Auckland Park Theological Seminary Aucklandpark Teologiese Seminarium by sdsdfqw21

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									                    AGS Teologiese Kollege b/a                           AFM Theological College t/a




                A u c k l a n d P a rk T h e o l o g i c a l S e m i n a r y
                A u c k l a n d p a rk T e o l o g i e s e S e m i n a ri u m




                                                      REGISTRASIEVORM
                                                     REGISTRATION FORM
                              Accredited with CHE, SAQA (ID 49574) DoE certificate of registration no
                                                            2004/HE08/003
                                      BA Theology, BTh, & Dipl in
                                         Pentecostal Theology

                                                                2009

                                           PLEASE NOTE / NEEM ASSEBLIEF KENNIS

Only written notification of cancellation of your studies is accepted. The date that we receive
the notification is taken as the date that you cancel your studies. If a BA degree, you need to
                             notify UJ and ATS of your cancellation
   Slegs geskrewe kennisgewing van kansellasie van u studies word aanvaar. Die datum
waarop op die kennisgewing ontvang word, word aanvaar as datum van staking van studies.
            Indien ‘n BA graad, moet u UJ en ATS in kennis stel van u kansellasie.
                                                                                                                                                           1

 Privaatsak X 75, Aucklandpark, 2006, Richmondlaan 55, Aucklandpark, 2092, SA Private Bag X75, Auckland Park, 2006, 55 Richmond Ave, Auckland Park, 2092, SA
                                      +27 726 7029     +27 726 8366     086 6899 996 admin@afmtc.org, www.afmtc.org
                    AGS Teologiese Kollege b/a                          AFM Theological College t/a


                    AGS Teologiese Kollege b/a                          AFM Theological College t/a



                                                         REGISTRASIE VORM
                                                         REGISTRATION FORM
                                           BA Theology, BTh, & Dipl in
                                              Pentecostal Theology
                                                                          2009

   Date / Datum         ATS Student nr/ATS Student no                ATS Account Nr / ATS Rekening No               UJ nr



   Surname                                                                            Title                         Initials
   Van                                                                                Titel                         Voorletters
   First names                                                          For Dept. of Education
                                                                                                       BLACK       COLOURED         INDIAN       WHITE
   Voorname                                                             purposes please indicate:
   Sex                            Date of birth                                                  ID number
               Male     Female
   Geslag                         Geboortedatum                                                  ID nommer
   Occupation                                               Language preference                         Marital status
                                                                                      ENG       AFR
   Beroep                                                   Taal voorkeur                               Huwelikstaat
     Postal address (for study materials & results)               Postal address for accounts                              Home address




                          Code:                                                   Code:                                           Code:

   Home tel                                         Work tel                                                        Fax
   Huis tel                                         Werk tel                                                        Faks
   e-mail address                                                     Cel phone
   e-pos adres                                                        Sel foon
   Denomination                                                       Congregation
   Kerkverband                                                        Gemeente
   Name of pastor                                                                      Tel nr of pastor
   Naam van pastoor                                                                    Tel no van pastoor
                           Academic Qualifications                                                       Theological Training
                          Akademiese Kwalifikasies                                                       Teologiese Opleiding




                                  PLEASE INDICATE FOR WHICH LEARNINGCENTRE YOU WANT TO REGISTER
                                      DUI ASSEBLIEF AAN BY WATTER LEERSENTRUM U REGISTREER
                                                                INTRAMURAL                                  DISTANCE STUDY
         AUCKLAND PARK
                                                                BINNEMUURS                                  AFSTANDSTUDIE

   LEARNING CENTRE / LEERSENTRUM:




                                                                                                                                                          2

Privaatsak X 75, Aucklandpark, 2006, Richmondlaan 55, Aucklandpark, 2092, SA Private Bag X75, Auckland Park, 2006, 55 Richmond Ave, Auckland Park, 2092, SA
                                     +27 726 7029     +27 726 8366     086 6899 996 admin@afmtc.org, www.afmtc.org
                    AGS AGS Teologiese Kollege b/a                                             AFM Theological College t/a




Name / Naam:                                                                                                                                2009
 Code                                           Modules /                 BA    BTh     BTh      Dipl in Pent     Dipl in Pent    Office Use       Price
               Subject
 Kode                        Sem                Modules                         3 YR    4 YR       Theo 25          Theo 40        Kantoor         Prys
                Vak                                                               X       X                                        gebruik
                                                                           X                           X                X

1000/040      TLG 1A11        1      Dogmatics & Church History 1
                                                                                                                                                R1380.00

1000/050      TLG 1B21        2      Practical Theol & Missiology 1
                                                                                                                                                R1380.00

1000/060      TLG 1C11        1     Personal Development & Growth
                                                                                                                                                R1380.00

                                       Christian Management and                                                                                 R1380.00
1000/071      TLG 1D21        2
                                               Leadership
1000/080     GKS AB A         1        Taalkunde / Greek language
                                                                                                                                                R1380.00
1000/081     GKS AB B         2        Taalkunde / Greek language
                                                                                                                                                R1380.00

1000/090      BIB STUD        1                      OT
                                                                                                                                                R1380.00

1000/091      BIB STUD        2                      NT
                                                                                                                                                R1380.00

1000/420       CLC1A          1    Palistine- Greek and Roman world
                                                                                                                                                R1380.00
1000/421       CLC1B          2    Palistine- Greek and Roman world
                                                                                                                                                R1380.00

1000/101      HEBAB1          1        Taalkunde / Heb Language
                                                                                                                                                R1380.00
1000/101      HEBAB1          2        Taalkunde / Heb Language
                                                                                                                                                R1380.00

                                     Missiology 2 & New Testament                                                                               R1720.00
1000/100      TLG 2A11        1
                                    Missiologie 2 & Nuwe Testament
                                           Practical Theology 2                                                                                 R1720.00
1000/110      TLG 2B21        2
                                           Praktiese Teologie 2
1000/120      TLG 2C11        1        Dogmatics 2 / Dogmatiek 2
                                                                                                                                                R1720.00

                                          Church History & OT                                                                                   R1720.00
1000/130      TLG 2D21        2
                                         Kerkgeskiedenis & OT
                                           Practical Theology 3                                                                                 R3325.00
1000/140      TLG 3A11        1
                                           Praktiese Teologie 3
1000/150      TLG 3B21        2         Miss & NT 3 / Miss & NT 3
                                                                                                                                                R3325.00

                                      Church History & Old Test 3                                                                               R3325.00
1000/160      TLG 3C11        1
                                        Kerkgeskiedenis en OT 3
1000/170      TLG 3D21        2        Dogmatics 3 / Dogmatiek 3
                                                                                                                                                R3325.00

1000/181      TLG3E21         1     Practical Theology & Missiology 4                                                                           R2525.00
                                    Old Testament & New Testament                                                                               R2525.00
1000/191     TLG 3FE11        2                      4

1000/201     TLG 3GF21        2      Dogmatics & Church History 4                                                                               R2525.00

1000/182      TLG4A11         1     Practical Theology & Missiology 4                                                                           R2525.00

1000/192      TLG4B21         2     Old Testament & New Testament                                                                               R2525.00

1000/202      TLG4C21         2       Dogmatics & Church History 4                                                                              R2525.00

                                                                                                     TOTAL                   R
                                                               LESS REGISTRATION FEE (25%)                                   R
                                                                                                     TOTAL                   R

                                                                                                                                                           3

 Privaatsak X 75, Aucklandpark, 2006, Richmondlaan 55, Aucklandpark, 2092, SA Private Bag X75, Auckland Park, 2006, 55 Richmond Ave, Auckland Park, 2092, SA
                                      +27 726 7029        +27 726 8366   086 6899 996 admin@afmtc.org, www.afmtc.org
AGS AGS Teologiese Kollege b/a                                                      AFM Theological College t/a




METHOD OF PAYMENT / WYSE VAN BETALING
25% of the total tuition fees for the year is payable upon registration, with the balance payable in seven (7) equal monthly
                                                                                                                                    th
installments on the last day of every month as from February 28, with a final payment on August 30                                       . Equal monthly
payments of R____________________
25% van die totale klasgelde van die jaar is betaalbaar met registrasie, en die balans betaalbaar in sewe (7) gelyke
maandelikse paaiemente op die laaste dag) van elke maand vanaf 28 Februarie met ‘n finale paaiement op 30 Augustus.
Gelyke maandelikse paaiemente van R_____________________
      Cash/Kontant                       Elektroniese                                 Monthly                         Post dated cheque/s
                                       betaling/Electroni                           Maandelinks                      Vooruitgedateerde tjek/s
                                          c payment


***        A Debit order is attached for you to complete. / ‘n Debietorder word aangeheg vir u om te voltooi. ***

       •   Any Debit Orders or Cheques retured/refired to drawer by Absa Bank shall be payable immediately in cash only.
           Enige Debietorder of Tjek deur Absa Bank teruggestuur / verwys na trekker sal onmiddelik alleenlik in kontant
           betaalbaar wees.

       •   NB: It is by law a criminal offence to tender payment by debit order or cheque if you know that funds are not
           available.
           LW: Dit is ‘n kriminele oortreding om betaling per debietorder of tjek te tender wanneer u weet dat daar geen fondse
           beskikbaar is nie.

Should any monthly payments not be received by the ATS, your studies will be put on hold until such payment is received!
Indien daar enige maandelikse paaiemente nie deur die ATS ontvang is nie, sal u studies geblok word totdat so ‘n
paaiement ontvang is!
                                 SLEGS VIR KANTOOR GEBRUIK / OFFICE USE ONLY
                   Method of payment of registration fee / Wyse van betaling van die registrasiegelde:
       Method/Wyse                                           Amount/Bedrag                            Notes / Notas
       Cash / Kontant                                        R                        Only for hand deliveries/Slegs vir
                                                                                      handaflewerings
       Cheque / Tjek                                         R                        Beneficiary: AFM Theological College
                                                                                      Begunstigde: AGS Teologiese Kollege
       Post dated cheques for full amount /                  R                        Beneficiary: AFM Theological College
       Vooruit gedateerde Tjeks volle bedrag                                          Begunstigde: AGS Teologiese Kollege
       Deposit into bank account /                           R                        Beneficiary: AFM Theological College
       Deposito in bank rekening                                                      Begunstigde: AGS Teologiese Kollege
         With proof of payment / met bewys                                            ABSA Bramley - Acc nr: 1000610760 - Branch /
       van betaling                                                                   Tak 50760503


 I, __________________________________________ do hereby declare that I accept full responsibility for the
 payment of my tuition fees and that I will make a monthly payment and that the full account be settled by 1
 September. I also accept that if I fail to do so, Auckland Park Theological Seminary may refuse me the right
 to write my examination in June and November.


 Hiermee verklaar ek, _________________________________ dat ek volle verantwoordelikheid vir die betaling van
 my klasgelde neem en dat betaling maandeliks sal geskied en die volle rekening vereffen sal wees teen 1
 September. Ek aanvaar ook dat indien dit nie die geval is nie, Aucklandpark Teologiese Seminarium mag weier dat
 ek eksamen mag aflê in Junie en November.
 Signed                                         Date                            Place:
 Geteken ____________________________           Datum ___________________ Plek: _______________________




                                                                                                                                                           4

 Privaatsak X 75, Aucklandpark, 2006, Richmondlaan 55, Aucklandpark, 2092, SA Private Bag X75, Auckland Park, 2006, 55 Richmond Ave, Auckland Park, 2092, SA
                                      +27 726 7029     +27 726 8366     086 6899 996 admin@afmtc.org, www.afmtc.org
AGS Teologiese Kollege b/a                                               AFM Theological College t/a




CONDITION OF ENROLMENT / VOORWAARDES VIR REGISTRASIE
Your enrolment as a student of the Seminary is subject to acceptance of the conditions as stated below:
U registrasie as student van die Seminarium is onderhewig aan die aanvaarding van die voorwaardes soos
ondervermeld:

                                                       Please take note of the following:
                                                      Neem asseblief kennis van die volgende:
                                                                  th                   st                                   nd
          If you cancel your studies before or on 15 of February (1 Semester), and 31 July (2 Semester) you are not
          responsible for any subject fees, only the administration fee of R350, the printing costs of the studymaterial & any
          outstanding invoices.
                                                        e                               e
          Indien u, u studies voor of op 15 Februarie (1 Semester) staak en 31 Julie (2 Semester), is u nie verantwoordelik vir enige
          vakgelde nie, maar wel die administrasie gelde van R350, die drukkostes van die studiemateriaal & enige uitstaande fakture.
                                                                               st                                                      nd
          When you cancel your studies before 15 April in the 1 semester and before 1 September in the 2 semester, you
          will be held responsible to pay 50% of the tuition fee of that specific semester.
          Indien u kennis gee van staking van studies voor 15 April vir die 1ste semester en voor 1 September vir die 2de semester, sou
          u vir 50% van die bepaalde semester se studie fooie verantwoordelik gehou word.

          Only written notification of cancellation of your studies is accepted. The date that we receive the notification is
          taken as the date that you cancel your studies. You need to notify UJ and ATS of your cancellation.
          Slegs geskrewe kennisgewing van kansellasie van u studies word aanvaar. Die datum waarop op die kennisgewing ontvang
          word, word aanvaar as datum van staking van studies. U moet UJ en ATS in kennis stel van u kansellasie.

          If you register as a distance study student, you have the right to attend any classes.
          Indien u as ‘n afstandstudie student registreer het, het u ook toegang tot enige klasse.

          I further agree to acknowledge the rules of the Seminary and abide by it.
          Verder onderneem ek om die reëls van die Seminarium te erken en te onderhou.

          I hereby grand permission to the ATS, that any personal info may be provided to my own church denomination
          and/or any person who may need information to benefit my studies or ministry.
          Ek verleen hiermee geskrewe toestemming aan die ATS, dat persoonlike inligting gegee mag word aan my eie kerkgenootskap
          en/of enige betrokke persone wat sodanige inligting benodig vir die bevordering van my studies en bediening.

I,                                                                           Hereby agree to above conditions.
Ek, ______________________________________________________________________, aanvaar bogenoemde voorwaardes.


_________________________________                                                             ________________________________________
DATE/DATUM                                                                                    Signature of student / Handtekening van student



Contact details of next of kin / Kontak besonderhede van naasbestaande

Name / Naam:


Postal Adress / Posadres:                                                      Phisical Adress / Straat adres:




Tel Nr:                                                                        Tel No:




                                                                                                                                                           5

 Privaatsak X 75, Aucklandpark, 2006, Richmondlaan 55, Aucklandpark, 2092, SA Private Bag X75, Auckland Park, 2006, 55 Richmond Ave, Auckland Park, 2092, SA
                                      +27 726 7029     +27 726 8366     086 6899 996 admin@afmtc.org, www.afmtc.org

								
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