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SOUTH AFRICAN INSTITUTE OF STOCKBROKERS SOUTH AFRICAN INSTITUTE OF

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SOUTH AFRICAN INSTITUTE OF STOCKBROKERS SOUTH AFRICAN INSTITUTE OF Powered By Docstoc
					                                         SOUTH AFRICAN INSTITUTE OF STOCKBROKERS
                                                                 P O Box 61162, Marshalltown, 2107
                                             5th Floor, First National House, 11 Diagonal Street, Johannesburg, 2001
                                                          Telephone: (011) 838-4552 Fax: (011) 838-5810

SALES CONTRACT / PURCHASE ORDER FOR COURSE MATERIAL & EXAM ENROLMENT FORM
ONLY VALID FOR FIRST SEMESTER 2007 (January – June 2007)
PLEASE COMPLETE SECTION BELOW (IN BLOCK LETTERS)
INCOMPLETE FORMS WILL BE REJECTED

Title:    X       Mr       Mrs           Miss               Surname:

First Names:

Date of                                                                  ID No /
              D        D   M     M     C        C       Y        Y
Birth:                                                                   Passport No

Phone:(W)(         CODE          )                          -                                     Cell:

Fax:          (    CODE          )                          -                                 Phone:(H)(   CODE         )                     -

Postal Address:            P O Box

                           Town                                                                                             Postal Code

E-mail Address:

Race:     X       Asian          Black              Coloured                White               (Required by the Department of education)


Employer:

Occupation:


SUBJECTS AVAILABLE FOR FIRST SEMESTER STOCKBROKING EXAMS

                                                    Method of Study                               Attending Lectures               Correspondence
                                                                                                  (Johannesburg ONLY)
                                                    Closing Date for Registration                 9 March 2007                     9 March 2007
The Act, Rules & Procedures 1
19 Mar 07 - 13 Jun 07                               1       9        4     0     0     0                                       1   2      8       0   0   0
Mondays & Wednesdays 18h30-20h30

REGISTRATION FOR EXAMINATION - Closing Date 31 May 2007

The Act, Rules & Procedures 1                Examination Date - Tuesday 26 June 2007                                               7      3       0   0   0

Examination venue:                         Johannesburg                              Durban                Cape Town                Windhoek

SAIS MEMBERSHIP FEE

Annual Student Membership Fee - COMPULSORY                                                                                         1      0       0   0   0   X


                                                                                               Total Amount Due                R

I undertake to:
• Pay unconditionally all fees and charges payable to the South African Institute of Stockbrokers as they fall due for payment.
• Notify the South African Institute of Stockbrokers in writing before the specified deadlines of my intention to cancel my registration, failing which,
   I admit liability of all fees

Method of Payment                    Cheque                     Direct Deposit          FNB, BankCity Branch Code: 25-08-05, Acc No. 62050140492
(if payment enclosed)      :x                                                               Please fax a copy of deposit slip on (011) 838-5810

              D        D   M     M       Y      Y       Y        Y
Date:                                                                                  Student Signature     _______________________________________

NO CANCELLATION WILL BE ACCEPTED AFTER 14 DAYS OF RECEIPT HEREOF OR AFTER COURSE MATERIAL HAS BEEN DISPATCHED, WHICH EVER OCCURS FIRST

   UNDER NO CIRCUMSTANCES WILL REGISTRATION FORMS BE ACCEPTED WITHOUT ACCOMPANYING PROOF OF
                      QUALIFICATIONS AS SET OUT IN THE ENTRY REQUIREMENTS

				
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