July 2014 Cert 1

First Name

Surname

ID / Passport #

Tel No Mobile #

Work e-Mail *Private e-Mail

Work e-Mail *Private e-Mail

Work e-Mail *Private e-Mail

SAP AFRICA EDUCATION CERTIFICATION ENROLMENT FORM

Please complete the form in full, attach the proof of payment and e-mail to: education.southafrica@sap.com.

A Purchase Order Number, Letter of Guarantee or Proof of Payment is mandatory for your enrolment.

It is your responsibility to check pre-requisite for certifications. For more information go to: https://training.sap.com/za/en/.

Pricing reflected on the training and certification website exclude VAT.

All payments are required to be made in full, prior to the commencement date of your exam, unless your Organisation has a VIP account with us.

If exam fees are not paid prior to the start of the exam, you will not be allowed to write.

Note if you have not cancelled your exam, fees will be charged as per Terms & Conditions.

ENROLMENT DETAILS

A. Training Requester Details B. Invoice Recipient Details

Company

SAP Acc. #

First Name First Name

Surname Surname

Postal Address

Postal

Address

Tel No Tel No

Cell No Cell No

E-Mail E-Mail

Is the legal entity completing this form VAT registered in South Africa? YES NO

If “YES”, provide South African VAT number:

C. DELEGATE/S DETAILS

Please write clearly in CAPITAL LETTERS for Registration & Certificate purposes

Delegate 1

S Number / Certificate ID

E-mail address

Title

Customer Partner Attended SAP Education Training

Note: please only select one of the above

First Name

Surname

ID / Passport #

Tel No Mobile #

Delegate 2

S Number / Certificate ID

E-mail address

Title

Customer Partner Attended SAP Education Training

Note: please only select one of the above

Location

Location

July 2014 Cert 1

Work e-Mail *Private e-Mail

D. COURSE /CERTIFICATION DETAILS

E. PAYMENT OPTIONS

SAP Customer Account Y/N EFT Y/N Credit / Debit Card Y/N

SAP Customer PO #

Credit / Debit Card Number

CSV - Last 3 digits on back of the card

Card Type Visa Y/N

Master Y/N

Debit Y/N Note AMEX cards are not accepted.

Name on Card I authorize that my credit /debit card

can be debited for full

payment

Sign:

Total Amount (including 14% VAT) R Expiry date M: Y:

Banking Details – SAP South Africa Banking Details – SAP West Africa

Standard Bank - Rivonia Branch

Account Number – 420023925

Branch Code – 001255

Swift Code - SBZAZAJJ Vat

Note that 14% VAT applies to all transactions in South Africa

Citibank Nigeria

Account Number (NGN) - 7830017

Account Number- (USD) – 7830009

Swift Code- 36055521

F. TERMS & CONDITIONS

I HEREBY ACKNOWLEDGE THAT I HAVE READ, AND ACCEPT THE SAP Education Africa General Terms and Conditions https://training.sap.com/za/en/terms-and-conditions/

Signature: Date:

List prior attended courses

supporting certification

Certification Code Exam Date

(dd/mm/yyyy)

Location:

JHB, CPT, DBN, If Other then specify

First Name

Surname

ID / Passport #

Tel No Mobile #

Delegate 3

S Number / Certificate ID

E-mail address

Title

Customer Partner Attended SAP Education Training

Note: please only select one of the above

Delegate Number (refer to

section C)

Note: 5% VAT applies to all transactions in NigeriaBanking details may only be used when attendance is in West Africa only.

Location