Eastcape Midlands College Application – Fill Out and Use This PDF

STUDENT NUMBER

REGISTRATION NUMBER

NB!! Please note that this is only an APPLICATION. Even if you have completed the form correctly and you comply with the minimum entry requirements, it does not necessarily mean that you have been accepted at EMC. We consider all applications and will inform you of the outcome.

APPLICATION FOR ADMISSION

INSTRUCTIONS:

•Use capital letters to complete this form or place an X in the correct box.

•Please use a black pen.

•Kindly complete the form in FULL and answer all the questions.

•Application forms that are not completed and do not include the required documentation may not be processed or the process might be delayed.

1. PERSONAL INFORMATION

Please note that your application form cannot be processed if you have not included all the following relevant documents.

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2.STUDENT ADDRESS HOME ADDRESS (Not PO Box)

3. NEXT OF KIN INFORMATION

(Father / Mother / Legal Guardian / Sister / Brother / Spouse / Partner*)

CERTIFIED COPY OF ID OF THIS PERSON TO BE SUBMITTED

5. INSTITUTIONAL ACADEMIC BACKGROUND

7. TYPE OF STUDENT

Practical / Non-Formal course

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10. UNDERTAKING

I hereby declare:

1.that the information provided by me on the previous page in this application form is true and correct;

2.that I undertake as a prospective registered student of EMC to abide by all the rules and regulations of the College, including any amendments thereto and any substitutions thereof;

3.that I undertake not to bring any claim, of whatever kind against the College, or any employee of the College, nor in any way to hold the College liable for any damage or loss whatever which I may incur or suffer personally or in property of mine and which directly or indirectly arises from my participation as a student at the College in any activity, concerning my studies, training, sport or recreation, however such damage or loss may come about, and that I will participate in any such activity on my own responsibility and will accept of me own free will the risk attached thereto;

4.that I authorize the College in the event of my requiring urgent medical treatment to get appropriate medical assistance and that I accept responsibility for the payment of the costs thus incurred;

5.that I undertake to pay all class- and other fees punctually. I am responsible to pay an admin fee if I want to cancel a subject or course within the first 10 working days and 50 % of the course fee after 10 working days of the commencement of the said term. In the event of completing 50% of the said course reckoned from the commencement of the said term; I undertake to pay the full balance irrespective of whether or not I attended or abandoned classes.

6.that I should regard myself liable for payment of tuition fees should I not qualify for financial aid.

7.that I furthermore undertake to defray all legal costs arising for the College in the event of my failure to discharge any duty relating to the payments mentioned in (5) above;

8.that a 80% class attendance in all subjects is required at EMC for admission to exams and a term mark as prescibed by DHET examinations policy.

9.that I undertake to let the College know of any changes to the information provided in this form, with in 10 working days;

10.that it is my responsibility to make enquiries about commencement of classes and exam dates;

11.that it is my responsibility to make enquiries about my results (when it is available);

12.that I agree that the course level that I am applying for is best suited for my qualifications and abilities.

13.I hereby declare that I am an unemployed learner (Applicable for NSF learners only).

Signature of Student

Signature of Parents / Guardian

if student is under 18 years of age

Date

WHERE DID YOU HEAR ABOUT EMC, OR WHAT MADE YOU DECIDE ON EMC AS A STUDY OPTION (CHOOSE AS MANY AS APPICABLE)

ContactTel: +27(0)86Us038 8879 (ShareandCall) Lets@MidlandsColleg1Connect

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11.CONDITIONS

1.A registration fee as determined by the College Governing Body is payable at the beginning of a course term.

2.Cancellation or change of subject(s) or course must be discussed with the Campus Manager and written proof must be submitted.

3.No changes of subjects will be accepted after 10 working days of commencement of classes.

4.An administration fee will be charged if classes are cancelled within 10 working days from the commencement of the said course.

5.Cancellations due to death and terminal sickness will be considered on merit and is subject to the approval of the Principal.

6.If classes are abandoned or cancelled for no very sound reason as stipulated in condition 5, the full tuition fee is payable.

7.Students who attend classes have a period of two days after publication of the examination results to do any adjustments to their enrolments.

8.(i) In the event of the student cancelling after 10 working days reckoned from the commencement of the said term 50% of the course fee shall become due and payable irrespective of whether the student changes and/or abandons and/or terminates his/her course of study. (ii) In the event of a student completing 50% of the said course reckoned from the commencement of said term; the full balance of the course fee shall become due and payable irrespective whether the student changes and/or abandons and/or terminates his/her course of study.

9.In addition to the aforementioned the student and/or parent and natural guardian where applicable hereby consents to any legal action being instituted for recovering of outstanding fees in the magistrates court.

10.In the event of any course fees being outstanding the college shall in its sole discretion be entitled to refuse admission to any defaulting to the final examination at the end of the said course term.

11.80% Class attendance and prescribed minimum term marks are compulsory for each subject in order to gain admission to the final examination at the end of any course term. For learnerships: (i) 80% Attendance per unit standard is compulsary to attempt summative assessment (ii) Only two attempts per summative assessment allowed.

12.Students must submit proof of RSA Identification Number (or Study Visa) and previous academic successes.

13.EMC must be informed in writing within 10 working days of any address changes.

You agree that we may:

1.verify information provided by you;

2.seek information from any credit bureau when assessing your application for credit and at any time during your continuing indebtedness to us including tracing or confirming your whereabouts

3.disclose the existence of your account to any credit bureau, sharing both positive and negative payment information about such account;

Furthermore, you agree that we will be entitled to obtain and disclose the above information:

•if we consider that it is necessary or may be of benefit to you;

•where we are under legal obligation to do so;

•where it is in your own or the public interest that we do so

•Furthermore, you agree that you will be held accountable for all collection fees, tracing fees, necessary expenses, interest, collection, commission, legal costs and legal expenses etc. incurred.

The completed application form duly signed by the above student and where applicable, parent or legal guardian represents the formal contract of enrolment with Eastcape Midlands College subject to the conditions referred to above.

COMPULSORY CERTIFIED COPIES (FOR OFFICE USE ONLY)

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