DEBIT ORDER FOR STUDY FEES 2015 R2 GENERAL INFORMATION AND INSTRUCTIONS

DEBIT ORDER FOR STUDY FEES
2015
R2
Student Number (Only complete if you have been issued a student number by SBS)
GENERAL INFORMATION AND INSTRUCTIONS
1. Southern Business School (Pty) Ltd offers our students an interest free payment option for study fees.
2. Please complete this form in full, in block letters, to prevent unnecessary delays.
3. Please note that the REGISTRATION FEE for all qualifications DOES NOT FORM PART of this debit order payment option and must be paid up front
with registration.
4. Please ensure that sufficient funds are available in your account on the 15th or 30th day of every month. A fee of R145 will be charged on all rejected
debit orders.
5. Please return the completed form by fax for attention: Ms L Prinsloo to fax number: +27 (0) 86 586 6969 or it can be posted to:
The Finance Department, Private Bag X03, Helderkruin, 1733.
QUALIFICATION
Higher Certificate
Diploma
Advanced Diploma
Bachelor of Business Administration Degree
BBA Honours
Bachelor of Policing Practice Degree
BPP Honours
2 SUBJECTS PER SEMESTER
R476 per month
R476 per month
R594 per month
R560 per month
R754 per month
R500 per month
R690 per month
3 SUBJECTS PER SEMESTER
R715 per month
R715 per month
R890 per month
R830 per month
R1 130 per month
R760 per month
R1 050 per month
I hereby authorise Southern Business School to deduct from my bank account the following:
South African ID Number
International ID Number (Applicants who are not South African citizens)
Birth Date (YYYYMMDD)
Title
Initials
Surname
Name of Account Holder
Bank Name (e.g. Standard Bank)
Branch Name (e.g. Westgate)
Branch Code (e.g. 01664100)
Account Number (e.g. 401394506)
Type of Account (e.g. Savings, Cheque)
If you have a savings account, please enquire at your bank if debit order deductions are allowed on your savings account.
Amount to be deducted every month on the weekday closest to the 15th or 30th until further notice is given in writing:
On the 15th
On the 30th
I declare that the information provided are valid and correct and I agree to all the registration conditions.
Signed at
Date (YYYYMMDD)
Initials and Surname
Signature
This form MUST BE ATTACHED to the Registration Form
Private Bag X03, Helderkruin, 1733 / Tel: +27 (0) 11 662 1444 / Fax: +27 (0) 11 662 1462 / e-mail: info@sbs.ac.za / Web site: http://sbs.ac.za
Southern Business School (Pty) Ltd is registered with the Department of Higher Education & Training as a Private Higher Education Institution
under the Higher Education Act, 1997. Registration Certificate Number: 2002/HE07/015