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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: _______________________
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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:
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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
