STUDENT CARD APPLICATION NAMIBIA 2015 R3-N GENERAL INSTRUCTIONS

STUDENT CARD APPLICATION
NAMIBIA 2015
R3-N
Student Number (Only complete if you have been issued a student number by SBS)
GENERAL INSTRUCTIONS
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Please read the instructions and complete this form in full, in block letters, to prevent unnecessary delays.
ID/PASSPORT PHOTO
Attach a photograph: Size = 40mm x 30mm & in colour.
Proof of payment to the value of N$120.00 must accompany this form.
Payment can be made by direct deposits or electronic funds transfer (EFT).
Banking details:
Bank: STANDARD BANK
Branch: WESTGATE (016641)
Account Holder: SOUTHERN BUSINESS SCHOOL
Account No: 401394506
CURRENT Account
5. This form can be returned by:
E-mail: [email protected] - Important: A high resolution photograph (in colour) must be attached.
Post: STUDENT CARDS, Southern Business School, Private Bag X03, Helderkruin, 1733.
Remember to include your photo and proof of payment!
Attach one ID/Passport size photo here, or click
PERSONAL INFORMATION
South African ID Number
Date of Birth (YYYYMMDD)
International ID Number (Applicants who are not South African citizens)
Title
Surname
Name/s
ADDRESS & CONTACT DETAILS
Postal Address
E-mail address
Cell Phone Number
Work Number
Postal Code
Fax Number
SIGNATURE OF APPLICANT
Signed at .
Date (YYYYMMDD)
Initials & Surname
Signature .
This form can be returned by e-mail to [email protected] to prevent unnecessary delays
or it can be posted to: STUDENT CARDS, Southern Business School, Private Bag X03, Helderkruin, 1733
Private Bag 13026, WINDHOEK Tel: +264 (0) 61 308 781 Fax: +264 (0) 61 308 782 e-mail: [email protected] 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
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