PMB 20
MIDLANDSAddress:
Tel:
Admin Block, Room D 203lndumiso Campus Riverside Campus(033) 845 8951 (033) 845 8815
REGISTRATION OF SUBJECT/S FOR NON-CERTIFICATE /DIPLOMA/DEGREE PURPOSES
STUDENT DETAILS
Student Number
Surname First Name/s
Identity Number
Passport Number (International Student)
Postal Address
Postal Code
Contact Number/s Home Work Cell
Email Address
Routing: Student → Head of Department → Faculty Office
NOTE: I. The onus is on the student to ensure that all fees are paid timeously.II. An incomplete form will not be processed.III. Completed form to be returned to the Faculty Office.IV. A student Biographical and Indemnity form which is obtainable from the Faculty Office must be completed and attached to this form.V. Surety form obtainable from the Finance Department must be completed and submitted to the Finance Department.
PMB 20 Details of Current Registration (Only applicable if you are currently registered)
Qualification Description Qualification Code Qualification Block Code Qualification Offering Type
Details of Registration for Non-Certificate/Diploma/Degree Purposes
Qualification Description Qualification Code
Subject Description Subject Code
Subject Block Code
Subject Offering Type
Signature of Student ........................................................................... Date .....................................
The aforementioned amendments comply with all the relevant institution rules and are hereby authorised by Programme
1. Head of Department (where applicable)
Name ............................................................................................................... Signature ..................................................................................... Date .....................................
2. Non-diploma/certificateHead of Department/s in which Non-diploma/certificate subjects is/are taught
(i) Name of HoD ............................................................. Academic Department ...................................................... Signature .................................................. Date ..........................
(ii) Name of HoD ............................................................. Academic Department ...................................................... Signature .................................................. Date ..........................
FOR OFFICE USE
Received by Date
Processed by Date
Checked by Date
Faculty Officer Date
Routing: Student → Head of Department → Faculty Office