UCT FHS Registration: Introduction to Global Surgery

  • REGISTRATION FORM

    UCT FHS Short Courses & Workshops

  • Introduction to Global Surgery

    Course Date: 28-29 Nov 2025

    Course Fee: No fee

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  • Personal Details

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  • Contact Information

  • Other Information

  • Payment Information

  • Individual Payments via EFT

  • Individual Payments via EFT

     

    Account Name: UCT-FHS Electives and Short Course

    Bank Name: Standard Bank of South Africa

    Bank Address: Riverside Centre, Main Road, Rondebosch, 7700, South Africa

    Account Number: 071424547

    Branch Code: Rondebosch Branch, 051001 (SWIFT Code: SBZAZAJJ)

    Payment Reference: 233514[Your initial and surname] e.g. 233514PJones

    NB: Proof of payment must be emailed to ce.administration@uct.ac.za.

  • Company Invoice

    NB: Tax invoices are only issued to companies. Please do not complete this section if you are paying as an individual. Invoices will be emailed to the contact person indicated below. You should receive an invoice within 15 working days from the date of request. If payment is unlikely to reach us before the start of the course, we require a letter from your company stating their intention to pay the fee on receipt of an invoice. Once payment has been made, proof of payment must be emailed to ce.administration@uct.ac.za.

  • For a company to receive an invoice for its employee/s attending a course, the following information must be completed. If your company has not been invoiced by UCT previously, then an additional form (SD004) must be completed. This will be sent to you upon receipt of your registration form.

  • Contact person (e.g. Finance officer) to whom the invoice should be emailed

  • Terms & Conditions

  • 1. We will acknowledge receipt of your registration form. If there are no available spaces, you will be notified.

    2. Closing date for registrations is dependent on the particulars of each course. You may not cancel your registration after registrations have closed.

    3. Fees are due two weeks before the start of the course, unless otherwise arranged with the Continuing Education Unit.

    4. We must be informed of cancellations in writing at least four weeks before the start of the course or the full fee will be charged.

    6. UCT reserves the right to take any legal proceedings to recover the full fees payable, and to recover the costs in connection with such recovery.

    7. Certificates will be issued in the name supplied your ID/passport. 

    8. Certificates are issued in digital format only. You will be emailed the link to access the document to the email address provided on this form. 

    9. No certificate will be issued until full payment of the course fee has been received.Certificates will not be issued to any student who is not in financial good standing with UCT.

    10. UCT reserves the right to cancel the course if insufficient registrations are received, in which case, the course fee will be refunded in full if already paid.

    I have read and accept these terms and conditions.

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