staff/student no.(For office use only)South African applicantsSouth African citizen? Yes No South African ID no.Home languageRace: South African citizens and permanent residents please tick <strong>the</strong> applicable box: required by Government for statistical purposesAfrican Asian Coloured Indian White O<strong>the</strong>rForeign applicantsForeign applicants please complete: required by Government for permit purposesPassport no.Date of issue of passportNationalityExpiry dateDay Month Year Day Month YearContact detailsHome tel. Fax CellEmailWork tel.FaxEmailResidential addressPostal codePostal addressPostal codeCourse detailsFor which course/certifi cateprogramme are you enrolling?Level of courseCourse starts onWLS Registration Form: Page 1 of 4


Terms & conditionsFeesI. All students are required to pay <strong>the</strong> full fee for <strong>the</strong> level/coursefor which <strong>the</strong>y are enrolling, prior to <strong>the</strong> start of <strong>the</strong> course.II. Private tuition is offered for individuals and small groups of upto 8 students.III. A fee per person per hour is charged for students who attendcatch up lessons.IV. WLS reserves <strong>the</strong> right to withhold examination results andaccess to <strong>the</strong> campus until <strong>the</strong> outstanding accounts are settledin full.V. The student is solely responsible for his/her account.VI. The following methods of payment are accepted: credit/debitcard, bank cheque, direct deposits and electronic payments.VII. Should a direct deposit and/or electronic transfer be made,please provide proof of payment by quoting <strong>the</strong> following as areference: WLS reference number and <strong>the</strong> student name, forexample, 4452 Linda Khumalo.CancellationI. A student may not cancel his/her enrolment in a course and willnot be exonerated from liability for <strong>the</strong> course tuition fee andcourse material fee(s).II. No refunds are granted to students who fail to attend <strong>the</strong> coursefor which <strong>the</strong>y have registered and paid.III. A student must complete <strong>the</strong> course for which he/she enrolledwithin one year of <strong>registration</strong>.IV. WLS reserves <strong>the</strong> right to postpone or cancel a course due tolack of demand. In <strong>the</strong> event of cancellation, as opposed topostponement, all fees paid will be refunded.Transfer from one course to ano<strong>the</strong>rI. A student who wishes to transfer from one course to ano<strong>the</strong>rmust apply in writing for permission to do so from <strong>the</strong> WLSadministration staff.II. WLS administration staff reserve <strong>the</strong> right to approve/disapprove<strong>the</strong> student’s application for <strong>the</strong> transfer of his/her <strong>registration</strong> toano<strong>the</strong>r course.III. The transfer can only occur within one year of <strong>the</strong> <strong>registration</strong>,failing which <strong>the</strong> course fee is forfeited.IV. The student will be liable for additional payment for <strong>the</strong> coursematerial for <strong>the</strong> course to which he/she is transferring, whereapplicable.V. A student will be liable for <strong>the</strong> cost of <strong>the</strong> course material of <strong>the</strong>original course/<strong>registration</strong>.Deferral of coursesI. A student who wishes to defer his/her enrolment to acommencement date later in <strong>the</strong> year must apply in writing forpermission to do so from <strong>the</strong> WLS administration staff.II. Such application has to be forwarded to <strong>the</strong> WLS administrationstaff within fourteen days of <strong>the</strong> commencement of <strong>the</strong> course.III. The deferral of a course must be done within a twelve (12)month period from <strong>the</strong> date of <strong>registration</strong>.IV. An additional charge may be levied for deferrals at <strong>the</strong> discretionof WLS.The following material must accompany this enrolmentI. A copy of <strong>the</strong> front page of student’s ID book (if SouthAfrican citizen), or <strong>the</strong> passport page with <strong>the</strong> photo andpersonal in<strong>form</strong>ation (if non-South African).II. A copy of <strong>the</strong> front page of ID book of person(s) responsible forpayment of account, or <strong>the</strong> passport page with <strong>the</strong> photo andpersonal in<strong>form</strong>ation (if non-South African).III. A copy of <strong>the</strong> student’s study permit and relevant page ofpassport (if non-South African).IV. Proof of payment with <strong>the</strong> correct reference number and studentname.This enrolment will only be considered once <strong>the</strong> <strong>registration</strong> <strong>form</strong> iscompleted, <strong>the</strong> correct documentation attached, and <strong>the</strong> required<strong>registration</strong> or fee is furnished to WLS.Legal declaration of indemnity & undertakingI, <strong>the</strong> applicant, parent/guardian/next-of-kin/sponsor of <strong>the</strong>applicant:I. Acknowledge that <strong>the</strong> University does not accept responsibilityfor damage or loss in respect of property of <strong>the</strong> applicant orin respect of property brought onto University premises by<strong>the</strong> applicant.II. Do hereby indemnify <strong>the</strong> University in respect of any damagecaused by <strong>the</strong> applicant to University property or to <strong>the</strong> propertyof third parties, whe<strong>the</strong>r on or off <strong>the</strong> University premises,as a result of <strong>the</strong> applicant’s actions ei<strong>the</strong>r whilst on <strong>the</strong>University premises or whilst engaged in any activity related to<strong>the</strong> University.III. Undertake, during <strong>the</strong> period for which I am a registeredstudent, to be bound by <strong>the</strong> rules and regulations of <strong>the</strong>University, including <strong>the</strong> rules and regulations of any Universityresidence, club or society to which I may be admitted or becomea member, and by any requirements or conditions imposed by<strong>the</strong> University on me as a prerequisite to my <strong>registration</strong> as astudent of <strong>the</strong> University in any faculty.IV. Certify that <strong>the</strong> in<strong>form</strong>ation provided in this <strong>form</strong> and allsupporting documentation is accurate and acknowledge thatany false in<strong>form</strong>ation may result in disciplinary proceedingsbeing taken against <strong>the</strong> applicant.V. Declare that I have furnished <strong>the</strong> University with all <strong>the</strong>in<strong>form</strong>ation required to make an in<strong>form</strong>ed decision aboutmy admission.VI. Undertake to pay unconditionally all fees, charges andequipment surcharges payable to <strong>the</strong> University as <strong>the</strong>y falldue for payment, for any period for which I am or may becomea registered student or <strong>the</strong> applicant is or may become aregistered student of <strong>the</strong> University.Terms of enrolmentI. The non-attendance of classes will not result in a reduction of<strong>the</strong> student fees, nor will it absolve <strong>the</strong> o<strong>the</strong>r to this <strong>registration</strong><strong>form</strong> from full liability for <strong>the</strong> payment of fees.II. The student cannot cancel this contract without written consentfrom <strong>the</strong> University.III. This <strong>registration</strong> or contract is not transferable to ano<strong>the</strong>rperson.IV. The University reserves <strong>the</strong> right to change timetables, coursecommencement dates, postpone or cancel tuition in any courseinitially advertised and offered, on <strong>the</strong> basis of insufficientdemand or on any o<strong>the</strong>r reasonable ground.V. The student agrees to be bound by rules of due per<strong>form</strong>ance.The University reserves <strong>the</strong> right to exclude <strong>the</strong> student froman examination and to withhold a student’s examination resultsif his/her due per<strong>form</strong>ance requirements have not been met,without in any way detracting from <strong>the</strong> right of <strong>the</strong> University torecover fees payable.VI. Fees payable to WLS comprise tuition, <strong>registration</strong> and coursematerial fees. It is <strong>the</strong> student’s responsibility to cover <strong>the</strong> costof transport, specialized consumables used during <strong>the</strong> course,including but not restricted to specialised stationery, stock orany o<strong>the</strong>r materials.VII. Every student is subject to <strong>the</strong> rules, regulations, policies andprocedures of <strong>the</strong> University as amended from time to time.VIII. WLS chooses as its domicilium citandi et executandi (<strong>the</strong>residential address) for all purposes arising here:<strong>Wits</strong> <strong>Language</strong> <strong>School</strong>University of <strong>the</strong> Witwatersrand, East CampusPDH, Gate 6, 92 Empire RoadBraamfontein, Johannesburg.IX. Certificates of attendance and certificates of competence areoffered by WLS. Please consult WLS for details per course.X. A certificate of attendance requires at least 80% attendanceby <strong>the</strong> student, and a certificate of competence requires <strong>the</strong>student to pass <strong>form</strong>ative and summative assessments.For any queries please contact <strong>the</strong> <strong>Wits</strong> <strong>Language</strong> <strong>School</strong>:Tel.: 011 717 4208 Email: wls@wits.ac.zaWLS Registration Form: Page 3 of 4


Cancellations and refundsI. No refunds are granted to students who fail to attend <strong>the</strong> course for which <strong>the</strong>y have registered and paid.II. Refunds are generally excluded. However, granting of refunds may be considered under exceptionalcircumstances.III. Refunds will only be granted under <strong>the</strong> following conditions:a. If a student cancels thirty (30) days or more before <strong>the</strong> course starts, 90% of <strong>the</strong> course fee will berefundedb. If a student cancels within thirty (30) days before <strong>the</strong> course starts, 50% of <strong>the</strong> course fee will be refundedc. No refunds will be granted after <strong>the</strong> start of <strong>the</strong> courseForeign students need to submit a letter from <strong>the</strong>ir embassy confirming <strong>the</strong> status of <strong>the</strong>ir visa application (declinedor application not submitted) in order for us to process <strong>the</strong>ir refund.Declaration for cancellations and refundsI, <strong>the</strong> undersigned, ………………………………………………………………………………, confirm that I have readand understood <strong>the</strong> terms and conditions for cancellations and refunds, and I agree to be bound by <strong>the</strong>m................................................... ..................................................Signature of studentSignature of <strong>the</strong> parent/guardian/next-of-kin/sponsor.................................................. ..................................................Date contract signedDate contract signedThank you for choosing <strong>Wits</strong> <strong>Language</strong> <strong>School</strong>WLS Registration Form: Page 4 of 4

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