Centre for Business Management: Application for a Student Number

  
  • This form is for new students only.

  • Your student number will be e-mailed to you in more or less five working days. Please ensure that you supply the correct e-mail address.

  

Proposed Qualification

Surname

Initials

Title

First Names

Maiden Name and/or Previous Surname

Date of Birth

Year(CCYY): Month(MM): Day(DD):

Gender

Female     Male

Language for correspondence

Afrikaans     English

Enter one of the following:

RSA identity number:     
  Passport number:          
  Foreign identity number: 

Physical disability

Telephone numbers (Dialling code and number eg. 011-8394671 x 2769):

Home telephone number

Cell number

Work telephone number

Fax number

E-mail address

May your name, email address and contact details be given to fellow students for academic purposes?

No     Yes

Postal address (without surname and initials)

  
  
  
  
  

Country

Postal Code

Physical address (without surname and initials)

  
  
  
  
  

Contact telephone number (Office hours)

Examination Centre

Home Language

The following 4 fields are for statistical purposes only:

Nationality

Population Group

Occupation

Economic Sector

Concurrent registration at two approved South African Universities is not allowed without permission from both Universities. If you have already registered, or intend to register concurrently at another approved South African University for 2014, supply the following information:

Other institution
Degree/Diploma

Give particulars of last tertiary institution at which you were registered before 2014:

Institution

Last year of registration

  

Undergraduate     Postgraduate

Give particulars of all previous registrations at a university or technikon, a nursing college or teachers' college, starting with the most recent registration

Institution (eg Unisa, UCT, JCE)

Degree/Diploma (eg BA, BCom, HED)

Start year

Student number at other institution

End year

Declaration and undertaking

I declare that all particulars furnished by me on this form are true and correct, and I undertake to comply with all the rules and regulations and decisions of the university

I agree     I do not agree