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Registration Form Web

Reg forms
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0% found this document useful (0 votes)
77 views4 pages

Registration Form Web

Reg forms
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

PO Box 12723, Die Boord, 7613

Tel. 021 110 0200 / 021 200 6236


Whatsapp 066 387 3876
info@oxbridgeacademy.edu.za

REGISTRATION FORM
Follow these easy steps and start your journey to success.

STEP 1 - Course Selection

Course name:

Course Code:

I declare that I am fully aware of the accreditation status of the selected course, the certification agent/party and the nature of the course.

STEP 2 - Student details

ID/Passport No*: Date of Birth: Y Y Y Y M M D D


*Attach proof of ID

Full Names: Mr Ms Mrs

Surname:

Email Address:

Cell No: Race: African White Coloured Asian Indian

Work No:

Postal Address:

Code:

Delivery Address (Work address preferred):

Code:

Job Status: Unemployed Employed

Occupation:

Company/Work Name:

Highest School Grade Passed*: Year Grade Passed:

Other Qualifications:

*Attach proof of highest grade/other qualifications passed


STEP 3 - Delivery Options (tick your preference)

Delivery Option Delivery Time Fees X


* Courier * Our courier service provider does
(Work address) preferred 7 - 8 working days Included in course price
cover a wide area but if not available in
Registered Post your area, Registered Post will apply
(PO Box address) 7 - 14 working days Included in course price
Courier fee for International
Rural areas courier students will be levied separately
(street address must be supplied) 7 - 14 working days Included in course price
on a cost basis.

STEP 4 - Registration Fee


Registration fee payable upon registration either by bank deposit, electronic transfer (EFT) or ATM deposit.
Enclose the registration fee* when submitting this form and we will send you a Welcome Pack that includes your 1st Study Unit,
Success Study Guide and Student card. International students will be required to pay a non-refundable deposit of R2400.

*Attach proof of payment


ABSA bank details for payment via bank deposits CAPITEC bank details for payment via ATM
Bank name Absa bank Account name Oxbridge Academy Bank name Capitec bank Division Name Capitec Business

Branch Towers North Account number 409 165 6197 Branch Name Paarl Account name Oxbridge Academy Pty (Ltd)

Branch code 632005 Reference Your student no Branch code 450105 Account Number 105 113 8930

SWIFT Address CABLZAJJ Reference Your student no

If you are: (A) YOUNGER THAN 18 YEARS or (B) UNEMPLOYED


Parent/Guarantor Details
I approve and confirm this application.

Name: Relation to student:

ID No:

Cell No:

Home No: Parent/Guardian/Guarantor Signature

Terms and Conditions


General terms and conditions:
The student, applicant, account/fee payer, lawful guardian and/or sponsor will herein collectively be referred to as the “Student”. Upon acceptance to Oxbridge Academy, the
Student shall be jointly and separately liable for the fulfilment of all terms of the agreement. Oxbridge Academy reserves the right to cancel a Student’s registration without having
to give a reason for such cancellation. Students who are on monthly payment plans will not and cannot claim any refund if Oxbridge Academy cancels their registration, since the
monthly payments are for the availability and/or delivery of items and tuition up to the end of the current month for which the Student has paid. If Oxbridge Academy chooses to
cancel the registration of a Student who has paid for the course in advance, such a Student is not entitled to a refund.

In the event of any Student desiring to terminate his/her studies, for any reason whatsoever, this shall not absolve the Student from full liability for the payment of fees and any
other charges and shall be dealt with in accordance to the cancellation and refund policy. The Student’s failure to make progress with his/her studies, or to complete a programme
of study, for whatever reason, shall in no way entitle him/her to a reduction in fees, nor will it absolve him/her from full liability for the payment of fees and other charges. No
cancellation of this contract shall be of force or effect without written consent thereto by an authorised office of Oxbridge Academy. The right to tuition and examinations is not
transferable. The Student hereby accepts that Oxbridge Academy shall have the right to vary the course syllabus at any time, without prior notification and without furnishing
reasons. Oxbridge Academy shall have the right, at its sole discretion, to cancel any course or subject initially advertised and offered on the basis of insufficient demand.

In the event of the signatories to this agreement, other than Oxbridge Academy, having completed this form incorrectly or the payment details herein not being in accordance with
the requirements of Oxbridge Academy, such incorrect information or payment details shall be deemed to have been amended so as to be in accordance with the requirements of
Oxbridge Academy, without further notice. Oxbridge Academy shall be deemed to include any division of Oxbridge Academy or any other juristic person to whom the rights and
obligations of Oxbridge Academy, as contained herein, may be ceded and/or assigned.

Capacity to enter into agreement:


• For an organisation: The contracting party (the organisation) hereby warrants to Oxbridge Academy that the signatory (representing the organisation) has the required legal
capacity to enter into, and be bound by, these terms and conditions. The organisation accepts all the terms and conditions of the entire agreement.
• For an individual: I hereby declare that there is no legal impediment to my concluding this agreement and that I am legally bound to this contract and accept all the terms and
conditions of the entire agreement.
Person dealing with Oxbridge Academy on the student’s behalf:
Oxbridge Academy will only correspond and deal with the Student. Oxbridge Academy will not enter into correspondence with any person or any organisation representing the
Student, except for the Ombudsman, a parent or legal guardian (only in the case where the Student is a minor), a person representing a relevant accrediting body or institute, or
the Student’s lawyer. Oxbridge Academy will specifically not engage in further servicing, communicating or corresponding with a Student once that Student has cancelled his/
her registration or has had his/her registration cancelled by Oxbridge Academy. The cancellation process brings to an end the relationship between Oxbridge Academy and the
Student.

Client data:
I undertake to notify Oxbridge Academy, in writing, of any changes in my contact details, including but not limited to my business, postal or residential addresses, my home, work
or cell phone number(s), and my email address, within 7 (seven) days of such changes. If the Student has not notified Oxbridge Academy, in writing, of an address change, Oxbridge
Academy will not be responsible for the resending of study material that has been sent to the address provided during the registration process, or the address as recorded via
official changes made on the system.

Nominated address:
I choose the address as disclosed during the registration process as my domicilium citandi et executandi for all purposes arising from this agreement.

Adhering to entrance criteria:


The Student is responsible for ensuring that he/she is registered on the correct course and that he/she adheres to the latest and correct entrance criteria. Oxbridge Academy will
not accept Students who do not adhere to the entrance criteria for the courses they registered on. Oxbridge Academy will cancel the registration of Students who registered
without adhering to the entrance criteria for their chosen courses.

Study material:
1. Updates to study material
Oxbridge Academy will provide the Student with study material according to the course list as at the time of the Student’s enrolment. Oxbridge Academy is not responsible for
issuing the Student with study material according to outdated course lists.

2. Missing or incorrect study material


The Student has 30 days to query missing or incorrect study material. After 30 days, the Student will be liable for the costs of replacing or resending the correct study material.

Student fees:
1. Registration fees
A non-refundable registration fee is payable if fees are to be paid in monthly instalments. The registration fee represents an initial deposit and contributes towards the activation
of your course. Please refer to your confirmation of enrolment letter for more details.

2. Programme fees
The Student takes responsibility for the payment of all fees and other charges due to Oxbridge Academy. The programme fees exclude external institute membership fees. The
Student agrees to be liable for all costs of debt recovery, including professional fees and collection commission. Postage on all material sent to Oxbridge Academy is payable by
the Student. Course material will be supplied to the Student in parts, as and when the required amount of fees has been paid. The replacement of study material will be for the
account of the Student. The monthly instalment will be due by the date indicated on the registration form. The monthly instalment amount depends on the employment status
of the Student and the chosen payment method.

Oxbridge Academy will provide a service to the Student in accordance with the receipt of the Student’s monthly instalment payment. In the event of any fees due by the Student
being unpaid on the due date, the full balance of such fees remaining unpaid shall become immediately due and payable. The Student will not receive reports, certificates, or exam
results unless the account is paid up in full. A Student who has failed academically shall not receive any reimbursement of their tuition fee. Once the recommended period of study
has passed, the Student is required to apply and pay for an extension to complete his/her studies.

3. Extension Fees
If the learner does not complete the course within the period specified on the confirmation of enrolment letter, the learner will be required to apply and pay for an extension to
complete his/her studies. A fee of R850 is payable upon application for extension. The student will also be required to purchase a new textbook (or textbooks) if any curriculum
changes were implemented that resulted in changes to study material. No extensions will be granted for courses that have been discontinued and are no longer offered by
Oxbridge Academy, or courses that have passed their registration and/or accreditation date.

4. Exam Fees
The following conditions apply:
• An exam rewrite fee is payable if a Student is absent from an exam after being registered for that specific exam.
• In the unfortunate event that a Student fails an exam, an exam rewrite fee is payable in advance if the Student wants to rewrite the subject(s) in the next exam session.
• Matric rewrite exam fees are payable if a Student cancels during or after the exam registration period.
• All exam fees are non-refundable.

Change of course:
Oxbridge Academy will assist Students who wish to change their course in order to select a better fit. One change of course is permitted per Student. One free change of course
is offered within the first 5 months of registration. After 5 months, application, acceptance, library and programme fees will be deducted from account credits. The remainder of
the unutilised credit portion will not be refunded. The Student will be able to utilise the credit for their next course enrolment. If, at any time after registration, a course is changed
to one with a higher price, the student will be invoiced the difference between the two course prices. The following fees will be deducted: The following fees will be deducted:
a) Change of course fee: R800
b) Modules: Depending on the modules themselves
c) Any debits with regards to debit order reversal fees, exam fees, etc.
Cancellation and refund policy:
If a Student is not satisfied with the services delivered by Oxbridge Academy, the Student may request cancellation. The Student should send and request receipt of a signed
letter to a person authorised by Oxbridge Academy to cancel registration in terms of this contract. In the event of any Student desiring to terminate his/her studies, for any reason
whatsoever, this shall not absolve the Student from full liability for the payment of fees and any other charges, and shall be dealt with in accordance to the cancellation policy.
Oxbridge Academy may retain the following amounts as a reasonable cancellation fee, and the Student warrants that he/she understands the meaning of a reasonable cancellation
fee as set out in Section 14 of the CPA, and that he/she understands that Oxbridge Academy has agreed these to be reasonable for the purpose of Section 14(3)(b)9i), to cover its
administrative and other costs:

Course duration Within 30 days from The amount below must be paid and will not be refunded:
between 6 to 8 date of registration 15% of the contract amount, plus the full cost of any academic material already supplied.
months
After 30 days from date The amount below must be paid and will not be refunded:
of registration 100% of the contract amount.
Course duration 12 Within 30 days from The amount below must be paid and will not be refunded:
months or more date of registration 15% of the contract amount, plus the full cost of any academic material already supplied.
After 30 days but before The amount below must be paid and will not be refunded:
6 months from date of 50% of the contract amount, plus the full cost of any academic material already supplied.
registration
After 6 months from The amount below must be paid and will not be refunded:
date of registration 100% of the contract amount.

Other:
Oxbridge Academy reserves the right to use the Student’s information to provide the necessary materials to the Student and to perform our obligations and enforce our rights
under this agreement. This agreement is subject to acceptance by Oxbridge Academy. This agreement constitutes the whole agreement between the Parties.

Signatures and agreement:


1. Oxbridge Academy may, at any time, request copies of my recent pay slips and bank statements.
2. Should I fail to make any payment I owe, the full amount of the balance I owe shall become immediately payable. Oxbridge Academy shall be entitled to proceed against me
for recovery without further notice.
3. If I am in arrears or if legal action is instituted, I agree to pay all legal costs, including the charges between attorney and client, collection charges, tracing costs and commission.
4. I consent in terms of Section 65J of the Magistrate’s Court Act No 32 of 1944 to an emoluments attachment order to be issued, without further notice to me, from the court of
the district in which my employer resides, carries on business, or is employed, and that the amount of the emoluments be attached in instalments as reflected in my agreement
with Oxbridge Academy.
5. Oxbridge Academy may send me related marketing material, but I have the right to opt out at any time should I no longer wish to receive such communication.
6. By agreeing to be responsible for the student fees and/or registering as a student at Oxbridge Academy, I give Oxbridge Academy permission to:
a) Contact any credit bureaus or other credit providers to request information regarding my credit worthiness.
b) Release information with regards to my payment history with Oxbridge Academy to any of the credit bureaus.
c) Contact any referrals to confirm my information.
d) Cede this agreement.
7. N4-N6 Students: I hereby acknowledge that I have passed Gr.12 (Matric). If I cannot provide proof of passing Gr.12 (Matric), I forfeit any refund upon cancellation.
8. Senior Certificate (as amended) Students: I hereby acknowledge that I have passed Gr.9 (Std. 7). If I cannot provide proof of passing Gr.9 (Std. 7), I forfeit any refund upon
cancellation. I also acknowledge that I am aware of the fact that I must register for the exams myself.

By accepting the terms and conditions at any point during the registration process, the Applicant/Student affirms the following:
• I declare that the information in this application is complete and correct. I authorise Oxbridge Academy to verify information contained in this application form and make any
other enquiries that may be necessary.
• I understand that if any part of it is found to be incomplete, false or misleading, Oxbridge Academy may cancel this registration.
• I undertake to abide by the policies and rules of Oxbridge Academy.
• (If applicable) I, the Parent/Guardian, give permission to the above-mentioned Applicant/Student to enrol at Oxbridge Academy.
• I hereby agree that I have read and understood these terms and conditions.
• I agree that by completing the registration process, along with providing my personal identifying information contained in the registration form captured with these agreed-
upon terms, that I am entering this contract and I understand this action to be legally binding.

Student Signature: Date:

Student Advisor:

Oxbridge Academy • Effortless Excellence in Education

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