Enrollment Form

Please fill out the below form to Enroll in the course of your choice. Please try and be as detailed as possible when filling out the enrollment form, this will speed up the enrollment process.
If you would like to rather download the enrollment form , please click the download button.

Download Enrollment Form



Course Info


Course Code:
Course Description: *
Preffered Date:

Student Details


Name & Surname:*
ID Number:*
Student Cell Number:
Instruction Method:


Person Responsible


Title:
Name:*
Address:*
Postal Address: (If different)

Person responsible for account

Phone:*
-
Cell:
-
Fax:
-
E-mail:*

Company Details


Registered Name:
Registration No:
Contact Person:
Contact Person Phone

Only fill out if your company is responsible for payment




Trading Name:
Vat No::
Contact Person Email:

Payment Info


How would you like to pay:*

Depending on the option you select above , we will either send you an invoice with our banking details or a link to pay by credit card.

If you have selected debit order please follow the instructions on the screen after you have submitted this form.


 Only Complete Payment Terms and Deposit if you have selected Debit order above


Please note : not all courses can be financed. Please contact us to check if your course can be financed

 

Payment Terms
Deposit Amount: (Min Amount R2 500)

The Legal Stuff


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Contact Information

Address

Durbanville, Cape Town

Call Us
021 065 0347
Email

info@idigisol.co.za

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