APPLICATION FOR ADMISSION Diploma in Fashion Merchandising, Marketing & Media

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APPLICATION FOR ADMISSION - 2018 Diploma in Fashion Merchandising, Marketing & Media Dear Applicant Thank you for your enquiry regarding the Diploma in Fashion Merchandising, Marketing and Media. Enclosed please find the following important documentation, which is designed to assist you in the application process: 2018 Programme Guide Diploma in Fashion Merchandising, Marketing and Media Application Form Article - Make Sure Your Training is Accredited (Source: Cape Time, Monday 29 January 2007) Also please follow us on: FEDISA Cape Town FEDISA Fashion Institute FEDISACAPETOWN @FEDISACAPETOWN I trust that you find this information useful when making your decision and we look forward to receiving your application. Please do not hesitate to contact me should you have any further queries. Kind Regards Ms. Khanyisa Gqada Head of Student Affairs 1

APPLICATION FOR ADMISSION - 2018 Diploma in Fashion Merchandising, Marketing & Media Student Number: K for office use only Please complete the application form below in full and return it to FEDISA before 5 December 2017, thereafter it is regarded as a late application and a late application fee will apply. 1. STUDENT DETAILS Surname: First Names: ID Passport Number: Residential Address (Street): students residential address for duration of study Postal Address (Street): (If different) Tel (Home): Tel (Work): Cell: Fax: E-mail: Title (i.e. Mr/Mrs): Race: A W I C Other (required for statistical purposes by the DOE) Home Language: (required for statistical purposes by the DOE) Gender: Male Female Do you suffer from any disabilities or medical conditions that may adversley affect your studies? Yes No If yes, please state the nature of the disability or condition: 2

2. COURSES Description of Course Diploma in Fashion Merchandising, Marketing and Media 3. MARKETING How did you hear about FEDISA? Exhibition Newspaper advertisement Family or parents Posters Internet (website) Friends School visit Guidance counselor If Guidance Counselor, please provide details: Name : Contact informaiton : 4. PARENT / GUARDIAN This section must be completed by the applicant s benefactor, i.e. the person who will be responsible for the payment of all fees. Name: Relationship: ID / Passport Number: Physical Address Tel (Home): Tel (Work): Cell: E-mail: 3

5. SENIOR CERTIFICATE Type of Senior Certificate: Full Exemption Ordinary Conditional Exemption Mature Age Conditional Exemption Foreigners Conditional Exemption Immigrants Conditional Exemption Other Senior Certificate Name of School: _ Country: Which results are you submitting? Grade 11 final Grade 12 mid- final Grade 12 final 6. DECLARATION (Compulsory) I, (Full Name), ID/Passport Number:, the undersigned, declare that all the particulars supplied by me in this form are true, complete and correct. I accept that incorrect or misleading information could lead to the cancellation of this application. Applicant: Signature: date: / / Witness: date: / / Parent/legal guardian: date: / / (to be completed if student is younger than 18 years old) This section must be completed by the applicant s benefactor, i.e. the person who will be responsible for the payment of all fees. I, the undersigned, hereby acknowledge myself to be jointly and separately responsible for monies, which the above mentioned applicant may at any stage be owing to FEDISA (Pty) Ltd in terms of the agreement that he/she concluded with FEDISA (Pty) Ltd, as set out above, including any changes thereto. Parent/Guardian: Signature: Date: / / ID No: * PLEASE TURN OVER FOR GUIDELINES & CHECKLIST * 4

7. APPLICATION GUIDELINES & CHECKLIST Please note that incomplete applications are not considered. Before you submit your application, please go through the checklist below to ensure that you have completed every section and included all information that is relevant to you. Cross off each block once you have checked it. 1. Documents 1.1 A certified copy of the first page of your identity document (or certified copy of your passport), must accompany this document. 1.2 A certified copy of your Senior Certificate, or equivalent qualification, must be submitted with your application. If you are still in grade 12, your results obtained in grade 11, together with your most recent grade 12 results, must be submitted. If you attended any other tertiary institution, an original academic record and certificate of conduct, must be submitted. 2. Application Fee (Refer to Fees Schedule) 2.1 A non-refundable application fee must accompany the form. Only crossed postal orders, cheques and direct bank deposits will be accepted. In the event of a direct deposit or EFT (electronic funds transfers), proof of such transaction, must accompany the form. Please quote your initals and surname as a reference number. 3. General 3.1 This form must be completed by all applicants applying to FEDISA (Pty) Ltd for the first time. 3.2 It is in your own interest to ensure that the form is completed in full and that the certified copies of all the supporting documents are enclosed. If any questions are left unanswered, or certified documents are not enclosed, or the contract is not signed, it will cause a delay as the form will be returned to you for completion. 3.3 Write only in black or blue ink. CHECKLIST 1. Have you filled in every section of the application that applies to you? 2. Have you signed Section - 6 the declaration and legal undertaking, which states that the information you have given is complete and correct? 3. If you are under the age of 18, have you obtained your parent s or legal gaurdian s signature on the form? 4. Have you included the application fee, or proof of payment thereof? (Please note that this is an administrative fee and is non- refundable). 5. Have you provided all the contact details requested on this form? 6. Have you provided your identity/passport number and a certified copy of the relevant document? 7. If you already have a Senior Certificate, have you attached a certified copy of it to this application form? 8. Have you made sure that you meet the minimum admission requirements for the course that you are applying for? 5