Student Enrollment Form

ENROLLMENT FORM 2022

EDTPSETA:10907
5077 IKATI STREET EXT 24
OLIEVENHOUTBOSCH
CENTURION
TEL:+2712755659
CELL:+27827118780
Name

Full NamesSurname
ID Number/Passport

ID NumberPassport
Phone Number

+27(0)Phone Number
Email
Personal Email
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Have you Completed Matric or ECD Level Four(4) ? If Yes Provide the Evidence
Please Provide Certified Document
Do you have any Special Needs?
Please Provide Certified Document
Can you use Computer?
How often do you use a computer?
Choose the languages you speak

Other
Choose how many Months/Years have you been working in ECD Center
Have you completed any US ID for ECD?
If yes please provide the statement of results
Provide the Name of the ECD Center you are working in
Phone Number

+27(0)Phone Number
Please provide information about you and Pre School Children
I Full Names as in ID agree to pay full amount of R18000.00. Deposit R3000.00
Monthly R800.00 or more for National Diploma(Early Childhood Development) ID 64650 LP 23118 Level 5 course of 2 years or more in Paradise Institution
Learner Signature
PAYMENT OF FEES

Fees are payable in advance on or before the 05th of every month. A late payment levy 10% shall be payable. Should you plan to leave from institution on calendar month written notice is required. All outstanding fees are subjected to be paid for the account of the client and are not refundable.
I Full Names as in IDI do understand that should I fail to pay fees for every month before the 5th of the month, an additional 10% will be charged and become payable. Should I fail to pay the fees for three months in succession I will be suspended and the Institution may take legal action against me for recovery of the total fees owed plus cost of recovery and that I have to bear the legal cost i.e. attorney administration and collection cost
Learner Signature
Date

MonthDayYear
Date of application
File Upload

Certified ID copy,Matric and CV
Cancelof
Should be Empty:

ENROLLMENT FORM 2022